17A-045 (4) COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY
OF 1010 COMMONWEALTH AVE.
MASSACHUSETTS BOSTON, MASS.02215 ENCLOSE CHECK OR MONEY ORDER
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EXPIRATION DATE o FOR REQUIRED FEE.
6/3 Lj MADE PAYABLE TO
EFFECTIVE DATE LIC-NO.
RESTRICTIONS
N z v "COMMISSIONER OF PUBLIC SAFETY"
(DO NOT SEND CASH).
FEE-
HEIGHT, N01 VALIC --�L Sl(-EC EY �ICENSEE IND C)MCIALLY
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SIGNATURE OF LICENSEE
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X130 Prlc]Ge- F)la c- cl PERMIT APPLICATION CHECK LIST
PAGE 1'7A PLOT 45- ZONE Q h A YES NO QA-TE
1 . ZONING FORM APPLICATION Lf G- IZ-9
2 ERMIT APPLICATION
3 . OWNER OCCUPANT STATEMENT LIC. # IF NOTE 0 '2 G / 9 L-
4 3 SETS OF PLANS LOT PLAN S�j etc h
5 . NEW CONSTRUCTION
Q . CURB CUT
7 . WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR
9 . ADDITION
10 . ACCESSORY STRUCTURE
11 . SIGN AWNING
12 . PERMIT FEE - CHECK ONLY - MONEY ORDER C � �� 4r*0
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 78
15 . FORM A
16 . FILL
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. Ju' 12, 19'L Additions Deck
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 180 E1rid�;e do€..d Lot No.
2. Owner's name .Linda S. L:onbtin Address 180 1�ridEe ;woad
3. Builders name -ahan -3uiJ_ding :elate '' in , CO Address P'.0.
:oo:- � pox 2860 ;:,)pfld, Lass
Mass.Construction Supervisor's License No. 006260 Expiration Date 1993
4. Addition ; ew P.T. deck "L" sha-_ed outside d.erlinsions 30' „ C"
5. Alteration
6. New Porch
7. Is existing building to be demolished? 0
8. Repair after the fire i,'�;
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines y a.cin,� t rbf house Left side 2816V ij ht side 14'/ near 45'
12. Type of roof ahingles
13. Siding house I,lunin»r
14. Estimated cost:- 5 P 000.00
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. r /
1 Signatur of responsible applicant
y1
Remarks
PR
DEPARTMENT OF PUBLIC SAFETY
COMMONWEALTH 1010 COMMONWEALTH AVE. ')F'.
t: OF BOSTON,MASS.02215 G�.
MASSACHUSETTS ENCLOSE CHECK OR MONEY OH,
1 L FOR REQUIRED FEE,
EXPIRATION DATE T, }�'.-
�ftie:ST!{.
Ns.�t.l.`lrL; MADE PAYABLE TO
RESTRICTIONS EFFECTIVE DATE' LIC-NO.
"COMMISSIONER OF PUBLIC SAFETY
`iCNE Obl:i(l/1 71 1)41251'.1
(DO NOT SEND CASH).
"RQ!)ERT E 1 P r+S
�" oRAP; 1
SS j� 6'954 SNfL.f1 i�',y C)11': Pl_LPI SE VC1E FEE TRCREAif
PHDrO teusTwc ova
y) FEE: I�"I;` ' 7 �t
100,00 rffECTIIvc f:L8 1, 1 Vi 9
NOT VALIO UNTIE SIGNED 81 LICENSEE AND OFFIC LT I _
HEIGHT: STAMPED OR-SIGNATURE OF THE COMMISSIONER
DOB: ..1 .
411f;/i�?57 ��0 61 CEIACH LICtr,SE STUD
JTHIS DOCUMENT Mu5i 6E SIOn.,iUNf Of UCEry&EE SIGN NAME IN FULL-ABOVE SIGNATURE LINE
,HE NHOEDERTWHENNEONC:Of
OTHERS NIGHT THUMB PRINT ED N [N18 OCCUPATION COMMISSIONER
20OM-2-87.81429
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Date Filed q o-\-, File No.
ZONING PERMIT APPLICATION (§10 . 2)
I . Name of Applicant: Vi? --S ,
Address ; p Telephone: -t
2 . Owner of Property:
Address : Telephone: /Y-ijj ,
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (expla n )
4 . Parcel Identification: Zoning Map Sheet# A- Parcel#
Zoning District(s) (incli a gverl s)
Street Address ileU
Required
5 . Ex-istina Proposed by zoning
Use of Structure/Property
(if project is only interior rk, sic p to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front t
- side 4- ng 51 IS/
- rear
Lot size 151
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 'tic al sheets
if necessary) So x F.,
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.
< r
Date (p�/� J�, Applicant's Signature
- - - - - - - - _ _ _ _ _ _ _ - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY: rk
1 2
V Approved as presented/based on information presented
Denied as presented - -
as n f or�?eni�al :
gnat re-' B nspector Date
OTE: Issuanoe of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from tfxe Board of Heaft, conservation commission, Department of Public Works and other applicable permit granting authorities.
.. ./ City of Northampton REQUIRED INSPECTIONS
i
1 . Footings and Walls
BUILDINGDEPARTMENT 2 . Structural Components in
Place
3 . Complete Building
No. 346 Office of the Building Inspector
Date June 17, 1992 19
n RMIT
THIS MAY CERTIFY THAT, Linda Longtin Insp. on Site — Foundations
Construct a pressure treated deck 30100'
has permission to ( L shaped ) to rear of house Insp. of Plumbing — Rough
situated on 180 Bridge Road 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.
anc will i this Building Insp. — Finish
Note: A certificate of occupancy y be issued by t s office upon
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED A CO SPI UOUS PI SCE ON THE PREMISES
Certificate of Occupancy
Bi ng Inspector
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