18D-004 (30) PERMIT APPLICATION CHECK LIST
PAGE 1 gD PLOT 00 4 ZONE GS
00 DQ rno - n Rd . YES NO , DATE
1. ZONING FORM APPLICATION 4-10 -c7Q1_,
2. PERMIT APPLICATION L'
3. OWNER OCCUPANT STATEMENT f LIC.# IF NOT -*0 i9a
4. 3 SETS OF PLANS /PLOT PLAN
5. NEW CONSTRUCTION
6, CURB CUT
7. WATER AVAILABILITY FORMS
8. REMODELING INTERIOR •
9. ADDITION
10. ACCESSORY STRUCTURE
11. SIGN / AWNING
C ft 56 s
12. PERMIT FEE - CHECK ONLY - MONEY ORDER 4,47,rr7 L"
13. SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14. UNDER SECTION 127 - CMR 780
15. FORM A
16. FILL
COMMENTS: eq.-
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Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. Alterations
NORTHAMPTON, MASS. 9/G/ 1 9 Additions
t` '' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location /l 1)41-14 Al ,()2 Aid /Yr/i/A D7 A/ Lot No.
2. Owner's name /3// 4_ HO C sr , Address j 6 0 ✓� AM O A) lab .
3. Builder's name CJAt 3 / ? 1 C A , /4 /‘ 5 c/ E - A ddress / &OFF& Sr /fA LL E I
Mass. Construction Supervisor's License No. di Expiration Date 6/30/9 3
4. Addition
5. Alteration C /IA 41 6- -E b /AE"G720.e4/ p F a 74/R 5 (_ I A- R /6 / ✓✓ J
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No. of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost: -
6®O.
.°1.1 The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
�l/G 4111 11st 41,,.
Signal re of responsible appticanl
Remarks
FT .
Date Filed �? " "'•'' O O 4 l ' `)
9//d File No. lgc)- o4o4.
Z ' ZONING PERMIT APPLICATION 10.2
(§ ) GB
1. Name of Applicant: JM/l/fg,
Address: / G-OFF.4 5 r /AN Ey Telephone: 576 -- 38aP
2. Owner of Property: [ /-
Address: /DO /,4MO,v RA . Telephone: sy4 yye7
3. Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: c JT&4cTz'R
4. Parcel Identification: Zoning Map Sheet# I' $' D Parcel#004 ,
Zoning District(s) (include overlays) G6
Street Address
Required
5. Existing Proposed by Zoning
Use of Structure /Property
(if project is only interior work, skip to #6)
Building height
%Bldg.Coverage (Footprint)
Setbacks - front
- side T R L R
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6. Narrative Description of Proposed Work /Project: (Use additional sheets
if necessary) C/,[Am i) e(rVQn) pF ExiSTi.VQ- mire', .?
7. Attached Plans: / X Sketch Plan Site Plan
8. Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
Date: 0/99- Applicant's Signature: �� o,�
THIS SECTION FOR OFFICIAL USE ONLY:
SEP p 0
A ro as presented/based on information presented
pp ved a presented /bas d p
De 'ed as presented
. so •r Dy al •
;;4 01111r
i n
.ignatu e o" Buildin• or D to
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities.
7/92 FXAS
t :3 .Q .0 ti City of Northampton REQUIRED INSPECTIONS
?�
A C '!`"' ); 1. Footings and Walls
1, ;n `
BUILDING DEPARTMENT 2. Structural Components in Place*
'� -- - 3. Complete Building*
No.
667 Office of the Building Inspector
Zoning Form No. 000275 Date 10/22/92 Fee $ Check # 5654
Page, 18D Parcel 4 , Zone C B Section 127 ❑ Yes ❑ No
BUILDING PERMIT ,
•
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Warren Messeck before Building Inspections
has emission to Change direction of existin interior stairs
Pe Inspection on Site — Foundations
situated on 100 Damon Road Inspection of Plumbing —Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing — Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring —Rough
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring — Finish
of this permit six months from date of issuance, if not started. Building Inspection — Rough
Note: A certificate of occupancy will be issued by this office upon return Insulation Inspection j i
of this card signed by the Plumbing, Wiring and Building Inspectors. °i . „r.
Building Inspection — Finish C `r ' , r•
Smoke Detectors (Fire Department)
Other
THIS CARD ■ ' T : E D PLAYED IN A CONSPICU !� US PLA 0 THE PREMISES
Certificate of Occupanc, %. - E P .► 4
Buil.' -, Actor
1 61�I