25C-071 (6) PERMIT APPLICATION CHECK LIST
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ES NO DATE
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' FORM APPLicATro
2 PERMIT APPLICATION"!
3 . ;. _ IF NO
4 . 3 SETS OF PLANS ZPLQT PLA
5 . NEW CONSTRUCTION
6 . CURB CUT
7 . WATER AVAILABILITY 0 MS
8 . REMODELING
9 . ADDITIO
10 . ACCESSORY STRUCTURE
11 . SIGN WNING
12 . PERMIT FEE — CHECK ONLY — MONEY OR
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - C R 780
15 . FORM
16 . FILL
COMMENTS :
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Zoning /
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. 19 Additions
1
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APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location A/Z— 4141 L 4�r,'�— Lot No.
2. Owner's name S1 ��N Address
3. Builders name lat P.v— Y • S,x— . L�-c_ Address
Mass.Construction Supervisor's License No. `t S IS2 Expiration Date
4. Addition —N& — I r
5. Alteration rjQ k i S
6. New Porch
7. Is existing building to be demolished? y
8. Repair after the fire ( — t V b -
9. Garage ` /`l O No.of cars Size
10. Method of heating ki C-
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:- OD
The undersigned certifies that the above statements are true to the best of his, her
knowledge and elief.
Signature of responsible app,icant
Remarks
u
aahYti .y
0010 -
Date Filed �� ' 1 -` �
File No.
ZONING PERMIT 1APPLICATION (510 . 2)
L . Name of A S Applicant : v- 4-53vO �c�.
Address : ,V,7$vx Telephone : - dl
2 . owner of Property: scG,.o c
Address : r; Telephone : 7 3b- Isf
3 . Status of Applicant: Owner Contract Purchas r
Lessee Other (explain : GV_4Ak* _ )
4 , Parcel Identification : Zoning Map Sheet# a- ,5- e_ Parcel# 171 ,
Zoning District (s) (include overlays)
Street Address -9 / �� _ ,�• L�,k: ,
Required
5 . Existincr Proposed by Zonin
Use of Structure/Property 2
(if project is only interior wor1k, ski to #6)
Building height
-�Bldg. Coverage (Footpri, t)
Setbacks - front _
- side L: R: L:
- rear
Lot size
Frontage 4
Floor Area Rati01
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Descript ' on of Proposed Work/Project : (Use additional sheets
if necessary)
7 . Attached Plans : Sketch Plan Site Plan
8 . Certification : I hereby certify that the infor ation c ntain d herein
is true and accurate to the best of my know40",Date : f2(C7 � F;, Applicant's Signatu l 5'.
THIS SECTION FOR OFFICIAL USE ONLY. — _ _ _
!/Approved as presented/based on information presented
Denied as,presented--Reason :
Special' Permit and/or Site Plan Required :
in g red: _ Variance Required:
gnat of B spec r
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning roquiroments and obtain all required permits
from tho Board of Health, Consorvailon Commission, Dopattrnont of Public Works and other applicable pormit granting authorities.
it71-
City of Northampton REQUIRED INSPECTIONS
• 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 473 Office of the Building Inspector
Zoning Form No. 001239 Date 6/17/93 Fee 40 Check# S2
Page, 25C Parcel 71 ,Zone URB Section 127 ❑ Yes No
BUI]LDINGPERMI[I
* Plumbing and Electrical Inspections required .
THIS CERTIFIES THAT Thayer St. Assoc. , Inc. before Building Inspections
has permission to Renovate kitchen & bathroom (new cabinets, tub etc.Mspection on Site—Foundations
situated on 42-44 Day 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 CONSPICW S P ON THE PREMISES
Certificate of Occupancy
ng Inspector -�