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17A-196 (9) PLOT PLAN SHOW ALL GUILD INGS ON LOT EXISTING OR PROPOSED No. . . . . . . . . . . . APPLICATION FOR PERMIT TO BUILD A DWELLING . . . . . . . . . . . . . . . . . . . . . Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Permit Granted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 . . . . . . . Approved Supt. of Buildings • • . • . • . • • . • • • . . . . . . . . . . . . . . . . . . . . . . . d O IL. . . . . . . . . . . . . . . . . . . . . . . FT. FRONTAGE STREET NOTE:IN ORDER THAT THIS APPLICATION MAY BE ACCEPTED,THE DATA CALLED FOR BELOW MUST BE SO SET FORTH THAT WE CAN DETERMINE FROM THE APPLICATION AND THE ACCOMPANYING PLANS WHAT THE EXISTING CONDI- TIONS ARE AND WHAT THE FUTURE CONDITIONS WILL BE. Plot Plans and Plans,must be filed with this application before a permit be granted. Zone APPLICANT NOT TO FILL IN SPACES ,B uE THI LINE Application -- - - -for a - Permit j a Northampton,Mass. . . . . . . . . . . . . . . .Y/g. . 19 9f .:�. a Telephone No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7b the Supt.of Buildings: Application for a permit to build its herrebb madre according t the following::- 1. Location, Street and No. . . !. .s. .�. . .!I ^.!!'. •/./.!cr yv S.T. . • . . (.o.t.t!�.�.C. . . . . . . . Lot No. . . . . . . . . . . 2. Nearest cross street . . . Size of lot . . .. . . . . . .. . . .. . . . . . .. . 3. Owner's name . . . n. . PQ►1. . . .e.�.l'!a.'? . Address . . �. 5�/ /Yo/.7.!'t. .f �.�o.�`v .s1`. . �c'/e 4. Architect's name . . . . . . . . . .. . . . . . . . .. . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . 5. Builder's nameW.c->TP_e!h.//!05 - -S=' ? 4. . . . Address Mass.Construction Supervisor's License No. . .0-J.Y.6- f• . • • • . Expiration Date . . . 1 •O •l p• 6. Use of Building:One-family . . . . . . . . . . . . . . . . . . . . Two-family . . . . . . . . . .. . . . . . . . . . Other . . . . . . . . . . . . . . . . . . . . 7. Number of rooms in each family unit: . . . . . . . . . . . . . . . . . . . . .. . Number of Bathrooms . . . . . . . . . . . . . . . . . . . . . . . 8. Is there a garage attached? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of building Square footage . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Number of stories . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . 11. Distance from finished grade to high point of roof . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . 12. Type of construction cr.lgc e.0*17 A A_T. . . . .W.)."Jo tvS. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . 13. Distance from building to street line in feet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . 14. Distance from building to side lot lines in feet:Left . . . . . . . . . . . . . . . . . . . . . . . . . Right . . . . . . . . .. . . . . . . . . . . . . . . . 15. Distance from building to rear lot line in feet . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . . . . . 16. Is a plot plan being filed with this application? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . 17. Species of framing lumber:DF . . . . . . . . . . . . . . . .. . . . Spruce . . . . . . . . . . . . . .. . . . . . Other . . . . . . . . .. . . . . . . . . . . 18. Are all structural conditions noted on drawings? . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . 19. Nature of land upon which the structure will be erected:Natural . . . . . . .. . . . . . . . . .. . Filled . . . . . . . . . . . . . . . . . . . 20. Depth of basement or cellar floor below finished grade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21. Material of foundation walls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thickness in inches . . . . . . . . . . . . . . . . . . . 22. Type of roof:Flat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pitched . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . . . 23. Material or roof covering . . . . .. • . . • • 24. Method of heating . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . 25. Will the building conform to the Building and Zoning Ordinances? . . . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 26. Septic Tank? City Sewer? . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . 27. Construction within 100 ft.of wetlands? . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28. Construction within 100 year flood plain?? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . -7 29. Estimated cost:Total$ . . . . . . . . !.pl ?7�-Z, © G . No building or structure which is erected or altered,shall be used,in whole or in part,for any purpose until a certificate of occupancy is issued by the Building Inspector. The unders' ned certifies that the a v tatements are true to the best of his knowledge and belief. tit�CV . . . . . . . . . . Signature of Contractor Signature of responsible applicant WRITTEN DESCRIPTION OF WORK TO BE DONE (� la. e.,�-, .� T w��.r d.c�s. . .�' s.1 i,//,J. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tak.t. . .v..T. . .o.� . ..SCc�.�. .��� . .t'.+. .?1e.�c/. .S'Q��,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .I . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Now L ✓,/ic Lo�unu izuKU.l� raf�"7��.us/! AM,41NISTRATOR DEPARTMENT OF PUBLIC SAFETY COMMONWEALTH 1010 COMMONWEALTH AVE. OF BOSTON,MASS.02215 MASSACHUSETTS ENCLOSE CHECK OR MONEY ORDER r" f-I If- r FOR REQUIRED FEE, EXPIRATION DATE MADE PAYABLE TO n J f 3.0 f 19 9 3 EFFECTIVE DATE LIC-NO. RESTRICTIONS ° s s r f 1 ,! Y A_ 4 "COMMISSIONER OF PUBLIC SAFETY" - (DO NOT SEND CASH). awT i s ? C22-4F-3373, E.iJTh ..RTvfe rf _.' ; +;r.at CUTE IFErt ITACItLA 'Cr E PHOTO ISLASTING OPR ONLY) FEE: _ n NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY FEE- HEIGHT- STAMPED OR SIGNATURE OF THE COMM I$$ONER DOB: � // _ L STij: THIS DOCUMENT UST-BE SIGNATURE OF LICENSEE « SIGN NAME IN FILL-ABOVE SIGNATURE LINE ` CARRIED ON THE PERSON OF THE HOLDER WHEN ENGAG OTHERS-RIGHT THUMB PRINT ED IN THIS OCCUPATION COMMISSIONER 0008�ij Date Filed File No. ZONING PERMIT APPLICATION (§10 . 2) 1. Name of Applicant: (A-J v?n 1290-$ .5 S16/0,7" o Address: C3 �' r- S'% C4.5 -I- ..a,,,,,MTe1e pK one: C2.C- 2 . Owner of Property: .,4A �e,- rant Address : PCY7 ;s- /o . -Telephone: Cl?<g -''7 ( S c- 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# Parce106 , , Zoning District (s) (incl)de o rlays Street Address 5 Required 5 . Existing 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/pro ' ct: (U�Lp a ditional sheets if necessary) liepd�c e opl" Ly'. . •�s (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 knowled l Date: ur_ 3 Applicant' s Signature: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - THIS SECTION FOR OFFICIAL USE ONLY: Approved as presented/based on information presented Denied as presented--Reason: Special Permit and/or Site Plan Required: in ing u ' red: variance Required: y gnat iebr of Build Spector 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. %c,,,7')- PERMIT APPyL�IyCyATION CHECK LIST PAGE 7� PLOT f q ' ZONE (ea YES NO DATE tl } 1 . ZONING FOR APPLICATION C - Z M �: 2 . PERMIT APPLICATION 3 . OWNER OCCUPANT STATEMENT LICA IF NOT 4 . 3 SETS OF PLANS PLOT PLAN 5 . NEW CONSTRUCTION 6 . CURB CU 7 . WATER AVAILABILITY FORMS 8 . REMODELING INTERIOR 9 . ADDITIO 10 . ACCESSORY STRUCTURE SIGN / AWNING 12 . PERMIT FEE - CHECK ONLY - MONEY ORDER 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 . FILL COMMENTS : ova �o City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 1. Footings and Walls 2. Structural Components in Place* 3. Complete Building* No. 189 Office of the Building Inspector Zoning Form No. 000879 Date 4/9/93 Fee $20 (Heck# 2 9 0 Page, l 7 A Parcel 196 ,Zone UR B Section 127 ❑ Yes ❑ No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Western Mass Siding & Roofing before Building Inspections has permission to install replacement windows Inspection on Site—Foundations situated on 151 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 pen-nit.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 CONSPICUOU PL ON THE PREMISES Certifizate of Occupancy spector Ir