24B-004 (3) PERMIT APPLICATION C-IECK LIST
PAGE 2- , PLOT ZONE . Sxhitt ,YES NO 9A7E
1. ZONING FORM APPLICATION]
2. PERMIT APPLICATION
3. OWNER OCCUPANT STATEMENT / LIC,IF NOT
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
12. PERMIT FEE - CHECK ONLY - MONEY ORDER i
13. SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14. UNDER SECTION 127 - CMR 780
15. FORM A
16. FILL
COMMENTS:
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Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. Alterations
r`C AP NORTHAMPTON, MASS. 19 Additions
''
PLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 43 S ' 4 Lot No.
2. Owner's name / � R • �Oi( 4 1' r1 Ill Address tr,3 BRifq 7f -St'
3. Builder's name Ill 1 / ,' < 6 . Rli b r f U�og. X Address (2 4 W sfAt ilk V t • Li4' /4 •
Mass. Construction Supervisor's License No. 0 5 3 7 a Expiration Date 7 -3/ - 96
4. Addition A/O
5. Alteration /Ai 5t4// 5 Viii/,/ ee e 4 t w/Ai d0 Ws
6. New Porch NO
7. Is existing building to be demolished? 4/0
8. Repair after the fire w0
9. Garage % 6k i N7 i/ / S t d e) No. of cars / Size /6 X a 1 7 1
10. Method of heating (9
11. Distance to lot lines /
12. Type of roof WA/ eR el 5 u �i�g C- _S4 / "wiles ,.�
13. Siding house C€)PR ,S' //7.4405 — Vi& I -)- Sit /i)1
/ /G /U i'e /B:, //i'/ Q1/�� e.S •
14. Estimated cost: f /
t. The undersigned certifies that the above statements are true to the best of his, her
knowled:e and belief.
/ . / / / • 0 1- c le rzi t
Li �� . Al
4i ./' *--) Signature of responsible app icon!
Remarks
u1!
r 9'M` n. 6
i ; 00036
J
Date Filed kks, File No,
ZONING PERMIT APPLICATION ( §10,2)
1 . Name of Applicant: / 1 1 ( 6 �. Rob,-dot. G.,9 /t�Kn 04, /cicyts
Address: , 6✓t''st2S v wee fr1 } . Telephone: 7 - 5`v
2 , Owner of Property: /'4I ' <l u5tpl c1
Address: 3 13 RR>= 5f Telephone:
3, Status of Applicant: Owner Contract Purchaser
Lessee Other (explain:
4, Parcel Identification: Zoning Map Sheet# y.[; Parcel# vo
Zoning District(s) (include overlays) UJ (;
Street Address ' -? e r r ci, r�
Required
5, Existing Proposed by Zoning
Use of Structure /Property Olesidc4'1 AvY"t/ls;)
(if project is only interior work, skip to #6)
Building height
%Bldg.Coverage (Footprint)
Setbacks - front
- side L,: 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) %ti sir-g // . V; /'� C Me aN � ;�'.Si, .. ,
1 r rlti>E11111F <
'f4ly/ S, C;.9R/yie.
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: 373/73 Applicant's Signature:
THIS SECTION FOR OFFICIAL USE ONLY:
' as presented /based on information presented
Denied as presented -- Reason:
S -cial•Permit and /or Site Plan Required:
� d,� g Reg f • : Variance Required:
S •natur= o Buildin:. --' =' „ #- at
NOTE: Issuance of a zoning permit does not roliovo an applicant's burden to comply with all zoning requirements and obtain all required porrnits
from tho Board of Health, Consorvation Commission, Department of Public Works and other applicablo permit granting authorities,
/071-
. . o�nnHp' Northampton City of REQUIR INSPECTIONS
At �4 a 1 Footings and Walls
I o BUILDING DEPARTMENT 2. Structural Components in Place*
' 3. Complete Building*
No.
285 Office of the Building Inspector
Zoning Form No. 000989 Date 5/4/93 Fee $20 Check # 1316
Page, 24B Parcel 4 , Zone I7RB Section 127 ❑ Yes ® No
BUILDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Michael Robidoux /Joseph Leary before Building Inspections
has permission to Install siding & replacement window Inspection on Site — Foundations
situated on 83 Barrett Street Inspection of Plumbing —Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Fmish
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 CONSPICUO S 6 AC'E�O N THE PREMISES
Certificate of Occupancy .401. /
B Spector eo-