18C-101 (3) PERMIT APPLICATION CHECK LIST
-At
ES NO DAT
2
3. OWNER OCCUPANT STATEMENT ' IF NOT
3 S • •_ '_� •
NEW. •.S •.
6, CURB CUT
W•T : - - - •:u.
8. REMODELING INTERIOR
9, ADDITION
10. ACCESSORY STRUCTURE
11. SIGN / AWNING
12. PERMIT FEE - :P, LY MONEY ORQ.R
13. SPECIAL PERMIT REQUIRED WITH DIED IF APPLICABLE
14. UNDER SECTION 127 - CMR 780
15. FORM A
j6. FILL
4
COMMENTS;
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2
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Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. Alterations
% NORTHAMPTON, MASS. 1 9 Additions
t %4� APPLICATION FOR PERMIT TO ALTER
Repair
Garage
/^ 1
1. Location &/ C7- %(? /9 coA 441. Lot No.
2. Owner's name 41E49 P / I -7,> A.N U/9 Z (? (f e 2Z Address Si (k'9'° 6 R1 d
3. Builders nameG, 7 ,C b
/ Ot7 Address / "7'y P19 k ' f39 S' 71/13 "0716 A Mass. Construction Supervisor's License No. g% e f 1 l7 7 'I 9 3 Expiration Date / 3/9 k
4. Addition //
5. Alteration
6. New Porch
7. Is existing building to be demolished?
S. Repair after the fire
9. Garage No. of cars Size
10. Method of heating
11. Distance to lot lines ;,�� /t D 12. Type of roof /Pe . M 6 i/$ fit r t V 1 /)QT � Ap f L/ J c.1 1 e ae, tiOpT
/' /
13. Siding house
14. Estimated cost- v / 00
The undersigned certifies that the above statements are true to the best of his, her
)/ '\ J knowledge and belief.
51
� ignature of responsible appucant
Remarks
+ • 004179 •
Date Filed • File No. •
. ZONING PERMIT APPLICATION ( 10.2) '
1. Name of Applicant: i .,,, o .
Address: • ' ' f alliargarAM • Telephone: ARIIVNI `►a
•
2. Owner of Property: , n r I- It • .Z
Address:• ', °4111�ft Telephone: . .
3. Status - of Applicant: Owner /Contract Purchaser -
Lessee Other (explaa.n .. - p )
4. Parcel Identification: Zoning Map beet# /�?�- ,.,, �, Parcel# )O1 . ,
Zoning Districts) (include ove lays) �U�"
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 L: R: L:
- rear
Lot size (3-
Frontag'e .
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) ' Ay
4 ' ' / , ' ,
1 41
7. Attached Plans: 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: - Applicant's Signature :, ,;,/
44ij
• pP presented/based presented SECTION FOR OFFICIAL USE ONLY:
i Approved as resented based on information resented
Denied as presented -- Reason:
Special'Permit and /or Site Plan Required:
• Finding Required: Variance Required:
% „ Signature of Building Inspector • D to
NOTE: Issuance of a zoning permit does not reflove 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.
KT)-
City ® Northampton REQUIRED INSPECTIONS
„Asp,.
le t, � . . - e " 1. Footings and Walls
,..• BUILDING DEPARTMENT 2. Structural Components in Place
NaVgve 3. Complete Building*
No. 313 Office of the Building Inspector
Zoning Form No. 004179 Date 4/27/95 Fee $ Check # 1464
Page, 18C parcel 101 , Zone URB Section 127 ❑ Yes ® No
BuirLDING PERMI
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT George Thibodo before Building Inspections
has permission to Strip & reshin roof
Pe 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
rm
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.
** 'Install per Manufacturers information: windows, vinyl siding, Building Inspection— Finish
roofs and woodstoves. Smoke Detectors (Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE/ '' SES
Certificate of Occupancy = — � �
.! ��';
/ Building Inspector SVM_