17C-033 (7) PERMIT APPLICATION CHECK LIS
PAGE 176 PLOT 33 ZONE UAL 17 P, Af ES NO DATE
1 . ZONING FORM LIC IO
2 . - PERMIT APPLICATION
3 OW �-
3 SETS
5 . NEW CONSTRUCTION
6 . CURB- CUI
7 WATER -AVAILABILITY
8 . REMODELTNG
9 . ADDITION
0 . ACCESSORY UC
11 . SIGN / AWNING
2 PERMIT FEE - CHECK ONLY - MONEY ORDER C-
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLIC B
4 . UNDER SECTION 127 - CMR 780
15 , FORM
16 , FILL
COMMENTS :
a
171
70 a
=1 3 Z r
>
Z.l m
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 25 3 2-3 Alterations
NORTHAMPTON, MASS. 0c�- -3 19-nv Additions
✓
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 27 N lmnl2zz ST, FG!'--c I-zAle C- Al A Lot No.
2. Owner's name:30h 1!��`LiZAeE f7� �3,aCESNEHA�L' Address 4 7 /1�r /�PcE ST fecg.zc,vct_
3. Builder's name :7& 22ft.5 T ��/.'S_S_i f __ __ _ Address V3 /L S'T` A rr -1ZST
Mass.Construction Supervisor's License No. D S/ D 3 Expiration Date / ` Q 9 7
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? Aft)
8. Repair after the fire
9. Garage/2ERV6,c- CrA I9G-E , Aj;--1.x..1 t7() No.of cars / Size
/Ve w i9---iA
10. Method of heating
11. Distance to lot lines
12. Type of roof HIP pZ/T 5/+jv6r C -42n62ir IA J�-
13. Siding house
14. Estimated cost:- 7-FO cj
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
�l1
Signature of responsible app,icant
Remarks
Date Filed File No.
ZONING PERMIT APPLICATION (§10.2)
1. Name of Applicant: T rJ/Y),q �_ /�£-/i,.5-�
Address: y3 A,rF,�, 5; Telephone:
2 . Owner of Property: ahk,� Cc� z�hEt�, 13iarsivc.ti�+✓
Address: q7 & 99R,-ze- Telephone: 5-gy -3F�5h
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# der✓ Parcel#
Zoning District(s) (include overlays
Street Address
Required
5. Existina Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to('
#6)
Building height
%B1dg.Coverage (Footprint)
Setbacks - front
- side
- 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) „ � NFrcJ '��� �y sr �_r � 1-J
0aJ9&C— 066>c
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:_K),,-7 �36 , )9?y Applicant's Signature: �'l� �
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
j'` Approved as presented/based on information presented
Denied as p sented
as o for i4l:
AgA
igna u 6T Buildi pector DgYte
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.
ti
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 1. Footings and Walls p
2. Structural Components rents in Place*
3. Complete Building*
No. 1171 Office of the Building Inspector
Zoning Form No. 003517 Date 11/18/94 Fee $40 Check# 1884
Page, 17C Parcel 33 ,Zone URB Section 127 ❑ Yes ® No
BUILDING PERNM
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Thomas Pelissier before Building Inspections
has permission to Reroof,, new fascia & new garage door Inspection on Site—Foundations
situated on 97 North Maple 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,ifnot 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 CONSPICUOUS PL CE 'THE PREMISES
Certificate of Occupancy
Buildin for
��'t 11?.1111 Si1�)l