25C-192 (2) E RM IT APPLICATION CHECK IST
eA c E 2 5 - PLOT z OU E u- �-7 - ..... a� "
E s NO DATE
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2 , PERMIT P LIC IO C'
3 , OWNER OCCUPANT L IN ) I - NO
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4 , 3 SETS OF PLANS /PLOT Pl6N
5 , NEW CONSTRUCTION
6 , CURB CUT
7 , WAIgR AVATLABUITY FORMS -
8 . REMODELING INTERIOR
9 ADDITION
0 E
1 1 , SIGN I ---..
2 , PERMIT FEE - CHECK ONLY 0 E 0 DE ���
13 SPECIAL PERMTT REQUIRED WTTH DEED IF APPLICABLE
h UNDER SECTION 2 - C 8
16 FORM A
16 F Imo_
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
/ f Garage
f
1. Location 7 �'t��, h /4-ar 4✓, Lot No.
2. Owner's name ✓ .,r.i /�a V.e 4✓I j Address 0
3. Builder's name 16C.;i.3 C n /ti Address 31`i
Mass.Construction Supervisor's License No. 0(-<30 28 Expiration Date 9- as-- 19 ri b
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__� ---
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. `
�
Signature of responsible app scant
Remarks
Date Filed ' File No.
ZONING PERMIT APP LICATION (910 . 2 )
I . Name of Applicant: I�>u•-, 674%1/4
Address : X311 pi„, sj- A,nA,/J 104 Telephone: CYy- 5233
2 . Owner of Property: u�
Address : �27 /j,,,�,j,� �,.� Telephone :
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain : )
4 . Parcel Identification : Zoning Map Sheet# Parcel#
Zoning District (s) (include ov �rl y
Street Address � 4,a ,
Required
5 . Existina Proposed bv Zonin
Use of Structure/Property ► «-•., j �1-1-
(if project is only interior work, skip to #6)
Building height
%B1dg . Coverage (Footprii7
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) lZAVV/ 5,6J,A4
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 : 21" q3 Applicant' s Signature : /'},.y
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
ZApproved as presented/based on information presented
Denied as'presented--Reason :
Special' Permit and/or Site Plan Required :
dig Re ire _ Variance Required :
col —
gnatu e f�--B�uild, n�y, pector ate
NOTE: Issuance o raf zoning peril does not rolleve nn applicnnt's burden to comply with nil zoning requirements and obtain all required permits
from the Board of Health, Conservation Commission, Dopartmonl of Public Works and other npplicnblo pormil granting oulhorilios.
/07-L
i
City of Northampton REQUIRED INSPECTIONS
A A
A e BUILDING DEPARTMENT
1.
. S�ccttnral and Walls
in Place*
3. Complete Building*
No. 401 Office of the Building Inspector
Zoning Form No. 001171 Date 6/2/93 Fee $2 0 (fleck# 668
Page, 25C Parcel 192 ,Zone URC Section 127 ❑ Yes ❑ No
BUI]LDINGPERMI r-I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Kevin Gale/Mary xarparis before Building Inspections
has permission to I�Install vinyl siding Ins lion on Site--Foundations
situated on 27 Highland Ave. 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 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 pem-tL 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
ti
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICU S P A - N THE PREMISES
Certificate of Occupancy
g spector fat
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