25C-129 (2) PERMIT APPLICATION CHECK LIST
R
PAGE 9SG PLOT O'q ZONE S � � ` ES NO DATE
ZONING FORMAPPLICATION f�
2 . PERMIT-APPLICATION
3 . OWNER OCCUPANT IF NOT
3 SET S PLAN
5 . NEW CONSTRUCTION
6 CURB CUT
7 . WATER S
8 , REMODELTNG
9 . ADDITION
10 , ACCESSORY STRUCTURE
11 . SIGN
12 . PERMIT FEE — CHECK ONLY — MONEYORDER i/ v
13 , SPECIAL PERMIT E UIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 — C R 780
15 . FORM A
16 . FILL
COMMENTS:
'1,i.1..TY c r"'�
c T
> � o
Z m ::E
� o
eD
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. s2 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location C-' c Lot No.
2. Owner's name 6121 t' // Address 36 (!/'r .? c-
3. Builder's name 2"r r-, -, :;; <<a1. y2ZZAddress 5 �`> T 4
Mass.Construction Supervisor's License No._ �( � G C( Expiration Date _ 2
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 n
14. Estimated cost:- t;
The undersigned certifies that the above state ents a true to the best of his, her
knowledge lief.
Sig a ure of responsible appican!
Remarks
l 002233
Date Filed L `�` C-( r
File No.
ZONING PERMIT APPLICATION (Si0.2)
I. Name of Applicant: " t Z, C
Address : 4 , _ �. c , _Telephone: t g-r S 7;?,
2 . Owner of Property:
Address : 4Z Lze `4 5.17— Telephone: S K G 3 Fo
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# Parcel# 109 ,
Zoning District(s) (incl�ud e overly
Street Address f
Required
5•
Existinq 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
oOpen Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6. Narrative Description� �Af Proposed Work/Project: (Use addition 1 sheets
if necessary) S t�' r`�?ti, yZ� f e�
7. Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the informa n contained rein
is true and a curate to the best of my knowledge
Date: 1,7 Applicant's Signature:
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
S cial' Perm'4d:and/or Site Plan Required:
in ' g Req i Variance Required:
gnatur ui ding In ctor at /
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, Department of Public Works and other applicable permit granting authorities.
%c'9'L
" City of Northampton REQUHZED INSPECTIONS
1. Footings and Walls
e BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. loo Office of the Building Inspector
Zoning Form No. 002223 Date 2/16/94 Fee $40 Check# 687
Page, 25C parcel 129 ,Zone URB Section 127 ❑ Yes No
BUI]LDINGPERNM
*Plumbing and Electrical Inspections required
THIS CER'T'IFIES THAT Denis Labato before Building Inspections
has pemmission to Install siding & repalcement windows per manufacturers Inspection on Site—Foundations
information
situated on 28-30 Elizabeth 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. 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 U PL A THE PREMISES
Certificate of Occupancy
Building Inspector
City of Northampton REQUIRED INSPECTIONS
g BUILDING DEPARTMENT 2. Sr�c�al Walls Components in Place*
3. Complete Building*
No.
100 Office of the Building Inspector
Zoning Fonn No. 002223 Date 2/16/94 Fee $40 Check# 687
Page, 25C Parcel 129 ,Zone ORB Section 127 ❑ Yes ❑ No
BU11LD1NGPERmi ,-r
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Denis Labato before Building Inspections
has permission to Install siding & repalcement windows per manufacLurers Inspection on Site—Foundations
information
situated on 28-30 Elizabeth Street Inspection of Plumbing—Rough
provided that the person accepting this pen-nit 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 r;,lating 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 dateof 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 YE D SPLAYED IN A CONSPICUU PLACE ON TI-IE PREMISES
Certificate of Occupancy *w �
Building Inspector