25C-065 (2) At
PERMIT APPLICATION CHECK LIST Page•*& Plot
Address: -tl90 RridGF° c Z , Nor-t iczr-rp-Cc,A 0.5C- - c, C, 5 ci RR
Yes No Date
`
I .Zoning Form Application � .
2. Permit Application �-
3. Homeowner statement if applicableZLic. # if not
4, 2 sets of plans
5. Curb cut
6 Water Department memn
7. Permit fee - check only
$. Special Permit required with deed
�. Under section 127 Farm A
, t
(rlf� of Nort4a ptvu _ ==
Z -
$ 6 �Glassadlusctls "'
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
AS A HOMEOWNER I UNDERSTAND THAT I MAY APPLY FOR AND RECEIVE
A BUILDING PERMIT FOR A HOME OR ADDITION I INTEND TO LIVE IN.
I ALSO UNDERSTAND THAT I AM RESPONSIBLE FOR KNOWING THE STATE
BUILDING CODE AND ZONING ORDINANCE OF THE CITY OF NORTHAMPTON.
BEING A HOMEOWNER AND NOT A PROFESSIONAL CONTRACTOR IN NO WAY
ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE THAT ALL FACETS
OF THE RULES AND REGULATIONS ARE COMPLIED WITH.
r
Signature & Efate','
> o
O
C n
tv ►d 0' r
a
rrj
O a U
a x O
En z
rn O
z tr
� y �
d
Zoning 'S
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
�"""°Tti NORTHAMPTON, MASS. 19 Additions
a Repair Jq�1
a APPLICATION FOR PERMIT TO ALTER � —
Garage
1. Location , C q r .S' �= �' Lot No.
2. Owner's name_( � , r L.i rae c3 Address-96e5 Sk i ,S'tkEi:r-fi "
3. Builder's name &A ry r 1 ( lyQ tu>LJERAddress g$�q$ ,ST " N,S /� /j,
�
Ass.Construction Supervisor's License No. 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 ,/S D ly#)-T
13. Siding house
14. Estimated cost:- a
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. _
Pamlm
�2 Mgnature of sible applicant
Remarks J
PQ
Date filed— / - :R92 - 9 �� v File, No,' 3
ZONING PU MIT APPLICATION (510 , 2) —�
I . Name ;of Ap l scant I
Addx,ess ; 111e1gphona I _GIST
2 , owner or Property: �..�
Address ) Telephonet
3 , Status o� Applicant ; Owner Contract Purohasex
Lessee Other (expla17n . )
A , Parcel Identification ; zoning )dap Sheet
zonincj District s (include overlays)
str, eot Address er=T- .,. �_.._..�
lZ�quirod ,
S . gxistiv-g • Proposed
Use of Structure/Property
(if• pro j oat 'is only intoa:for work, skip to //6 )
Building height
kAldg . coverage (Footprlh t)
S.etYjacks - Vront
- s i d d ----�_
- rear
Lo't size
Yr.ontage
F.1:oor, Area Ratio
knpen Space (Lot area 'minus
bvu ,:Iding and parking)
Pa'r.}:inch Spaces _. _......,
Signs __ ..._...
V.i1:1 (volume & location) _._.._
.6 Narrative Description- of Proposed Work/Project.: (Use addition&NI .,:jlleets
if necessary) 5dC,LC.1.F.�
7 ' Attached Plans : Sketch Plan Site Plan
e : eartiZicationI ,I ' hereby certify that the information oont:ainled he r ern
i*s true anel accurate to the best of my knowledge ,
Date I Zof
� Applicant I•s Signature .�
r. 'THIS SECTION Pon OPI"ICIAL (TST ONLY!
V-*Approve•d as 'presented/based on inforMat•ion' presented
Denied as presented ,
a on fo Deiiiall
gnat a of Bu lc ' Tnspe.ctor pat °r;' _•.__.
NOTE; Wuanoo o(a zonin
p.pormil does not rolivvo an applicant's burdon to comply wlut all zonlnp roqulromonta and ohtaln all r•aquircc!J;arrrrla
from Iho Board.o(EIonIUt, Conoorvallon Commloalon, Popartmont of Publlo%Yorka and otiior appllcablo ponnit granting outhalluoa,..
City of Northampton REQUIRED INSPECTIONS
i 1 . Footings and Walls
BUILDINGDEPARTMENT 2. Structural Components in
Place
3. Complete Building
No. 53 Office of the Building Inspector
Date February 3, 1992 19
BUI DING P RMIT
\41) THIS MAY CERTIFY THAT Cornelius F. Clifford Insp. on Site — Foundations
has permission to Enclose porches 6'x7' & 6'x8' on 2nd floor Insp. of Plumbing — Rough
situated on 280 Bridge Street Insp. of Plumbing —Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction,Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date of issuance, if not started. Building Insp. — Finish
Note:A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing,Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONS U US L CE ON THE PREMISES
Certificate of Occupancy
+� Bu ector
' r af' .