25C-118 (3) PERMIT APPLICATION CHECK LIST
PAGE A5(' PLOT ZONE u-� � 'YES NO DATE
1 . ZONING FORM APPLICATION C - 14 7 qlP)
2 . PERMIT P IC I {-'
3 . OWNER OCCUPANT IF NOT
4 . 3 SETS OF S PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 . WATER V S
8 . REMODELING
9 , ADDITION
10 , ACCESSORY STRUCTURE
11 . SIGN AWNING
12 . PERMIT FE - C - MONEY ORDER
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 27 - C R 780
15 . FORM
16 , FILL
COMMENTS :
-o > o
C �•
v �o o• �
� a
O r
c
f Z O
�• O
z d
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
z
a NORTHAMPTON, MASS. � ` 19 Additions
�—APPLICATION FOR PERMIT TO ALTER Repair
/ Garage
1. Location f��rA�l! Tlt Si �Q T���^^ TO rt r"4,4, Lot No.
2. Owner's name ire�iF'�' GhTl°�ttt y d ze Address_sS e /Z.•4�x�
3. Builder's name ;5*oC_* S'1,0, t 5 ±<- =n.+ Address � o;,� �� � 064�A!1Gk-7X/1 PI 7V I0
Mass.Construction Supervisor's License No. :��!%16j' —Expiration Date 0//:)-7,
4. Addition _.
5. Alteration
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 lip ti yl S/D/w le/✓9c fl),7 t Ai i
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of respons fie appicant
Remarks
r-^
u
Date Filed +
File No.
ZONING PERMIT APPLICATION (§10 . 2)
1. Name of Applicant: 3-1P_ ,vu S +wc ieru/x1 Ld
Address : �,ei�l� N� �1, Telephone: j
2 . Owner of Property:_ p7,4Xr_;
Address : 3,1 ,� IfTe1ephone
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet#_ �7 arcel# /�
Zoning District (s) . �. elude verlays) C�c-I�_
Street Address 3 ?,
Required
5 . Existing Proposed — by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height '
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L• R.
- rear
Lot size
Frontage
Floor Area Ratio X
%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 necessary)
/li�'`/ Sir���� � !'ems ,�<</'ri��.-'�• %/��,,� Jr,�.
i
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:_ 70e, 9 3 Applicant's Signature:
THIS SECTION FOR OFFICIAL USE ONLY:
ZApproved as resented based on
p / information presented
Denied as presented--Reason :
Special' Permit and/or Site Plan Required:
ing R quired: Variance Required ,
gna e of Buil Spector "D-'e
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health, Conservation Commission, Deparlmont of Public Works and other applicable permit granting authorities.
ie,71-
City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls
BUILDINGDEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 913 Office of the Building Inspector
Zoning Form No.
001841 Date 10/7/93 Fee $20 Check# 13592
Page, 25C parcel 118 ,Zone URB Section 127 ❑ Yes ❑ No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT B & R Siding Spec. , Inc. before Building Inspections
has permission to Install vinyl siding & replacement windows Inspection on Site—Foundations
situated on 31-33 Elizabeth Street Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conforrn 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 CONSPIC N THE PREMISES
Certificate of Occupancy
uilding Inspector f --
�G��'1�