25C-072 (4) 4
PERMIT APPLICATION CHECK LIST
PAGE d('S� PLOT 76A ZONE aX6 o--7 LOT YES NO DATE
ZONTNQ FORM APPUCATION tom' s
2 . PERM IT P LIC IO
3 OWNER OCCUPANT L !I I - N 0
r
4 . 3 SEZS OF PLANS /PLOT Pl_AN
5 , NEW CONSTB UCTION
6 . CURB CUT
7 . WATEE AVATLABIUTY FORMS
B. REMODELING INTERIOR
9 ADDTTJON
4
0 C O
11 , SIG . AWNING
2 E - CHEQK O - MONEY �0 DE -7qO
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
4 . UNDE8 SECTION 127 CMR 780
15 , FORM A
16 , FILL
,COMMENTS :
a
a
� o
a
o �
a �
w Q o• •, Z
v � °
y
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. 19 Additions Re air
APPLICATION FOR PERMIT TO ALTER p t�
Garage
1. Location (9 R� ; V Lot No.
2. Owner's name 4C 19 P./q / V
3. Builder's name Address J J'1 a>
Mass.Construction Supervisor's License No. e 5— 7v d C Expiration Date 2 C t j
4. Addition
5. Alteration IV 6,u.� D /,J t c ycJ o& Roof
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 i—. A
FF
13. Siding house
14. Estimated cost:- 0 G CJ U
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
'f�llU Signature of responsible app,icanl
Remarks
a• uhf
00� �r
Date Filed File No.
ZONING PERMIT APPLICATION (910 . 2 )
1 . Name of Applicant: P 4
Address : i/ 5/e71L1� 2p Telephone : -& 6,
2 . Owner of Property:_Lt,)uis C'J 'n1)/_P12
Address ; ��� Telephon
`
3 . Status Status of Applicant : V Owner Contract Purchaser
Lessee Other (explain : )
4 , Parcel Identification : Zoning Map Sheet# Parcel# ,
Zoning District (s) (include overlays
Street Address
Required
5. Existinq Proposed by Zoning
Use of Structure/Property ; ) A4
(if project is only interior work, skip to #6)
Building height
-%B1dg . Coverage (Footprint)
Setbacks - front
- side L: R:
- rear
Lot size _
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & locati6n)
6 . Narrative Description of Proposed Work/Project : (Use additional sheets
if necessary)yJ-/Zip o Q )4 ix t;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 : c��`�'r�- ^
— — — — — — — — — — — — — — — — — — — — — — — — — — — —
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 ping uired: _ Variance Required :
S gna - Building.- Inspector o IV at
NOTE: Issuance of a zoning.,
onin rmil dogs not relieve an applicnnl's burden to comply with ail zoning roquiromonts and obtain all required permits
from tho Board of Health, Conservation Commission, Doporlmont of Public Works and othor npplicabio permit granting nulhorillos.
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 1. Footings and Palls
2. Structural Components in Place*
3. Complete Building*
No. 402 Office of the Building Inspector
Zoning Form No. 001172 Date 6/2/93 Fee $20 Check# 798
Page, 25C Parcel 72 ,Zone URB Section 127 ❑ Yes No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Joe Jasinski before Building Inspections
has permission to Plywood and shingle roof Inspection on Sites--Foundations
situated on 27 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 CONSPICU S LA N THE PREMISES
Certificate of Occupancy --- °--
Building Inspector
fir: iJ SiJ
?°�S �0 A City o Northampton REQUIRED INSPECI`IO1rS
A
BUILDING DEPARTMEN"r 2: s n,ccttugral Walls Components in Place*
3. Complete Building*
No.
402 Office of the Building Inspector
Zoning Form No. 001172 Date 6/2/93 Fee $20 Check# 798
Page, 25C Parcel 72 ,Zone UtZB ❑ No
g Section 127 L) Yes
BUILDING ,
*
PI.imbing and Electrical Inspections required
THIS CERTIFIES THAT Joe Jasinski before Building Inspections
has permission to P]-1`rood and shingle roof Inspection on Site—Foundations
situated on 27 Day Ave. Inspection of Plumbing—Rough
provided that the person accepting this pen-nit shall in every respect Inspe�:tion 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,)�,iring and Building Inspectors.
Building Inspection—Finishr� -
Smoke Detectors(Fire Department) f F!
Other
THIS CARD U T=DISPLAYED IN A CONSPICUOUS M ACE ON THE PREMISES
Certificate of Occupancy
Building Inspector
�1'.Gfd Sr`JtX1