17A-145 (2) D
j 70 o -7 in Z
z �•
m0
^�
c a
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
_ 1 Garage
1. Location j 7rU"p,1t-it cq, L�ot No.
/� /
2. Owner's name vt Address ( �
3. Builder's name `0 v) Address
Mass.Construction Supervisor's License No. C', Il'7 5 r 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
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cosL-
wo OCR
The undersigned cenifi that t e hove statements are true to the best of his, her
knowledge anfflbelief.
A, 14M4
v�
Signature of responsible app,icanl
Remarks
0003535 Date Filed File No.
ZONING PERMIT APPLICATION
I . Name of Applicant: ^� _
Address: D Telephone: i< S
2 . Owner of Property: , emu
Address : ' Telephone:
3 . Status of Applicant: Owner L,----Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sh t# iqA- Parcel# l
Zoning District(s) (include o rla s) WLA/ �
Street Address 4
Required
5• Existin Pr osed bv Zoninct
Use of Structure/Property
(if project is only interior work, s ip o #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage.
Floor Area Ratio
. tOpen 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)
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: �- 2SjZ Applicant's Signature: ,
THIB SECTION FOR OFFICIAL USE O y
Approved as presented/based on information presented
Denied as presented--Reason
ecial' P it and/or Site Plan Required:
`'p ng eqG e : Variance Required:
,� t
gnat a of B ing Inspector D e
--_
NOTE: Issuanca of a zoning permit does not reliove 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.
iev-
PERMIT APPLICATION CHECK LIST
P E ��� PLOT 1`f�5 ZONE V-k&— '� S NO DATE
ZONING F0 RM APPLICATION
2 . PERMIT I c.
3 . OWNER O
4. 3 SETS OF PLANS /PLOT PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 WATER
8 . REMODELING
9 . ADDITION
0 . ACCESSORY
11 , SIGN / AWNING
2 ERMIT FEE — CHECK ONLY — MONEY ORDER
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
4 . UNDER SEC — QMR 780
15 . FORM A
6 . FILL
COMMENTS: Q
0r0 °� City of Northampton REQUIRED INSPECTIONS '"
• 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
Np, 1096 Office of the Building Inspector
Zoning Form No. 003535 Date10/31/94 Fee $20 Check# 1448
Page, 17A parcel 145 ,Zone URA Section 127 ❑ Yes ® No
BUI]LDING PERAM
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT John Punska before Building Inspections
has permission to strip & reshingle roof Inspection on Sits-Foundations
situated on 220 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 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.
** Install per Manufacturers information: windows, vinyl siding, Building Inspection—Finish
roofs and woodstoves. Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICU P CE N THE PREMISES
Certificate of Occupancy --
Buil for INF