25C-072 (2) PERMIT _ •\ CRECK LIST
PA YES NO DAT
2 .
3 , OWNE
4 , 3 SETS OF PLANS /PLOT PLAN
B NEW CONSTRUCTION
• CURB CUT ..
WATER 7 . AVAILABILITY FORMS --,_
8 , REMODELING INTERIOR
9 . -ADDITIO-N
• , ACCESSORY STRUCTURE .-
AWNING
.-
SPECIAL t2 , PERMIT FEE NLY -- -MONEY ORDER
. . .-
14 . UNDER SECTION 127 - CMR 78n
•-Y A 16 , FILL
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location o`t-t Lot No.
2. Owner's name (� Address I
3. Builder's name 1� Address 17_0/£1 5:t-
W fI i
Mass.Construction Supervisor's License No. O [0 7 P° Expiration Date S-
4. Addition 0 5�-'t-/� /�1 X d V yt �J�r'3j 1-9 C1 :5:L '
5. Alteration �� InnocY�e l 0. r t I-aovhf Gwa�r
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 cosL-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and lief.
CISi Signature of responsible appicant
Remarks %%%
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004 a �
Date Filed File No.
ZONING PERM XT APPLJICATION (6id. 2)
I. Name of Applicant: �h a
Address: 17 -k- elephone:
2 . owner of Property:
Address :_ � �,� Telephone:
3 . Status -of Applicant: Owner X Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet _C� arcel# ,
Zoning District(s) (include overla
Street Address d ,
Required
5. Exis-tincf Proposed _ by Zonin
Use of Structure/Property
(if project is only- interior wo k, s ip to 6)
B ilding height
oB1dg. Coverage (Footprint)
Setbacks - front
- side L: R: R
- rear
size
Frontage.
Floor Area Ratio
open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6. Narrative Description of ProWW;oi'Work/Pro ect: (Use additional sheets
if neces ary) -� o- 4 c e
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: Applicant' s Signature
^^ THIS SECTION FOR OFFICIAL SE WY
!/Approved as presented/based on information presented
Denied as presented--Reason:
Special* Permit and/or Site Plan Required:
Finding Re wired: _ Variance Required:
Signature of Buil ing Inspector Di&
NOTE: issuance of a zoning permit does not renove an applicant's burden to comply Wtui all zoning requirements and obtain all required permits
from the Board of Noah%,ConsorvaUon Commission, Dopartmont of Public Works and otlior applicable permit granting authorities.
City of Northampton REQUIRED INSPECTIONS '.-
• 1. Footings and Walls
e BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 312 Office of the Building Inspector
Zoning Form No. 004180 Date 4/27/95 Fee 40 Check# 465
Page, 25C Parcel 72 ,Zone URB Section 127 ❑ Yes 0 No
BUI]LDINGPERMIT
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Gerald Archambault before Building Inspections
has permission to Add 2nd story closet addition, remodel bath, attic & Inspection on Site—Foundations
hall.
situated on 29 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 CONSPICUOUS A ON THE ES
Certificate of Occupancy
Buil ' g Inspector