17A-108 P!_RMIT APPLICATION CHECK LIST
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PACE PLOT ` zONF ES NO DATE
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2 '
3 , OWNER OCCUPANT STATEMENT �`AriAOj IF NOT
4! 3 SETS OF PLANS /PLOT PLAN
5 . NEW CONSTRUCTION
6 CURB CUT
7 , WATE AVAILABIOTY FORMS
8 REMODELING INT(RIOR
9 . ADDITION
10 ACCESSORY STRUCTURE
1 . SIG AWNING
2 , PERMIT FEE ;.,�,-QWffC,Kj ONLY - O F 0 D E L,--
13 , SPECIAL_ PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 78,0
15 , FORM A
16 , FILL
COMMENTS ;
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
ti NORTHAMPTON, MASS.`/ /3 19y3 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location .93 U'14he,5 1�UZ; frog G OId Lot No.
2. Ownersname Address 33 AVE,, F�D, 6A"d �!?�
3. Builder's name 7EV 12 ZNoV A)e—1 Address y�l �6,e // IZ t ), 7'-�
Mass.Construction Supervisor's License No. .1 �5'� Expiration Date 06 o S
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 Y/0'11
14. Estimated cost:-11f �/O 511)o
The undersigned certifies that the above statements are true to the best of his, her
40\ knowledge and belief. / Q
Signature of respo ible appicant
Remarks L 1 O O � J
clva�. ;F J ' 0013Date Filed
File No.
ZONING PERMIT APPLICATION (510 , 2 )
` Name of Applican &e s c'»v� �G �p� 1 e1V:n1 L
Address : '801 7z- /6r"M 700 Y,J 4- Telephone : SFFe,- y 7---
Owner of Property: 'ILoo k<ssT5r__
Address : �3 Auv, /v2.�ffrJ e,�, �rj-� Telephone : 6"Ar6- -
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain : )
4 . Parcel Identification: Zoning Map Sheet# 1'2/9- Parcel#
Zoning District (s) (include verlays)
Street Address 3 3 ,
Required
5• Existing Proposed by Zoning
Use of Structure/Property
(if project is only inter ' or work, skip to #6) ,
Building height
%B1dg. Coverage (Footprint
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area nil nus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed 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 knowledge .
Date : /993 Applicant' s Signatu : �✓�.K, �/ f. t
THIS SECTION FOR OFFICIAL+ Us ONLY:
fApproved as presented/based on information presented
Denied as presented--Reason :
pecial � Permit and/or Site Plan Required :
ding q ired: _ Variance Required:
��
ignat of Build or at
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, Department of Public Works and other applicable permit granting authorities.
it-71-
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 1. Footings and Walls
2. Structural Components in Place*
3. Complete Building*
No. 589 Office of the Building Inspector
Zoning Form No. 001398 Date 7/14/93 Fee $20 Check# 13439
Page, 17A Parcel 108,Zone uRA Section 127 ❑ Yes 0 No
BUI]LDINGPERNM
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT B & R Siding before Building Inspections
has permission to Install vinyl siding Inspection on Site—Foundations
situated on 33 Calire Ave. 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,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
R
R THIS CARD MUST BE DISPLAYED IN A CONSPICU S PL ON THE PREMISES
Certificate of Occupancy -
ng Inspector ��___