17C-029 (5) .ctti
PERMIT APPLICATION CHECK LIST
Yes No Date
I . Zoning Form Application
2. Permit Application L/
3. Homeowner statement if a licabl Lic . I, cif not
4. 2 sets of la
5. Curb cut
6 Water QeCZ�rtmPnt mPmn __ _.__...._.
r-
7,. Permit fee - check only 36D
8 Special Permit required with deed if applicable
9 Under g@t; inn 197 _
Form A
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Miscellaneous
Addition
�T aT s'Repair.Alterations Size___- --
o� etc,
- e NORTgAMPTON' MASS
�. Location
APPLIrA T
2. Owners na
me
3' $Uilder'r
"Ouse e true to the best of his,her
` _j s zr
4, Estimated cost:- ned certifies that the above statemen� �
The undersign
k e and bell ll f'
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' I L responsible applicant
Signature of
v
I' SHOP
Remarks PRINT
Date Filed File No.
ZONING PERMIT APPLICATION
Zoning Ordinance section 10 .2
1. Name of Applicant: C-�_�
Address: � Telephone: ,J � --/1
O(0
2 . Owner of Pro e
g r tj, �,��, =i �� �
Address: ./, Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheaf Parcel# ,
Zoning Districts)
Street Address
5 . Compliance with Zoning: Existing Proposed
Use of Structure/Property
Size of Structure (sq. ft. )
Building height
% Building Coverage
Setbacks - front
- side
- rear
Lot Size
Frontage
Floor Area Ratio
% Open Space
0
Parking Spaces
Loading Spaces
Signs
Fill (volume & location)
6. Narrative Description of Proposed Work/Project: (use
additional sheets/ if necessary)
i
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:��C.
THIS SECTIO FOR OFFICIAL USE ONLY:
- - - - - -- - - - - - - - - -
t/Approved as presented
Denied as presented
Reason for Denial:
Signature of Building Inspecto Date .5 `�
City of Northampton REQUIRED INSPECTIONS
j
1 . Footings and Walls
BUILDING DEPARTMENT 2 - Placetural Components in
3. Complete Building
No. 248 Office of the Building Inspector
Date May 6, 1992 19
B U1 DING P RMI
THIS MAY CERTIFY THAT Michael McKenna Insp. on Site — Foundations
has permission to Repair/rebuild existing garage foundation Insp. of Plumbing — Rough
situated on 1 Bardwell Street Insp. of Plumbing --Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date of issuance, if not started. Building Insp. — Finish
Note:A certificate of occupancy will be issued by this office upon Smoke Detectors (Fire Dept.)
return of this card signed by the Plumbing, Wiring and Building
Inspectors. Gas Inspection
• THIS CARD MUST BE DISPLAYED IN A CO7.�.UOUS,f/LA PI EON THE PREMISES
w Certificate of Occupancy
Bui nspector
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
;ooti NORTHAMPTON, MASS. Sn %%�!� 19L—Z Additions
aTnwaT
s _ Repair
APPLICATION FOR PERMIT TO ALTER
Garage
/�
1. Location��/ /%�i�%i y'i Lot No.
1
2. Owner's name Address
3. Builder's name Address
Mass.Construction Supervisor's License No. O T 7 6`1 e? :Z iExpiration Date
4. Addition
5. Alteration i,� o���f- irSHrc�r�/���� tX�sl/fis 7�✓� ��F - �L' p��G��
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:- �, zw
The undersigned certifies that the above statements are true to the best of his, her
knowledge and beli O
Signature of responsible applicant
Remarks
PNINT"SNOP
11t 4"
PERMIT APPLICATION CHECK LIST
/ 76 - f i�
Yes No Date
1 . Zoning Form Application
2. Permit Application L�
3. Homeowner statement if a licabl Lic . # if not
4. 2 sets of plans
5, Curb cut
6 Water Department
7. Permit fee - check only � � L/
8. Special Permit required with deed if app licable
Under section 127 -
Form A
U .
t
City of Northampton REQUIRED INSPECTIONS
1 . Footings and Walls
4 �
BUILDING DEPARTMENT 2 . Structural Components in
Place
3 . Complete Building
No. 248 Office of the Building Inspector
Date May 6, 1992 19
BUI.LDING PERMIT
1
THIS MAY CERTIFY THAT Michael McKenna Insp. on Site — Foundations
Repair/rebuild existing garage foundation Ins OI° Plumbin g Rough
has permission to - p• — g
situated on 1 Bardwell Street Insp. of Plumbing —Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction,Maintenanre and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date of issuance I not started.
� - Building; Insp. — Finish
Note: A certificate of occupanc will be issued by this office upon
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST B D SP A ED IN A CONSPI UOUS ASE ON THE PREMISES
i
Certificate of Occupanc
Buflditrg`Inspector
Or