18C-101 •
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DEPARTMENT OF PUBLIC SAFETY '
9 ' ONE ASHBORTON PLACE' ':
BOSTON, MA 02108
.LICENSE
CONSTR. SUPERVISOR
1 EFFECTIVE DATE LIC - NO.
11/22/ 1c.. °J.i 061404
•
1
. 6 CHARLES J ETHIER ,
g 20 MATTHEW DR
•
j EASTHAMPTC)N MA 01027
NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY
STAMPED - OR - SIGNATURE OF THE COMMISSIONER
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Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No.s'S `CV L o 1 j Alterations
%r NORTHAMPTON, MASS. S- — ctS 1 9 Additions
e -,
! APPLICATION FOR PERMIT TO ALTER Repair
/� f
Garage
I. Location 5 I ( l Q C A Lot No.
2. Owner's name T.%cdlij e To R f\ Vdz lep Address - 3 \ C-4c°aso n1
3. Builder's name ( (- t EC Address ?c) T hP I P c
Mass. Construction Supervisor's License No. Ott.) \ k—kC'1 9 Expiration Date S — Z 1 (1'7
4. Addition
5. Alteration y W Qf o Il Cbdk"
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 C LI W c e°A ON) 1 C r� �
13. Siding house
14. Estimated cost:- - V1 00 , Q c
The undersigned certifies that the above statements are true to the best of his, her
6\ knowles :e -- d *ef.
Signature of responsible appicant
Remarks
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Date Filed s S .-, C_ File No. •
ZONING PERMIT APPLICATION (SiO.2)
1. Name of Applicant: O \_� T
s�� - > (• - t I t O` .
Address: ` 0ivI �t Telephone: 6:-_ .
. 2. Owner of Property: . mac`' - : a
Address: . ,a <_ I . /'� Telephone : ir ' . Cy 3. Status of Applicant: Owner V Contract Purchaser
• Lessee Other (explain ).
• 4. Parcel Identification: Zoning Map Sheet# /C.., . /6( ,
Zoning District (s) (inclu e overl y) alv
'31 -
Street Address � ,
Required
5. Existing a Proposed by Zoning .
Use of Structure /Property / - .-J • ,..
(if project is only interior work, skip to #6)
Building height
%Bldg. Coverage (Footprint) , 7
Setbacks - front '/
•
- side L: R: R:
- rear lr, .
Lot size /
Frontage.
Floor Area Ratio
•%Open Space (Lot area minus
building and parking) ��j�
Parking Spaces
Loading i
Signs ®' V .
Fill (volume & location) �
6. Narrative Description of Proposed Work /Project: (Use additional sheets
if necessa ) —= *1" ' ' Ca m (.,..kOO
cs i\ 'e)c
. -
•
7. Attached Plans: Sketch Plan Site Plan .
8. Certification: I hereby certify that the information contained erein
is t rue a nd accurate to the best of my knowle.�,
3 � 1
• Dat e: j -- S " Applicant's Signature;._��., OA 1s.. ___
THIS SECTION FOR OFFICIAL USE ONLY: •
p proved as presented /based on information presented
Denied as presented -- Reason:
Special' Permit .and /or Site Plan Required:
F'jidi . Requi 'd: Variance Required: •
• _ ----) --' , . 7 xl /
S.i nature -Bu ding Ins or I D t 4)
,t
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 tho Board of Health, Conservation Commission, Dopartmont of Public Works and other applicable permit granting authoritlos.
, ,
_ °"��� City of Northampton REQUIRED
• 4 wt r►a l i�
� ti , • $ =l'I = . �,
, 7 ! 1. Footings and Walls *
n_�,�,. BUILDING DEPARTMENT 2. Structural Components m Place
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�' `w 3. Complete Building*
I .
No.
351 Office of the Building Inspector
Zoning Form No. 004236 Date s /R /g5 Fee $20 Check # Money Order
Page, 18C Parcel 101, Zone URB Section -127 ❑ Yes ® No
BUILDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Charles Ethier before Building Inspections
has permission to Plywood on ro Inspection on Site — Foundations
situated on 31 Gleason 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. Expires 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
of this card signed by the Plumbing, Wiring and Building Inspectors.
Building Inspection— Finish
Smoke Detectors (Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS 'LA 1 0 THE PREMISES
Certificate of Occupancy .I j
Buildin! a
[1 >;i 1 s;i�r
PERMIT APPLICATION CHECK LIST
PAGE /- PLOT/&( ZONE Gitti ed ( A- 2
YES NO DATE
`-}
1. ZONING FORM APPLICATION
2, PERMIT APPLICATION
3. OWNER OCCUPANT STATEMENT [A 1-IF NOT
4, 3 SETS OF PLANS /PLOT PLAN
5, NEW CONSTROTION •
6. CURB CUT
7 W. E; 1 1
8. REMODELINGINTERTOR
9. ADDITIO
10. ACCESSORY STRUCTURE
11, SIGN / AWNING •
12. PERMIT FEE - CHECK ONLY7-1IONEY ORDR' J2
13. SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14. UNDER SECTION 127 - CMR 780
15. FORMA
16. FILL
COMMENTS:
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