25C-157 (2) ' � � � �
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PERMIT APPLICATION CHECK LIST
PAGE ��c" PLOT- 6 Z E pZ�O YES NO DATE
1 . ZONING FORM APPLICATION �'�, r
2 . PERMIT APRLICATIOW L"
3 . OWNER OCCUPANT STATEMENT LIC . # I NOT (r
4 . 3 SETS OF PLANS ZPLQT
5 . NEW CONSTRUCTION----
6 . CURB CU
7 . WATER VAI FORMS
8 . REMODELING INTERIOR
9 . ADDITION
10 . ACCESSORY STRUCTURE
11 , SIG N / AWNI
12 . PERMIT FEE - CHECK ONLY - MONEY ORDER
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM
16 . FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 5R4 R 1 5 Alterations
NORTHAMPTON, MASS. 3/8/94 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1 ~I?ocation 9 n n gr idgP St - Lot No.
Owner's name Parr)1d F- Duffy Jr. Address 200 Bridge St .
3. By�lder'sname Mi rhat-1 n; ggi nG Address 26 Chesterfield Rd. , W' ton
rMass.tonstruction Supervisor's License No. D '4 y RYD Expiration Date
1. Addition
5. Alteration
5. New Porch ( � ti'��
1. Is existing building to be demolished?
3. Repair after the fire
). Garage No.of cars Size
). Method of heating
t. Distance to lot lines
1. Type of roof
3. Siding house
1. stimated cost:- $1 ,000
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
A/ '
Sign t re of responsible apK,1CjK1
emarks
u
Fw�tinr ll
Date Filed 002
r
8 '3 File No.
ZONING PERMIT APPLICATION (§10 . 2 )
�1} Name of Applicant: Harold F. Duffy Jr .
Address : 200bridge 5t . Telephone : 584-3815
2�. Owner of Property: Same
Address : Sale Telephone :
pf Status of Applicant: - Owner Contract Purchaser
VVVV Lessee Oder (explain: )
4 . Parcel Identification: Zoning Map Sheet// 2-5c Parcel# 7-3(o,
Zoning District (s) (include ovgrl�s)
Street Address ,,� Iz�c
Required
5• Existinq Proposed by Zonin
Use of Structure/Property
(if project is only interiox work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L:
- 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) Finish off ronm started 13 years agn in attin Anz nx
si7.p 11 ' X 11:) , Nppdinq mainly) shppi- roar�k and insulation Al �
i nsi-a l 1 nnp wi ndnw
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 knowlei8at�6
Date: 3/8/94 Applicant's Signature''
THIS SECTION I'OR OFFICIAL USE ONLY:
__I/ Approved as presented based on information resented
/ p
Denied as presented--Reason:
ecial' Permit and/or Site Plan Required :
ing R u 'red: variance Required:
ignat r o 1 9�
Buil Inspector ate
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.
e,.7•L
?�� �� City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls
V BUILDING DEPARTMENT 2. Structural Components in Place*
a
3. Complete Building*
No.
162 Office of the Building Inspector
Zoning Form No. 002283 Date 3/15/94 Fee 40 Check# 4272
Page, 25C parcel 157 Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERmir
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Michael Diggins before Building Inspections
has permission to Finish room above garage for office Inspection on Site—Foundations
situated on 200 Bridge Street Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the terns 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 P ON THE PREMISES
Certificate of Occupancy
Buildin