31C-007 (7) i
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Date Filed -� rZ �J �/ � �� File No.
ZONING PERMIT APPLICATION (910. 2)
I . Name of A plicant: 2cC7-i�.Vs/c/ G.
Address : C) 96)k -o - Telephone oi.
2 . Owner of Property: ee-11 C�
Address : �,2 z�, ,q�� ,�yE ,��,Qf,� ��yTe1ephone
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain:
4 . Parcel Identification: Zoning Map Sheet# 2�. P rcel#_ ,
Zoning District (s) (include overlays)
Street Address
Required
5 . Existing -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:
- 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) /:_fX!S77We/1?c e_�_ 4 </1, U RV
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 knowl dge.
Date:_... `?//-/ej y - Applicant' s Signature:
THIS SCTIN FOR OICIL USE ` Y
E O FF A :
Approved as presented/based on information presented
Denied as presented--Reason :
S cial' Per sand/or Site Plan Required:
n g Req e Variance Required:
"gnat -ec of Buy. g In ctor to
r
NOTE: Issuance of a z 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, Doparlmont of Public Works and other applicable permit granting authorities.
ic'9')-
PERMIT APPLICATION CHECK LIST
PERMIT APPLICATION CHECK LIST
PAGE PLOT ZONE j y DATE
1 . ZONING FORM APPLICATION
v
2 . PERMIT APPLICATION
3 . OWNER C STATEMENT � IF NOT
4 . 3 SETS OF PLANS /PLOT PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 WATER FORMS
8 . REMODELING INTERIOR
9 . ADDITIO
10 . ACCESSORY STRUCTURE
11 . SIGN / AWNING
12 . PERMIT FEE - NLY - MONEY 0 D - ,F ti
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 , UNDER SECTION 127 - CMR 780
15 . FORM A
16 . FILL
COMMENTS :
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3 D
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.S V Alterations
NORTHAMPTON, MASS. /1" 19 `Q� Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location -I?- L cJ 14-1-4 17'_6 If c>IJ M Lot No.
2. Owner's name Cetc e-z r–., Address
3. Builder's name 2A�9 _v< Address Pte' Ge�2- 1crZ- -f;1–C,F-
Mass.Construction Supervisor's License No. l 70oK Expiration Date
4. Addition
5. Alteration �-<'3 L �` � �l�re� � �'L 7tiL 1i'' C„s�, r .l)
6. New Porch
7. is existing building to be demolished?
S. 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:-
�r�), 6 The undersigned certifies that the above statements are true to the best of his, her
knowled a and belief.
sign d of responsible appic n!
Remarks
City of Northampton REQUIRED INSPECTIONS
—
• 1. Footings and Walls
f BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
NO. 663 Office of the Building Inspector
Zoning Form No. 002955 pate 7/13/94 Fee $20 Check# 4308
Page, 31C pal 7 Zone URA Section 127 ❑ Yes ® No
BUI]LDINGPERMII
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT J.H. zieminski before Building Inspections
has permission to Install replacement windows Inspection on Site—Foundations
situated on 28 Ward Ave. 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 pemiit.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.
** Install per Manufacturers information: windows, vinyl siding, Building Inspection—Finish
roofs and woodstoves. Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICU S PLACE ON THE PREMISES
Certificate of Occupancy --
nspector
a
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 1. Footings and Palls
$ e 2. Structural Components in Place*
3. Complete Building*
NO. 663 Office of the Building Inspector
Zoning Form No. 002955 Date 7/13/94 Fee $20 Check# 4308
Page, 31C parcel 7 ,Zone URA Section 127 ❑ Yes ® No
BUIULDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT J.H. zieminski before Building Inspections
has permission to Install replacement windows Inspection on Site—Foundations
situated on 28 ward Ave. 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.
** Install per Manufacturers information: windows, vinyl siding, Building Inspection—Finish Z2
roofs and woodstoves. Smoke Detectors(Fire Department)
Other
THIS CARD NrW DI D IN A CONSPICUPUS, PLACE ON THE PREMISES
Certificate of Occupancy --
nspector
i