25C-092 C)� ,.
• Date I
C~U I �d--
�LJ3o3� Name
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Address r
- ! City
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State/Zip �!i t v (�� l� 1 C� G-C)
I Phone
Job No. ' —� r" r") c_ ire
Y� Custom Wood '� Q2000
3v r Door Style -
i
Wood Specie -
- Finish Color
I —
t-la'`n Cc1vJ;
Laminate
Molding —_
1 .
HANGER SYSTEM
i Wood _ Metal
HARDWARE
4 � Door) {� E Drawers � 4C-Hinge
APPLIANCES
! 1
Sink/Faucet �-��a�-- � �14 C---
Disposal
Refrigerators
1 Dishwasher
\ Hood :< J r 4— -- —
c
Ovef%%Range)Cooktop
I Microwave �-
Trash Compactor �f`,
NOTES
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Salesperson ---------------- _---
Drawn By:
250.
NEW DESIGN❑ REVISED DESIGN❑ CUSTOMER APPROVAL DATE- 250,'80Y/4-91 QW 12
PERMIT APPLICATION CHECK LIST
PAGE Z-fC PLC ' 09.E ZONE uRB .g Lt-1CQI-n AVM YES NO DATE
1 . ZONING FORM APPLICATION
2 . PERMIT APPLICATION
3 . OWNER OCCUPANT STATEMENT LIC A IF NOT # Q 75
4 . 3 SETS OF PLANS /PLOT PLAN 5 kc cch.
5 . NEW C IO
6 CURB CU r
WATER AILABILIT 0 S
8 . REMODELING -INTERIOR
9 ADDITION
0 . ACCESSORY STRUCTURE
SIGN AWNING
1097
PERMIT E - CHECK ONLY MONEY ORDER '40. 0 0 V
13 . SPECIAL ERMI E UI ED WITH DEED IF APPLICABLE
UNDER SECTION 127 - CMR 780
16 FORM A
6 . FILL
OOMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 77 -01 S Z Alterations X
NORTHAMPTON, MASS._ �a1 . �9 19-9ta- Additions
e �
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location N oR h sk yh Lot No.
2. Owner's name PAU h4Q a O // Address 41 L 1 1�) Gd I 0
3. Builder's name QU% CG F- 3'Gt.. Address Lt P--L.9. �l ,
Mass.Construction Supervisor's License No. 1; r7 S'a Expiration Date O .�O /9 9.3
4. Addition
5. Alteration v �C
6. New Porch g
7. Is existing building to be demolished? C5 vn f?y�� C Weld C%a►n jj.S
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: Cr.(.00.
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible apple ni
Remarks
PgINTnSHOP
�4
RlYklt T y
Date Filed 43- 19- `3 File No. a.5C-o9Q,
ZONING PERMIT APPLICATION (§10 . 2 ) U R G
1 . Name of Applicant: 22p-N W F 0V,*i fiLLL-*-- SCL..
Address: ( '� (Z.L- �.�t;[� bOA= _Telephone: 0 45'a-Z
2 . Owner of Property: J
Address : irV elephone:
3 . Status of Applicant: Owner Contract Pu chaser
Lessee Other (explain:
4 . Parcel Identification: Zoning Map Sheet# 2,S C Parcel# o 9,:�-,
Zoning District(s) (include overlays)
Street Address
Required
5 . Existina Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Descri tion of Proposed Work/Project: (Use additional sheets
if necessary)
4 %e � a ,
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: 14u& / 9 /991.7- Applicant 's Signature. "
_ _ _ _ _ _ - - - -THIS SECTION FOR OFFICIAL USE ONLY: -
AUG 1 9
!'Approved as presented/based on information presented
Denied as presented
as n for nial:
igna e Building Ip6pector `. i at
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to cornpty with all zoning requirements and obtain all required permits
from the Board of Heafth, Conservation Commission, Departrnont of Public Works and other applicable permit granting authorities.
City of Northampton REQUIRED INSPECTIONS
1 . Footings and Walls
BUILDING DEPARTMENT 2 . Structural Components in
Place
3 . Complete Building
No. 527 Office of the Building Inspector
Date August 19, 1992 19
BUI DING P RMIT
THIS MAY CERTIFY THAT Donald Ouimette/Paul Claydon Insp. on Site — Foundations
has permission to Renovate kitchen Insp. of Plumbing — Rough
situated on 48 Lincoln Ave. 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 a pplication 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 CONSPI O S PL CE ON THE PREMISES
Certificate of Occupancy
B -ng Insif ector
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