17A-223 (6) PERMIT APPLICATION CHECK LIST
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84, YES NO DATE
2 �
3 . OWNER OCCUPANT IF NO
4 . 3 SET S /PLOT PLAN
5 . NEW CONSTRUCTION
6 , CURB CU
7 , WATER S
8 , REMODELING
9 , ADDITION
10 , ACCESSORY
11 . SIGN Z AWNING
12 . PERMIT E - MONEY ORDER r .
13 . SPECIAL P,ERM -kEQUIRED WITH DEED IF APPLICABLE
14 , UNDER SECTION 127 - C R 780
15 . FORM
16 , FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. .) !kC 19 Additions
Repair
APPLICATION FOR PERMIT TO ALTER
,�/ /� Garage
1. Location 1'7141 Jr c) AM P/ ��yr t��>t-1;' �� Lot No.
2. Owner's name 1.3i// 11AeQ1e,4I/�5__S Address I?Y I/c, &1P1,5 S'7/7 -9-
3. Builder's name 73V n J%0 n1 Address 7Ff Xoel M �i, l4• � �'h'
Mass.Construction Supervisor's License No. Oa `�� —Expiration Date 401 /i3 7
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 l �y►�► ��' -�' cy
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
vse `,-O\
Signature of r sronsible appicani
Remarks
l
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' 4.IjVlti •y
Date Filed 7� File No.
ZONING PERMIT APPLICATION (510. 2)
1. Name of Applicant: PV alo,N,�; �- � �� ,�'/�r�J
Address : '� f ��� QeT Telephone: G.
2 . Owner of Property: X1// �lJ �
Address :_ 5Z _Telephone:
3 . Status of Applicant : Owner /contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet#_ I-Mr Parcel#
Zoning District (s) (include over ys) (,t, 6
Street Address 1
Required
5. Existinq Proposed by Zoning
Use of Structure/Property
(if project is only interior 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 minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: Use additional sheets
if necessary)
Y
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 :_ Applicant's's Signature:�, ,
,-_ ,
-
/ THIS SECTION FOR OFFICIAL USE ONLY:
ZApproved as presented/based on information presented
Denied as presented--Reason :
S ecial' Permit and/or Site Plan Required :
i ing u ' ed: Variance Required
gnatu e- of Bui pector aye
NONE: issuance 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.
i c''71-
City of Northampton REQUHZED INSPECTIONS
• 1. Footings and Walls
B
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No.
812 Office of the Building Inspector
Zoning Form No. 001694 Date 9/8/93 Fee $20 Check# 13533
Page, 17A Parcel 223 ,Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERMI r,I
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT B. & R. Siding before Building Inspections
has permission to Trim soffets & fascia with vinyl. Inspection on Site—Foundations
situated on 194 North Maple 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.
Building Inspection—Finish
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUO S LA ON THE PREMISES
Certificate of Occupancy _
nspector
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