25C-133 (13) PERMIT APPLICATION CHECK LIST
PAGE XS-C PLOT 133 ZONE YES NO DATE
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1 . ZONING FORM APPLICATION L
2 . PERMIT APPLICATIO
3 . OWNER OCCUPANT STATEMENT LIC .# IF NOT
4 . 3 SETS OF ELANS OT PLAN
5 . NEW CONSTRUCTION
6 . CURB CU
7 . WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR
9 . ADDITION
10 . ACCESSORY STRUCTURE
11 . SIGN / AWNI
12 . PERMIT FE - CHECK ONLY - MONEY ORDER �q�
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM A
16 . FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. / Tel.No. Alterations
NORTHAMPTON, MASS. //'� �'� 1 q Additions
y Repair
APPLICATION FOR PERMIT TO ALTER
Garage
1. Location L« /� � ��� � '� Lot No.
2. Owner's name � �'� Address_
3. Builder's name ��// -��/� / ��"�`�'��: Address I /' ' /�` ✓x
Mass.Construction Supervisor's License No. _ Expiration Date
4. Addition A
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
14. Estimated cost:- 67,100
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible app,icant
Remarks 77
U
Date Filed File No.
X01"J4 r
ZONING PERMIT APPLICATION (§10 . 2)
1 . Name of Ap icant: Al �,f/!��"�� Cam•
Address : Telephone : �=
7a.t/
2 . Owner of Pro erty:
Address : zrg%a, a't ti",;l Telephone .
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain:
4 . Parcel Identification: Zoning Map Sheet#_,L�C_ Parcel# /33 ,
Zoning District (s) (include ove lays) (.tQ
Street Address ,
Required
5 . Existina Proposed by Zoning
Use of Structure/Property Z . ,
(if project is only interior w rk, s ip 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 J � --
Loading
Signs
Fill (volume & location)
6. Narrative Description -of Proposed Work/Project : (Use additional sheets .
if necessary) /D /4,J,5;l� ,9
Y
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 : Applicant' s Signature : ,r
ZApproved THIS SECTION FOR OFFICIAL USE ONLY:
as resented based on information resented
P / p
Denied as presented--Reason :
,,Special' mit and/or Site Plan Required :
-'i ing eq ' red: Variance Required:
gna r o B pector ' � a
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning roquirements and obtain all required permits
from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities.
i i,.7•l-
, City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls
BUILDING DEPARTMENT
2. Structural Components in Place*
3. Complete Building*
No. 1014 Office of the Building Inspector
Zoning Form No. 001941 Date 11/3/93 Fee $20 Check# 542
Page, 25C Parcel 133 ,Zone URC Section 127 ❑ Yes YO No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT United Siding & Window Co. . - before Building Inspections
has permission to Install replacement windows Inspection on Site—Foundations
situated on 46 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
` DISPLAYED IN A CONSPI U PLA ON THE PREMISES
THIS CARD MUST BE S C
{ Certificate of Occupancy ------
Buildin nspector
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 2. S�c�al Components in Place*
3. Complete Building*
No. 1014 Office of the Building Inspector
Zoning Form No. 001941 Date 11/3/93 Fee $20 Check# 542
Page, 25C Parcel 133 ,Zone URC Section 127 ❑ Yes No
BUI]LDINGPERMIT
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT united Siding & Window Co. before Building Inspections
has permission to Install replacement windows Inspection on Site—Foundations
situated on 46 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 Impection 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 //�L�
Smoke Detectors(Fire Department)
Other
THIS CARD ST B 4DISPLAYED IN A CONSPIC U PLA ON THE PREMISES
Certificate of Occupan
Buildin nspector