17A-123 (7) T
PERMIT APPLICATIO_1N CHECK LIS"f
PAGE i l-7 A� PLOT iA,3 ZONE u-JZR- ES NO DATE
i , ZONING FORM APPLICATION
2 , PERMIT APPLICATION
3 , OWNER OCCUPANT STATEMENT / LIC , 1L IF NOT L---
4 , 3 SETS OF PLANS /PLOT PLAN
5 , NEW CONSTRUCTION
6 , CURB CUT
7 , WATE AVAILABIOTY FORMS
8 , REMODELING INTERIOR
9 . ADDITION
10 , ACCESSORY STBUCTURE
11 . SIG AWNING
2 , P E R I T FEE - CHEOK ONLY - MONEY D E --*
13 , SPECIAL_ PERMIT REQUIRED WITH DEED IF APPLICABLE
14 , UNDER SECTION 127 - CMR 780
15 , FORM A
16 , FILL
COMMENT'S:
qlxql
'U
tv
0
C �•
Crl r•►
7d
s
cn O
CA
Z d
> t�
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. � 1t� Alterations
a NORTHAMPTON, MASS. /��t 2` , , d�� 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location QQ Lot No. n t
2. Owner's names �� c*n G�n� (��ler Address 3� t�S61 � .
3. Builder's name W � Address S�dw G;z�"r\,1 c,S-i
Mass.Construction Supervisor's License No. t7 L-i V51( Expiration Date �3-6/93
4. Addition '���`� t ����'' RR ouu �x�sti�'� Fnr t' 5A-�v5
5. Alteration (Ve A^� i.�1� �"� Ce-
6. New Porch �l
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 Ak
13. Siding house CJ�r-
14. Estimated cost:- ")5
The undersigned certifies that the abov statements are true to the best of his, her
knowledge and belief.
Signature responsible appicant
Remarks
J
1 � 1
Date Filed 1 � 0 01 0
File No.
ZONING PERMIT APPLICATION (§10 , 2)
1 . Name of Applicant : ✓,bLTj-'h L- Al—,e
Address : S13 A bi yu F v Telephone : 0
2 . Owner of Property: j—cAjo i Ptt,' '7 L)0)C f=
Addre 6-r Telephone : Sob
3 . Status of Applicant : Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# Parcel#
Zoning District (s) (include ov rlay-s) r 1a k4-
Street Address ,
Required
5 .
Existing Pro osed by Zonincr
Use of Structure/Property / F*Ki-&C
(if project is only interior work, skip to #6)
Building height
__Bldg . Coverage (Footprint)
Setbacks - front
- side L: R' 0 J9,1L:AlR: rC__,
- rear G� r ry
Lot size
L�rontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Propos Work/Project : (Use additional sheets
if necessary) q'Y LI `/ ' (7.,Y /l//� W bi 1 n.r) rJ t,,)
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 : 6 /3 Applicant' s Signature :
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason :
ecial' Permit and/or Site Plan Required :
in ng qui d: Variance Required :
gnat e of Bu ' Inspector 1A
NOTE: Issuance of a zoning permit does not relieve an applicant's burdc, ornpiy with all zoning requirements and obtain all required permits
from the Board of Health, Conservation Commission, Dopartrnanl of Public,Works arid other applicablo pormit granting authoritios.
"M4P oy� City of Northampton REQUIRED INSPECTIONS
Footings Walls DING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
352 Office of the Building Inspector
Zoning Form No. 001013 pate 5/20/93 Fee $40 Check# 102
Page, l'A Parcel 3-2=,Zone t RA Se-tion 127 ❑ Yes " No
BULDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT wafter Marek/Jonathan Tucker before Building Inspections
has permission to -rLnstall 7 new uindows & a 4'x4' roof over s�asrsng Inspection on Site—Foundations
situated on 330 £fir i.dge Road Inspection of Plumbing—Rough
provided that the person accepting this pemiit 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 Q �
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPIC S P: ON THE PREMISES
Certificate of Occupancy
/ uH&rg nspector