25C-095 (26) E MIT APPLICATION CHECK LIS
PAGE PLOT ZONE O -L �-« `� YE6 N 0 DATE
1 . ZONING 0 IC IO
2 . PERMIT I I
3 . OWNER OCCUPANI IF NOT
4 . 3 SETS 0 S PLAN
NEW CONSTRUCTION
6 . CURB OUT
7 WATER
8 , REMODELING
9 . ADDITION
10 . ACCESSORY STRUCTURE
11 , SIGN / AWNING
2 . PERMTT FEE - CHECK QNLY - MONEY ORDER � AOOV L�
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - C R 780
15 , FORM A
16 , FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No..5f y I ?// Alterations
NORTHAMPTON, MASS. ��C4_ 2� 191y Additions
APPLICATION FOR PERMIT TO ALTER Repair
ti r l/
1 _ y Garage
1. Location /I �tlOi )� S7 yLr�vJ �✓dfv�J k� f 0� Lot No.
2. Owner's name 66 9 /Tim-1YY e),J. 7 Address --2 lI
5 ,",
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3. Builder's name ��7y��J 1�.54✓J Address-5 f'YL lkf-t S 7
Mass.Construction Supervisor's License No. Expiration Date
4. Addition y� y /� 1 d
5. Alteration o�e�'j� /"j)e-4C /s �}.�(/� ,1 �- ���Wd!) S yJ Iei
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-r�1! C/.S7
13. Siding house
14. Estimated cosc:;;��f
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
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Signature of responsible app,icant
Remarks
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Date Filed ./JGC �� File No.
ZONING PERMIT APPLICATION
I. Name of Applicant: a- -e J 1_2 vJ �V
Address:_ Tc Telephone y1 - ✓
2. Owner of Property: yY1�d�V
Address : a// .4iOpL4 sT � Telephone: V13 5� -
3 . Status of Applicant: Owner I/ contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet# C Parcel# q
Zoning District(s) (include ver a r---
Street Address it
Required
5. Existinq Pro osed by Zoning
Use of Structure/Property 1�
(if project is only- interior work, skip to #6)
Building height a a i
.Bldg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage.
Floor Area Ratio
.Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: Use additional sheets
if necessar ) j-t N
Za&D S ill j•P,L('
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: VQ,C Applicant I s Signature:
THIS SECTION FOR OFFICIAL USE ONLY: ^ - -
Approved as presented/based on information presented
Denied as presented--Reason:
Special' Permit nd/or Site Plan Required:
F' d'ng Requir variance Required:
A, J ,�
oil
5_ gnatur o jpdd� ng Ins �� - Da e
NOTE: tssuanoa of a zoning oes not fo(lovc an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health, Co sorvation Commission,Dopattmont of Pub(ic Works and otlior applicable Permit granting authorities.
/C111-
City of Northampton REQUIRED INSPECTIONS
e BUILDING DEPARTMENT 1. Footings and palls
2. Stnictural Components in Place*
3. Complete Building*
No. 1270 Office of the Building Inspector
Zoning Form No. 003747 Date 12/28/94 Fee $40 Aleck# 16420
Page, 25C parcel 95 ,Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERMI r-I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT James Dawson before Building Inspections
has permission to Replace rafters & plywood, reshingle roof of storage b1dySpection on Site—Foundations
situated on 211 North Street 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. Budding 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 CONSPICUOU L Ofi TVE PREMISES
f �
Certificate of Occupancy
w„ Buil ' for