17C-218 (3) PERMIT APPLICATION CWECK LIST
PAGE PLOT t?NE .` ' r, ` j "r YES NO DATE
"
2
3 . OWNER OCCUPANT 0
3 SETS OF S ZELOT PLAN
5 NEW CONSTRUCTION
6 , CURB CUT
7 , WATER S
8 REMODELING
9 , ADDITIO
10 , ACCESSORY STRUCTURE
11 , SIGN AWNING
12 , PERMIT FEE MONEY 0 *m
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABL
14 . UNDER SECTION 127 - C R 780
15 , FORM
16 . FILL
COMMENTS :
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— Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. zoi --�� Alterations
a NORTHAMPTON, MASS. g__�__.___ 19� Addi[ions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 1 /AJ S j Lot No.
2. Owners name l L 1 Address act &- hq mc- S7
3. Builder's name @.lC�� PA Address___Lf �'• �cJ"S�c�z n�.
Mass.Construction Supervisor's License No. � � 1 —_—Expiration Date 9,-
4. Addition
tea_
5. Alteration i-J Sig(l. wc7 [act ,4.-c.J t w..✓ c,a
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
14. Estimated cost:- o fJ
The undersigned certifies that the bove statements are true to the best of his, her
knowledge and belief.
r
Si ure of responsible appucan!
Remarks
0015 `)
Date Filed c r
-` ��.� � File No.
ZONING PERMIT APPLICATION (§10 . 2)
1 . Name of Applicant: ��W �S�.
Address: ��, /� j�, j �` r Telephone:
2 . Owner of Propert Lj�,rr�, I �a tJ'��C Y
Address : /1'fAf l t. Fj r•,p,_�C— Telephone: 5-F4(-- !-N- n
3 . Status of Applicant: Owner /Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# Parcel# lc ,
Zoning District (s) (include overl s) �J
Street Address ;2q n,
5• Required
Existing Proposed by Zonin
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) ,
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 knowl4ONLY d
1 r
Date: �`- �- 13 Applicant's Signature:
/ THIS SECTION FOR OFFICIAL US
Approved as presented/based on information presented
Denied as presented--Reason :
S ecial' Permit and/or Site Plan Required:
nd ' Requ ' ed: Variance Required.,
S gnatur Building I D to
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, Dopaitmont of Public Works and other applicable permit granting authorities.
City of Northampton REQUIRED INSPECTIONS
A2 �a ti�
$ e 1. Footings and Walls
• BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 702 Office of the Building Inspector
Zoning Form No. 001549 Date 8/9/93 Fee $20 Check# 1579
Page, 17C Parcel 218 ,Zone CB Section 127 ❑ Yes No
BUI]LDINGPERMI rrl-I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Jeff Haskell before Building Inspections
has permission to Install replacement windows Inspection on Site—Foundations
situated on 29 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 CONSPIC tJ,,S P CE ON THE PREMISES
Certificate of Occupancy
ding Inspector
City of Nc hampton REQUIRED INSPECTIONS
e 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 702 Office of the Building Inspector
Zoning Form No. 001549 Date 8/9/93 Fee $20 Check# 1579
Page, 17C pal 218 Zone CB Section 127 ❑ Yes JJ No
BUI]LDINGPERIWU
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Jeff Haskell before Building Inspections
has permission to Install replacement windows Inspection on Sites—Foundations
situated on 29 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—Finis 61 63 d /
Smoke Detectors(Fire Department
Other
THIS CARD MUST BE DISPLAYED IN A CONSPIC U PL CE ON THE PREMISES
Certificate of Occupancy
B�Wffing Inspector
G f 1:x;11 Silb1