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25C-133 (12) PLOT PLAN 1 SNOW ALL OUIL.DINGS ON LOT EXISTING OR PROPOSED No. . . . . . . . . . . . APPLICATION FOR PERMIT TO , BUILD A DWELLING . Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Permit Granted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. . . . .. . Approved . . . . . . . . . . . . . . . . . . . . Supt. of Buildings . . . . . . . . . . . . . . . . . . . . . . . L. 0 FT. FRONTAGE STREET NOTE:IN ORDER THAT THIS APPLICATION MAY BE ACCEPTED,THE DATA CALLED FOR BELOW MUST BE SO SET FORTH THAT WE CAN DETERMINE FROM THE APPLICATION AND THE ACCOMPANYING PLANS WHAT THE EXISTING CONDI- TIONS ARE AND WHAT THE FUTURE CONDITIONS WILL BE. Plot Plans and Plans,must be filed with this application before a permit be granted. Zone APPLICANT NOT TO FILL IN SPACES ABOVE THIS LINE Application for a lywivil-ingyPermit A& / ,<: /, -Y //(IA s y. Northampton,Mass. . . . . . . . . . . . . . . . . . . . . . . . 19 . . . . . s � Telephone No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7b the Supt.of Buildings: Application for a permit to build is hereby made according to the following:- 1. Location, Street and No. -4�, -,,:. . !V. • . . . • • • . Lot No. . . . . . . . . . . 2. Nearest cross streett.ZKl�ijr .f -1 . . . . . . . . . . . . . . Size of lot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Owner's name . . . . . . . . . . . . . . . . . . . Address .,S4r c,7. . . . . . . . . . . 4. Architect's name. . . . . . . .. . . . . . .pp. . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . 5. Builder's name . . . . . . . . .. . . . . . . . . . Address 93).Awes. r .7#1j�Yj Mass. Construction Supervisor's License No. 655QR M. . . . . .. . . . . . Expiration Date .{ a�.l.9.9. . .. . . . . . . . . 6. Use of Building:One-family . . . . . . . . . . . . . . . . . . . . Two-family . . . . . . . . . . .. . . . . . . Other . . . . . . . . . . . . . .. . . . . . 7. Number of rooms in each family unit: . . . . . . . .. . . . . . . . . . . . . . . Number of Bathrooms . . . . . . .. . . . . . . . . . . . . . . . 8. Is there a garage attached? . . . . . . . . . . . . . .. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .. . .. . . . . . . . . . . . . . . . . 9. Size of building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Square footage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Number of stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Distance from finished grade to high point of roof . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . 12. Type of construction . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Distance from building to street line in feet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 14. Distance from building to side lot lines in feet:Left . . . . . . . . . . . . . . . . . . . . . . . . . Right . . . . . . . . . . . . . . . . . . . . . . . . . 15. Distance from building to rear lot line in feet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . 16. Is a plot plan being filed with this application? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17. Species of framing lumber:DF . . . . . . . . . . . . . . . . . . . . Spruce . . . . . . . . .. . . . . . . . . . . Other . . . . . . . . . . . . . . . . . . . . 18. Are all structural conditions noted on drawings? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. Nature of land upon which the structure will be erected:Natural . . . . . . . . . . . . . . . . . . . Filled . . . . . . . . . . . . . . . . . . . 20. Depth of basement or cellar floor below finished grade . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . 21. Material of foundation walls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thickness in inches . . . . . . . . . . . . . . . . . . . 22. Type of roof:Flat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pitched . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23. Material or roof covering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . 24. Method of heating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . 25. Will the building conform to the Building and Zoning Ordinances? . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . 26. Septic Tank? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . City Sewer? . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . 27. Construction within 100 ft.of wetlands? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28. Construction within 100 year flood plain? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29. Estimated cost: Total $ U�b .Ci.�?. . . . . . . . . . . . . . . . . . . . . . • • . . . No building or structure which is erected or altered,shall be used,in whole or in part,for any purpose until a certificate of occupancy is issued by the Building Inspector. The undersigned certifies that the above statements are true to the best of his knowledge and belief. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4WContractor Si nature of res P onsible a PP licant. . . . . . . / u WRITTEN DESCRIPTION OF WORK TO BE DONE 25144 : �. - ,6. . -�-�� . . � -- v�b. . . . s. . . . h� r-% �K. . . . . . . . . . . . . . -t Q. A. : . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PERMIT APPLICATION CHECK LIST PAGE _J- PLOT ZEL' ZONE YES NO D 'TE 1 , ZONING FQRM APPLICATION 2 , PERMIT APPLICATION 3 , OWNER OCCUPANT E IF NOT �- 3 SETS OF NS PLAN 5 , NEW CONSTRUCTION 6 , CURB CUT 7 , WATER VA L T S 8 , REMODELING 9 , ADDITIO 10 . ACCESSORY STRUCTURE 11 . SIGN AWNING 12 . PERMIT FE - �E ' - MONEY 0 DE 13 , SPECIAL PERMIT E UI ED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - C R 780 15 , FORM 16 , FILL COMMENTS : u-a u-a• ♦ta l\ a-a a♦-a waa WP I I I r•a NORTHAMPTON G.I.S. VfRYa NAVWMt ADD SM&PU M SIR 1 DISTRICT TYPE ZONING-DISTPoGT ZONINO-TTR O ZONING-MM ® C) ZONINO-RI 0 ZONING-WP ZONINO_WSP 0 loo 3w no 40 a N N N N M•1w♦alaM. weRNr♦w an M1Nt wa m area aw♦re♦ne 1.1-♦a NORTHAMPTON ZONING MAP SHEET NO. 50 OxY`41-111t soNVN f !f !� I Date Filed File No. ZONING PERMIT APPLICATION (910 . 2) 1 . Name of Applicant: Address : �_ �����Te lephone: 7� 2 . Owner of Property: -_-- M y� ;C— Address : 44 S7,z,i �Z�& Telephone: Sg4 3 . Status of Applicant: - Owner Contract Purchaser Lessee L6ther (explain: 4 . Parcel Identification: Zoning Map Sheet# /Parcel# 123 Zoning District(s) (include overlays) a� Street Address ` Required 5 . Existinq, Pro nosed 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 %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) _ -r 7 . Attached Plans: ketch Plan Site Plan 8 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date : ) 0. 3, 93 Applicant's Signature: / THIS SECTION FOR OFFICIAL USE ONLY: (,//Approved as presented/based on information presented Denied as presented--Reason: Special' Permit and/or Site Plan Required: aa4 4-B red: variance Required: �4/A/ s pector * \\�% Va t 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. City of Northampton REQUMED INSPECTIONS BUILDING DEPARTMENT 2. Struccttugral Components in Place* 3. Complete Building* No. 1118 Office of the Building Inspector Zoning Form No. 2050 Date 12/6/93 Fee 40 Check# 1476 Page, 25C parcel 133 ,Zone URB Section 127 ❑ Yes ® No BuiiLDiNGPERmir * Plumbing and Electrical Inspections required THIS CERTIFIES THAT John Gwozdzik before Building Inspections has permission to Renovate kitchen & bath; sheetrock Inspection on Site—Foundations situated on 44 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 c THIS CARD MUST BE DISPLAYED IN A CONSPIC US PL ON THE PREMISES Certificate of Occupancy - J9�i11 Sil��l GM's _