25C-057 (7) �1 •PERMIT APPLICATION CHECK LIST
n nr I) `/ 7nAIC %s ii �i - Ave„ �e� YFS Nn nATF
1 .
L-
ZONING FORM APPLIQATION
2 .
PERMIT APPLICATION
3 .
OWNER OCCUPANT
STATEMENT
LIC . 0,-,' F
NOT
4 .
3 SETS OF PLANS
ZPLOT
PLAN
5 .
NEW CONSTRUCTION
6 .
CURB CU
7 .
WATER VAI
0 S
8 .
REMODELING INTERIOR
9 .
ADDITION
10 .
ACCESSORY STRUCTURE
11 .
SIGN Z AWNING
12 .
PERMI E —
L — MONEY 0
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✓
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13 .
SPECIAL PERMI
C._
RE
UIRED 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
NORTHAMPTON, MASS. iy f�$? 19 �� Additions
ti
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location ci i 1��c 6/J �L � /yd✓1%�fr9 rv►b�� '� Lot No.
2. Owner's name ob-541Jna Z440L"C-4 E' Address
3. Builder's name RV)F� �v�a �,5'e, L Address
Mass.Construction Supervisor's License No. Q.}L 17 `'�{' Expiration Date
4. Addition
5. Alteration
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 illwy/ S i J>W CT
14. Estimated cost:- ,5 O ��
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
/-40 011
Signature of res onscble appicant
Remarks
4wi�Yti �{.
l
r 00216
Date Filed File No.
ZONING PERMIT APPLICATION (§10 . 2)
I. Name of Applicant: 73?�
Address :_ % azi J 6 ',�ti ,Y, jvt�� Telephone: 6-94-W(K 7
2 . Owner of Property: Q� Lil/?auc
Address : ,j U66,,?4,1 t:, Telephone :
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# -)S C- Parcel#
Zoning District (s) (include overla s) .�..
Street Address
Required
5. Existincr Proposed by Zoning
Use of Structure/Property 'i7z
(if project is only interior work, skip to #6)
Building height
%B1dg. 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)
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 : j j Applicant' s Signature :,,-
THIS SECTION F R OFFICIAL USE ONLY:
If pproved as presented/based on information presented
Denied as presented--Reason:
Special' Permit and/or Site Plan Required:
F ' di g Requ ' e cqJ; _ Variance Require
Si natur o Buil s ector � at
g p
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, Departmont of Public Works and other applicable permit granting authorities.
c,.7•)-
City of Northampton REQUIRED INSPECTIONS
s 1. Footings and Walls
• BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 27 Office of the Building Inspector
Zoning Fonn No. 002167 Date 1/19/94 Fee $40 Check# 13737
Page, 25C Parcel 57 ,Zone URB Section 127 L) Yes 0 No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT B. & R. Siding Spec. , Inc. before Building Inspections
Install vinyl siding and replacement windows
has paTnission to per manufacturers information. Inspection on Site—Foundations
situated on 31 Lincoln Ave. 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 A N THE PREMISES
Certificate of Occupancy
dingifis`pector