17C-220 (17) PERMIT APPLICATION CHECK-LIST
S NO DATE
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3 , Ow O
3 SETS
NEW S
6 , CURB
WATELAVAILABILITY FORMS
8 . -REMODELING
9 . ADDI IO
0 . ACCESSORY
-11 . SIGN / AWNING
2 E
_T FEE
3 , SPECIAL PERMIT REQUIRED WITH DEED IF APP ICABLE
4 . U DE SEC - CMR 780
5 . FO
16 , FILL
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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 6 4 "1 329
NORTHAMPTON, MASS. MY 16 19 H5
APPLICATION FOR PERMIT TO ALTER
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Zoning 6P,5
Alterations Pt,"[W DEM6
Additions
Repair
Garage
1. Location 11 WtUH M6&e 5i t hakha Lot No. 220
2. Owner's name �i UU� N�� I NC Address Iv-1 r1N G S I
12o tt ¢7 `td,S7-"1JL tJ TeQ��� �ASThr+om�'%o
3. Builder's name !3�12.T tl t��C�UtIT t Address
Mass.Construction Supervisor's License No.CS of `/`% Y y Expiration Date 7
4. Addition
5. Alteration RE,I oyr-. tuag AND oa r1gm i hws wo cp-wGca
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of
10. Method of heating /SAG
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost- +C, ,000
3a�
Remarks
V
Size
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. !, , _ ,
$lgnawre of responsible app,ican!
` 004091
Date Filed
Lessee X Other (explai— Architect
)
File No.
J'7& Parcel# 4mU,
ZONING PERMIT APPLICATION (9.ib•. 9)
1 . Name of
Applicant:
Edythe M. Ambroz, AIA,
Architect
Address :
PO Box 1086,
Nor pton, MA 01061
Telephone: 586-1086
2 . Owner of
Property:
ServiceNet, Inc.
Buildinc:, height 33'*
Address :
• 129 King Street,
or p on, MA U1060Telephone:
584-7329
3 . Status of Applicant: Owner Contract Purchaser
Lessee X Other (explai— Architect
)
4 . Parcel Identification: Zoning Map Sheet/
J'7& Parcel# 4mU,
Zoning District(s) (include ove ays)
Street Address Iq 10.
Required
5• Existing_ Proposed
by Zoning
Use of Structure/Property ollmercia esi is
same
(if project is only, interior work, skip to #6)
Buildinc:, height 33'*
33'* 40'
%Bldg. Coverage (Footprint)
$ 80%
Setbacks: - front 18.25'*
18.25'* 35'
- side L: 14.4'*R: 11 21 L:14.41*R: 1* 61
- rear 56.9'*
-55.6'* 6'
Lot size;: w41n
Frontag'�,
10410 s.f. 19 000 s.f(0,000 +1000
. 65'
Floor At ea Ratio 74*
,
2.0
-Open Space (Lot area minus
building and parking) 20.5%*
20.5%* 5%
Parking ::,paces
Loading
Signs 2 future application a.
Fill (vo.:'ume & location) n.a.
n.a.
* approximate ca!•culations ** based on former restaurant
6 . Narrative Iescription f Proposed
seating capacity of 113
Work/Project:
if
(Use additional sheets
necessa,:-y) P o e t r reps, ad�terieVstair, -Pr6--�1de---why
7. Attached• P:lans: X Sketch Plan X Site Plan
S . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
Date: Applicant' s Signature:
/ THIS SECTION FOR OFFICIAL USE ONLY:
'' Approved as based on informat aresented
/ ion presented
Defied as presented--Reason:
Special' Permi�,' and/or Site Plan Required:
F' g R `� 'r d: Variance Required:
S gngtu of Bu I nspec or ate
NOTE: tssuanca of a zoning t:+otmit does not rcfiovc Heanl's bu com wiUt al '0qutroments and obtain all required
r.nnils
rom tho fivard of Hoallh,Cons;rvallon Commission, Oopar o to porm$uranttng authoritlos.
*0 City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls
BUILDING DEPARTMENT
e 2. Structural Components in Place*
3. Complete Building*
No, 398 Office of the Building Inspector
Zoning Form No. 004091 Date 5J19 f 95 Fee s/1 a/arkheck# 0381
page, 17C Parcel 220 ,Zone GB Section 127 ❑ Yes ® No
BUI]LDINGPERmir
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Robert Paquette before Building Inspections
has permission to Remove plaster & lath from ceilings & walls only. Inspection on Site—Foundations
situated on 17 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 CONSPICUOUS PLA P MISES
Certificate of Occupancy
Building Inspector -
(F�'t IJ;.1;Ir t Sil�r