17C-222 (8) /PERMIT APPLICATIOHEC LIST
PAGE ���- PLOT �Z�ONE G^' �3 rnQ�� YES NO DATE
1'. ZONING FORM APPLICATION -- Z�
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2 . PERMIT APPLICATION
3 . OWNER OCCUPANT STATEMENT LIC . # IF NOT
4 . 3 SETS OF PLANS /PLOT PLAN
5 . NEW CONSTRUCTION -
6 . CURB CU
7 . WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR
9 . ADDITION
10 . ACCESSORY STRUCTURE
1 . SIG AWNING
12 . PERMIT FEE - CHECK ONLY - MONEY ORDER qo t.
13 . SPECIAL PERMIT -REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM
16 . FILL
COMMENTS
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F.J. DZIALO, Ph.D., P.E. VIAT, 2 3
CONSULTING STRUCTURAL ENGINEER
119 PLEASANT VIEW DR., HATFIELD, MASS. 01038 • (413) 2474740--;
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Miscellaneous Additions,Repairs,Alterations,etc.
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Zoning
Tel.No. S5 7--1 3`( S Alterations
NORTHAMPTON, MASS. vu C- 'Z-`� 19-x' 3 Additions
1. Location I -:�
APPLICATION FOR PERMIT TO ALTER
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Repair
Garage
Lot No.
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2. Owners name 31M 6 Krz-�Uru -fVk A-"T/('ht?gP`d ddress
3. Builder's name f2 S � Address '2,b C`Lt� (MS194!2B S ��
Mass.Construction Supervisor's L ense No. ` CU .1 l Expiration Date 3 i /I `l't `F
4. Addition
1,. New Porch
7. Is existing building to be demolished?
8. Repair after the
9. Garage
10. Method of heating
11. Distance to lot
12. Type of roof
13. Siding house
14. Estimated cost:-111
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The under<.
, i knowledge
No.of cars Size
above statements are true to the best of his, her
Signature of responsible applicant
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Miscellaneous Additions,Repairs,Alterations,etc.
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Zoning
Tel.No. S5 7--1 3`( S Alterations
NORTHAMPTON, MASS. vu C- 'Z-`� 19-x' 3 Additions
1. Location I -:�
APPLICATION FOR PERMIT TO ALTER
IC
Repair
Garage
Lot No.
r..d
M
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2. Owners name 31M 6 Krz-�Uru -fVk A-"T/('ht?gP`d ddress
3. Builder's name f2 S � Address '2,b C`Lt� (MS194!2B S ��
Mass.Construction Supervisor's L ense No. ` CU .1 l Expiration Date 3 i /I `l't `F
4. Addition
1,. New Porch
7. Is existing building to be demolished?
8. Repair after the
9. Garage
10. Method of heating
11. Distance to lot
12. Type of roof
13. Siding house
14. Estimated cost:-111
u ac
The under<.
, i knowledge
No.of cars Size
above statements are true to the best of his, her
Signature of responsible applicant
a 00015
Date Filed NZ-3 -( 3 File No.
ZONING PERMIT APPLICATION (510. 2)
1. Name of Applicant: CAISTI, C-0 r
Address : -2-bgg g t %,�,4 Telephone:
2 . Owner of Property:
Address : Telephone:
3 .
Status of Applicant: Owner Contract Purchaser
Lessee Other (explain:
4 . Parcel Identification:
Zoning District(s) (incl
Street Address
5 .
Zoning Map Sheet# � ? C
ovrrlays
Use of Structure/Property
(if project is only interior wa
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R:
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
skip to #6)
Rw .,
Parcel# 2.2-'7-
Required
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) K'JWtcV q_; t 1_J fFA(ST/g (F'
S-TC) v' l t, t iL Cr r-t-S 5 ^'T '(
�► V, A, 7-?-- t A--(—C Pff D . P, F
7 . Attached Plans: Sketch Plan
Site Plan
8 . Certification: I hereby certify that the info at ' o c ntained herein
is true and accurate to the best of my knowleft e.
Date: Applicant' s Signature:
THIS SECTION FOR OFFICIAL USE O Y:
Approved as presented/based on information presented
Denied as presented--Reason:
Special Permit and/or Site Plan Required:
i ing e u ' ed: Variance Required:
I � �
igna �pector Date
NOTE: Issuance of Zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
f:-om the Board of Health,Conservation Commission, Department of Public Works and other applicable permit granting authorities.
ie,71-
City of Northampton REQUIRED INSPECTIONS
A �
1. Footings and Walls
BUILDING DEPARTMENT
� 2. Structural Components in Place*
3. Complete Building*
No. 151 Office of the Building Inspector
Zoning Form No. 000815 Date 3/25/93 Fee $40 neck# 2436
Page, 17 C Parcel 2 2 2,Zone G B Section 127 ❑ Yes No
BUI]LDING PE T
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT s a c k r e y Construction Co. before Building Inspections
has permission to Remove non-bearing partition wall Inspection on Site—Foundations
situated on 131 Main Street Flo. (Fine settings) 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 Constiuction, 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 CONSPICUOUS PLACE ONJHE PREMISES
Certificate of Occupancy
Building Inspector
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y
A A PT C.11ty of Northampton REQUIRED INSPECTIONS
e BUILDING DEPARTMENT 2. Footings tual and Components in Place*
3. Complete Building*
No. 151 Office of the Building Inspector
Zoning Form No. 000815 Date 3/25/93 Fee $40 Check# 2436
Page, 1 7 C Parcel 222,Zone GB Section 127 ❑ Yes No
" PER,.MIT
* Flumbing and Electrical Inspections required
THIS CERTIFIES THAT S a c k r e y Construction Co. before Building Inspections
has permission to Remove non-bearing partition wall Inspection on Site—Foundations
situated on 131 Main Street Flo. (Fine Sett:t n g s ) Inspe;tion 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, Ins section 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 In.,pection of Wiring—Finish
of this permit.Expires six months from date of issuance,if not started. B!iilding 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.
BAding Inspection—Finish
Smoke E.etectors(Fire Department)
Other
THIS CARD NIUS/T BE DISPLAYED IN A CONSPICUOUS PLACE ON M PREMISES
Certificate of Occupanc -- _ ! '
Building Inspector