17A-098 (5) 3�9 Grar dvicu- C-3-C" PERMIT APPLICATION CHECK LIST
PAGE i'jA PLOT 0943 ZONE � 5P YES NO DATE
1 . ZONING FORM APPLICATION V �' - 7- 9 a.
2 . PERMIT APPLICATION Y
3 . OWNER OCCUPANT STATEMENT LIC.# IF NOT
SETS OF PLANS /PLOT PLAN
5 NEW CONSTRUCTION
6 . CURB CU
7 WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR
i
9 . ADDITION
10 . ACCESSORY STRUCTURE
11 . SIGN AWNING
12 . PERMIT FEE - CHECK ONLY - MONEY ORDER 30-vv
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14. UNDER SECTION 127 - CMR 780
15 . FORM A
16 . FILL
COMMENTS: Zi't�errar C�nl y°
COMMONWEALTH " DEPARTMENT OF PUBLIC SAFETY
OF 1010 COMMONWEALTH AVE.
MASSACHUSETTS BOSTON,MASS.02215
EXPIRATION DATE LICENSE
/q t� COhSTR. SUP'ERV Il op
�E R A(ONS" 9 2 EFFECTIVE DATE LIC-NO. S
' 11/01/19,39 052460 i
c�
SCOTT C HARLOW
SS A 018-44-4537 150 COLEShFADO`k RD
APrif2T�l�tK TON MA C1060
PHO707/FEE: I
0.00
HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY
STAMPED-OR SIGNATURE OF THE COMMISSIONER
DOB: j
14/1967
THIS DOCUMENT MUST BE
- CARRIED ON THE LO WHEN PERSON OF I SIGNATURE OF LICENSEE
OTHERS RIGHT THUMB PRINT ED N THIS OCCUPATION
.
C//W) IOMMISSIONER
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. E% `�6S_ Alterations
C
at"""'Proy NORTHAMPTON, MASS. S41'" e., 1 '� 19 Additions
g � Repair
APPLICATION FOR PERMIT TO ALTER
e Garage
1. Location !� �.« \ , Lot No.
2. Owner's name Address 3` �+
3. Builder's name S S&— -, c►c �� dresses
Mass.Construction Supervisor's License No. S Expiration Date
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— 1M. f-
11. Distance to lot lines
12. Type of roof a S ('9
13. Siding house a S
14. Estimated cost:- �
The undersigned certifies that the above statements are true o the best of his, her
knowledge and belief. l
+ Signature of responsible applicant
Remarks
PR P
Date Filed i_7 File No. r7A —099
ZONING PERMIT APPLICATION (510 . 2) U R U45 F
I . Name of Applicant:
Address : '3so �r� Cla�. K::) Telephone:
2 . Owner of Property: �rc�a5 �,�r1
Address : Telephone:_ SJ6
3 . Status of Applicant: Owner -V/1,C--Ontract Purchaser
Lessee Other (explan: )
4 . Parcel Identification: Zoning Map Sheet# VIA Parcel# 0 9 F
Zoning District (s) (includ over ays)_ &A WSP
Street Address Ct7 c
Required
5 . Existina Pro Dosed bv Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side
- 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 Proposed Work/Project: (Use additional sheets
if necessary)
a
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: �)�^e� t '7 q Applicant ' s Signature
THIS SECTION FOR OFFICIAL USE ONLY _
!
_ZApproved as presented/based on information presented
Denied as presented
aSon f D nial:
1:;��7
igna a of Bui g Inspector Dra t
NOTE: lasuanoe of a zoning permit door not relieve on applicants burden to comply with all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission, Department of Pubiio Works and other applicable permit granting authorltios.
City of Northampton REQUIRED INSPECTIONS
s 1 . Footings and Walls
BUILDINGDEPARTMENT 2 . Structural Components in
Place
3. Complete Building
No. 357 Office of the Building Inspector
Date June 19, 1992 19
BUI DING P RMI
THIS MAY CERTIFY THAT Scott Harlow Insp. on Site — Foundations
Remodel_F Scott
fix rotten floor and take
has permission to out existing window Insp. of Plumbing — Rough
situated on 33 Grandview St. 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.
Building Insp. — Finish
Note:A certificate of occupancy will be issued by this 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 IN A CONS CUOUS ACE ON THE PREMISES
Certificate of Occupancy
.-B-6 dd Inspector
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