03-021 (4) PERMIT• APPLICATION CHECK LIST
PAGE PLOT R7 ZONE s.�c.. YES NO DATE
1 . ZONING FOR APPLICATION C9� 0
2 . PERMIT APPLICATION
3 . OWNER OCCUPANT E # IF NO
4 . 3 SETS OF NS PLAN
5 . NEW CONSTRUCTION too
6 . CURB CU
7 . WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR
9 . ADDITION
10 , ACCESSORY STRUCTURE
11 , SIGN AWNING
12 . PERMIT FEE — CHEQK ONLY — MONEY ORDER
13 , SPECIAL PERMIT UI ED WITH DEED IF APPLICABLE
14 , UNDER SECTION 127 — C R 780
15 . FORM
16 , FILL
COMMENTS :
a
�o
�p
T
v
i
r^ I
0
r
IT
z
3
z
Z
—1
121
C
c
R
o
0.
o'
0
O
a
2
0
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. IT� .?Z_ � Alterations
NORTHAMPTON, MASS._ 19F q, Additions
APPLICATION FOR PERMIT TO ALTER Repair
a
Garage
1. Location_ Cv.i /Y( /r 4/7UU— A U,O -62 Lot No.
2. Owner's name af: l/t a /1 eA G a Address
3. Builder's name W t U1 At^n f P" C.A Address
Mass.Construction Supervisor's License No. t',,% � Expiration Date
4. Addition
5. Alteration 10 t 7--4 dt. d°ln �„ �,t sL t, � _•�, -^�v
6. New Porch U U
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
I
Remarks
„ a
z �
� z
cn O
m
70
II
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
tat
Signature of responsible app icant
In
u
f/ 11
Date Filed ! � l` 002348 File No.
ZONING PERMIT APPLICATION (510 . 2 )
1 . Name of Applicant: Vll< C 4 A
Address : QCpE Telephone:-
2 . Owner of Property: C1-,1 ,1 il" C, /"
Address : r, e C P a of/Z Telephone : 3 j6-
3 .
4 .
Status of Applicant: - Owner Contract Purchaser
Lessee Other (explain:
Parcel Identification: 7nn; nn M=n
Zoning District (s) (inclu
Street Address
5.
Use of Structure/Property
(if project is only inter
Building height
%B1dg. Coverage (Footpri
Setbacks - front
- side
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area m
building and parking)
Parking Spaces
Loading
signs
Fill (volume & location;
6 . Narrative Description of Proposed Work/Project :
if necessary) r �`d �2 0��7 ..�%ti.. r�; ..- c_
(Use additional sheets
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: 34 5-�� � Applicant's Signature: 2 ,_
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
Special' Permit and/or Site Plan Required:
Finding Required: Variance Required:
Signature of Building Inspector Date
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, Departmont of Public Works and other applicable permit grantin47 authorities.
r..7•)-
City of Northampton REQUMED INSPECTIONS
e 1. Footings and Walls
-
BUILDLING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 189 Office of the Building Inspector
Zoning Form No. 002348 Date 3/30/94 Fee $40 Check# 510
Page, 3 Parcel 7 ,Zone RR Section 127 ❑ Yes ® No
BUIILDINGPERMI� rr-I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT William Ducharme before Building Inspections
has permission to Install a bathroom in existing garage Inspection on Site—Foundations
situated on Coles Meadow Road 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,ifnot started. Biding 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 CONSPICU LA THE PREMISES
Certificate of Occupancy
or—_
03 -09(
goo o!�
ity Of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 2. Structural Com onents in Place*
B e
� P
3. Complete Building*
No. lag Office of the Building Inspector
Zoning Form No. 002348 Date 3/30/94 Fee $40 Check# 510
Page, 3 Parcel ,Zone RR Section 127 ❑ Yes ® No
BUILLDINGPERm,. ir
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT William Ducharme before Building Inspections
has permission to Install a bathroom in existing garage Inspection on Site—Foundations
situated on Coles Meadow Road Inspection of Plumbing—Rough
provided that the person accepting this pemhit 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.
Budding Inspection—Finish
Smoke Detectors(Fire Department) _
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICU LAN THE PREMISES
Certificate of Occupancy _
B-uzlurgln or
Silo)?