17C-222 (7) PERMIT APPLICATION CHECK LIST
PAGE A1,76 PL�QT Qtq ZONE .. ' YES NO DATE
1 . ZONING FORM APPLICATION ;..
2 . PERMIT APPLICATION
3 . OWNER OCCUPANT E IF NOT
3 SETS OF S /PLOT PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 . WATER A 0 S
8 . REMODELING INTERIOR
9 . ADDITION
10 . ACCESSORY STRUCTURE
11 . SIGN AWNING
12 . PERMIT FE - CHECK ONLY - MONEY '
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 , FORM
16 , FILL
COMMENTS :
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building '°,M SV•
Northampton, Mass. 01060
Francis X. Sienkiewicz
Inspector of Buildings
ADDRESS: 1 2 M A► -1 SF FD P��$ MAP r1 C-PLOT ZONE G
OWNER: I I a''�O T��/ S ACA
USE GROUP/GROUPS:
TYPE OF CONSTRUCTION: M�5o1J IL\/
NUM. OF STORIES: BUILDING HEIGHT: s
FIRE SEPARATION OF WALLS & CEILINGS: KLA
FLOOR AREA SQ. FT. (EACH LEVEL) :_ 1..1 LA
CUBIC FEET OF BUILDING: 9,A
FLOOR LOADS (EACH LEVEL) : tA/A
NUM. OF TOILETS & URINALS (EACH LEVEL) : MA
DETAIL DRAWINGS OF FLOOR LAYOUTS:
FIRE SUPPRESSION AND/OR ALARM SYSTEM? ►.l�,b�
r HANDICAPPED ACCESSIBLE? -'[{ice 9R0,J'ECT
LIGHTING LEVELS: bi ZA
MEANS OF EGRESS/EXIT LIGHTS? I4
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780 CMR SECT: 127 SIGNAT O CHI T ECT 'ENGTN
AND SEAL OF MASSACHUSETTS ONLY
DATE 15epZ' 1r7 1°1°13
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. / Tel.No.�13- J.36- 1Ob Alterations
a NORTHAMPTON, MASS. f � � 191 Additions
APPLICATION FOR PERMIT TO ALTER Re p air
Garage
1. Location f C-7 �11 rJ 5�i, 1 aRen)Ce Lot No.
2. Owner's name_ Ti l,\o4 i1 r Su EA Address_ q 19 S ibKr KoAQ
3. Builder's name Rt51,-,A N Z, CON st GJ- Address 6S S C KAMA
Mass.Construction Supervisor's License No. __Expiration Date
4. Addition
5. Alteration l Gnu v Z!.W
6. New Porch '��-
7. Is existing building to be demolished? N
8. Repair after the fire
9. Garage No No.of cars Size
10. Method of heating n
11. Distance to lot lines
12. Type of roof �4-,A
13. Siding house
14. Estimated cost:-
1 I °
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signalure of responsible app,,,.n1
Remarks
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Date Filed 001 Z File No.
ZONING PERMIT APPLICATION (910 . 2)
1 . Name of Applicant: RdMANo co;_� J Address :___ 6 S?5 G/zA*ry 5 . cutr,pcf Mp -Telephone: 5 - 2�0 a
2 . Owner of Property: h,oi RP a.
Address : �(( `l SNoi2AQ Telephone :
vCN tce , FL -31/ 2-,&S
3 . Status of Applicant: Owner Contract Purchaser
Lessee 40ther (explain : U. 5,, Po;fp) SCAvICt i ,c�✓r Ccw1��c�eG )
4 . Parcel Identification: Zoning Map Sheet# / 7 Parcel#-t —
Zoning Districts) (include erla )
Street Address /�S ,
(123) Required
5 . Existing Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
oBldg. Coverage (Footprint?
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage
Floor Area Ratio
oOpen 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) FAI0A C_-MJ00AA(( &iIV49ywAy RA,Ae AS PCK
r
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:_ C1 f li/9I Applicant' s Signature :
THIS SECTION FOR OFFICIAL USE ONLY:
;Approved as presented/based on information presented
Denied as presented--Reason :
S ecial' Permit and/or Site Plan Required :
i ing Re i d: Variance l�quired :
gnat of �Inspector bate
NOTE: Issuance of a zoning permit does;61-t relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health, Conservation C mmission, Department of Public Works and other applicable permit granting authorities.
it''T)-
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 2. Structtugral and Components in Place*
e
3. Complete Building*
No. 885 Office of the Building Inspector
Zoning Form No. 001725 Date 9/30/93 Fee $48 Check# 2193
Page, 17C Parcel 222 ,Zone GB Section 127 ❑ Yes No
BUIIL,DING PERMIT
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Romano Construction before Building Inspections
has permission to Construct a handicap ramp & entryway Inspection on Site—Foundations
situated on 125 Main 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 CONSPIC US LA PREMISES
Certificate of Occupancy
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