17C-259 (3) �7 PERMIT APPLICATION CHECK LIST
PAGE � ( G PLOT �� gZONE �ati"* YES 0 DATE
1 . ZONING FORM APPLICATION
o a3
2 . PERMIT APPLICATION
3 . OWNER OCCUPANT NO
4 . 3 SETS OF NS /PLOT PL
5 . NEW CONSTRUCTION
6 . CURB CU
7 . WATER AVAILABILITY MS
8 . REMODELING INTERIOR
9 . ADDITIO
10 , ACCESSORY STRUCTURE
11 SIGN -WNING
12 , PERMIT FEE - CHECK ONLY - 0 NEY ORQF-R,om'
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
FORM A a
G
16 , FILL
COMMENTS :
y
z
"Z o
z 'G
< n
v rT1
r
� rm
eD
z
z C7
a
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No._ Alterations
a NORTHAMPTON, MASS. /� Cf�j / a- Iq Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location !d R /cc" ' L1 CL �: Lot No.
2. Owner's name G Q hn p ni 41z e_ F Address__
3. Builder's name r� � �l� Address & L/I�tr�-y j�'e� C ln�F�&<E
Mass.Construction Supervisor's License No. .___Expiration Date 7 L/0e1q::F
4. Addition
5. Alteration
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 Z
14. Estimated cost:- d 00,
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsib pplicant
Remarks — —
Date Filed � � Q File No.
ZONING PERMIT APPLICATION (910 . 2 )
1. Name of Applicant: _ le
Address : &44 e4-4-;- X47 Telephone:
2 . Owner of Property:
Address :. CPS! IV ,�,f,4;� c.,;,, ��,��,� Telephone :
3 . Status of Applicant: • Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# fic arcel#
rl �5
Zoning District (s) (include o ays o
Street Address
Required
5 . Existinq 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/Project : (Use additional sheets
if necessary)_V;�,�L
7 . Attached Plans : Sketch Plan Site Plan
8 . Certification : I hereby certify that the information contained erein
is true and accurate to the best of my knowledg .
Date: Applicant'sSignatu
/ THIS SECTION FOR OFFICIAL USE ONLY:
✓ Approved as presented/based on information presented
Denied as presented--Reason :
Special* Permit and/or Site Plan Required:
i ing quired: Variance Required;
gnat e of Bu Ong Inspector 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, Departmont of Public Works and other applicable permit granting authorities.
it'?')-
ti City of Northampton "QUI"D INSPECTIONS
RE
1. Footings and Walls
• BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 1069 Office of the Building Inspector
Zoning Form No. 001995 Date 11/19/93 Fee $20 Check# Money Order
Page, 17C parcel 259 ,Zone URB Section 127 ❑ Yes E3 No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT John Corbett before Building Inspections
has permission to Install vinyl siding Inspection on Site—Foundations
situated on 68 North 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 CONSPICUOU PL THE PREMISES
Certificate of Occupancy
ispector