25C-056 (2) PERMIT APPLICATION CHECK LIST
PAGE 5� PLOT ZONE (t-'PJ IN � YES NO DATE
ZONING FORM APPLICATION �-
2 . PERMIT P LIC TIO
3 . OWNER OCCUP N E E
3 SETS OF S /PLOT PLAN
5 . NEW CO ST UC ION
6 . CURB CUT
7 WATER V I IT FORMS
8 . RE ODE ING INTERIOR
9 , ADDITION _
0 . ACCESSORY STRUCTURE
11 , SIGN / AWNING
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2 . PERMIT FEE - CHECK O - MONEY ORDER
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
NORTHAMPTON, MASS. 19 Additions
go APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location ��� L�jk,V—,C I k id 1.C' Lot No.
2. Owners name V' Address
3. Builder's name �^ �� Address a 1P r L,L,
Mass.Construction Supervisor's License No. �T=� �� _Expiration Date ` L
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
14. Estimated cost:- Cf Zl-o
The undersigned certifies that the above to menu ar true to the,best of his, her
knowledge and belief. f
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Signature of responsible appiicanl
Remarks
Date Filed 1 �
File No,
ZONING PERMIT APPLICATION (910 , 2 )
1 . Name of Applicant:
Address : Telephone :
2 . Owner of Property:
Address :- Telephone : r4 <<
3 . Status of Applica t : owner Contract �Pur ihaser�
Lessee �ther (explain :
4 . Parcel Identification : Zoning Map Sheet# .SSG Parcel#
Zoning District (s) ( include overl ys) �t £�
Street Address 7 ,
Required
5. Existing Proposed by Zoning
Use of Structure/Property
(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 Kor.k/Project : fuse additiona sheets
if nec s a -
Y) -
7 . Attached Plans : Sketch Plan Site Plan
8 , Certification : I hereby certify ghat the information contained herein
is true an accurate to the best of my knowledge
Date : � �� Applicant' s Signature :
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^THIS SECTION FOR OFFICIAL USE ONLY: _
ZApproved as resented based on information resented
p / p
Denied as presented--Reason :
Special' Permit and/or Site Plan Required :
inding ui ed : _ Variance Required :
S 7 17
gnatu Buildi Inspector -ley at
NOTE: Issuance of a zo ng 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 Commisslon, Deparlrnont of Public Works and other npplicablo permit granting authoritlos.
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City of Northampton _. REQUMD INSPECTIONS
A 1. Footings and Walls
BUILDING DEPARTMENT
� 2. Structural Components in Place*
3. Complete Building*
No. 2 69 Office of the Building Inspector
Zoning Form No. 001-002 Date 5/3/93 Fee $20 C heck# 1732
Page, 2 5 0 Parcel 5 6 ,Zone U R B Section 127 ❑ Yes No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Paul e9 c c u t h e o n before Building Inspections
has permission to Re-roof over existing shingles Inspection on Site--Foundations
situated on 37 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 CONSPICU U PLA - N THE PREMISES
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Certificate of Occupancy
din► spector, -