17C-050 (5) PERMIT APPLICATION CHECK LIST
PAGE lr7(- PLOT SV ZONE U)L& 3 JV4w-kvgaL S NO - DATE
ZONING 0 APPLICATION q13 I Q
2 . PERMIT (�
3 . OWNER OCCUPANT-STATEMENT TF NOT C
4 . 3 SET S PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 WATER
8 . REMODELING INTERIOR
9 . ADDITION
10 , ACCESSORY STRUCTUgE
11 . SIGN / AWNING
2 PERMIT E - j�
13 . SPEC REQUIRED Wl ED IF APP ICABLE
14 . UNDER SECTION - CMR 780
15 . FORM A
16 , FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. / ! Tel.No.
NORTHAMPTON, MASS. �l! �` ' l 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
tt Garage
1. Location ,�(�G oC f('`, r< Lot No.
2. Owner's name A n n �, �C�rr({, � i� Address—S7Ye�1,) rr
3. Builder's name I , tic Address es r'Q t �7�'` /� �7L ,,�/�)D•�
Mass.Construction Supervisor's License No. 116 Expiration Date ff`4 j
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'7Qc)
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
/�� X—�/"(-�
a� Signatur ojresponsible app,icane
Remarks 0 `UV 7"
w -
• 004 1, 39-
Date Filed ''��-�� v - _ File No. ,
ZONING PERMIT APPLICATION (910. 2)
1 . Name of Applicant: d Li d°
Address: l�° / Telephone:
2 . Owner of Pro ert
P Y� �'" ,�Cp ���
Address: •
Hill
Telephone:
3 . Status-`of Applicant: Owner Contract Purchaser
Lessee Other (explai. .
4 . Parcel Identification: Zoning Map Sheet# O L Parcel# >'Q ,
Zoning District(s) (include v r ys
Street Address ,
Required
5 .
Existilncr Proposed b Zonin
Use of Structure/Property
(if project is only• interior wor)0, s ip 6)
Building height
oBldg. Coverage (Footprint)
Setbacks - front
- side L: R: 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 roposed Work/Project: (Use additional sheets
if necessary)
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 r= knowledg
Y
Date:- Applicantrs Signature:
THIS SECTION FOR OFFICIAL USE ONLY:
ZApproved as presented/based on information presented
Denied as presented--Reason:
Special*' Permit and/or Site Plan Required:
Finding R iced: Variance Required:
t �O 9
S. gnature o Building Inspector D e
NOTE: lssuanoe of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required pormM
from tho Board of Hoolth,Conservation commission,Dopaitmont of Public Works and other applicable permit oranling authoritlas.
lell-
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 2. Footings cl Components in Place*
3. Complete Building*
No. 286 Office of the Building Inspector
Zoning Form No. 004139 Date 4/13/95 Fee $20 Check# Money Order
Page, 17C Parcel 50 ,Zoe URA Section 127 ❑ Yes No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Scott Paquette before Building Inspections
has permission to Shingle over existing one (1) layer of shingles Inspection on Site—Foundations
situated on 35 Strawberry Hill Inspection of Plumbing—Rough
provided that the person accepting this pemlit 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
roofs and woodstoves. Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLA ON RE ISES
CV ficate of Occupancy --
Building Inspector F