17C-095 (3) F' .PE�RMIT APPLICATION CHECK LIST
PAGE I`�� PLOT ZONE �""�" � ES NO DATE
1 . ZONING FORM APPLI C I 0
2 . PERMIT I
3 . OWNER OCCUPANT STATEMENT LICJ IF NOT
3 SET g V
NEW S
6 , CURB CUT
7 WATER
8 , REMODELING
9 , ADDITION
0 , ACCESSORY C
11 . SIGN �i
2 E IT E - - J �� I Ao
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
4 , UNDER E - QMR 780
15 , FORM A
6 . FILL 6)1-4
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location Chestnut Street Northa=ton. MA 01060 Lot No.
2. Owner's name Dorothy Kocott Address Ohcs+mot St QQt
3. Builder's name Va 1 1 PST TTnmP Tm=rnvL-rrPni-.. Inc. Address 320 Riverside Drive
Mass.Construction Supervisor's License No. 10554-1 Expiration Date
4. Additio
5 Alteration
6. rch
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:- $7000.00
The undersigned certifies that the above statements are true to the best of his. her
knowledge and belief.
I 224A, k r
ignarure of responsible app scant
Remarks
Ap
Date Filed 3--17-95 File No.
ZONING PERMIT APPLICATION
1 . Name of Applicant: Valley Home Improvement, Inc. Nelson Shifflett, Pres.
Address: 320 Riverside Drive Northampton, MA Telephone: -
2 . owner of Property: Dorothy Kocott
Address: - Chestnut Street Northampton, MA —Telephone: .586-0677
3 . Status of Applicant: owner contract Purchaser
Lessee X Other (explain Contractor )
4 . Parcel Identification: Zoning Map Sheet �� � M � Parcel# ,
Zoning District(s) (inclu overlay INS'
Street Address (O
Required
5 . Existinq Proposed b Zonin
Use of Structure/Property
(if project is only interio wo k, ski to #6)
Building height
%Bldg. Coverage (Footprint)
Setbacks - front
- side L: R: L:
- rear
Lot size
Frontage,
Floor Area Ratio
oOpen 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) Remodel !path and new windows
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: 3-17-95 Applicant' s Signature: �'�
THIS SECTION FOR OFFICIAL USE ONLY:
GfApproved as presented/based on information presented
D.enied as presented--Reason:
S ecial' Pe _ and/or Site Plan Required:
i ng R Variance d:
gna rte.. of Build
c or � 'bat
NOTE: Issuance o(a zoning petmh does not relieve an applicant's burden to comply Wilts all zoning roquiroments and obtain all required pormhs
from tho Board of Hoalth, conservation Commission, Dopartmorn of Public Works and other applicable pormit granting authorilios.
it'9')-
o� �oy City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls
BUILDINGDEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 157 Office of the Building Inspector
Zoning Form No. 003932 Date 3/20/95 Fee $40 Check# 5034
Page, 17C Parcel 95 ,Zone URB Section 127 ❑ Yes No
BUI]LDINGPERMI r I I
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT valley Home Improvement before Building Inspections
has permission to Remodel bathroom and add one (1) window Inspection on Site—Foundations
situated on 136 Chestnut Street 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 terns 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.
Building Inspection--Finish
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPIC P ON THE PREMISES
Certificate of Occupancy
Building Inspector
�"
a
Valley Home Improvemen JUL 1 1
� 4
P.O.BOX 60627,NORTHAMPTON,MA 01060
NORTFA ®j 414�SPE`TlvtefS
413-584-7522 �+O1Ga0
DESIGN/BUILD
ADDITIONS• RENOVATIONS
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