17D-036 (6) PERMIT APPLICATION CHECK LIST
PAGE '7-D PLOT ZONE CC C '� t '1 �1 ES NO DATE
1 • ZONING FORM APPLICATION
2 . PERMIT APPLICATION
3 • OWNS OCCUPANT � I NOT
4 . 0
3 SETS OF S PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 , -WATER S
8 , REMODELING
9 , ADDI I
10 , ACCESSORY STRUCTURE
11 • SIGN / AWNING
12 , PERMIT FEE - CHECK ONLY - ONEY 09 A477 N q�' 4 C.-
13 , SPECIAL PERMIT REQUIRED WITH DEED ''IF APPLICABLE
14 . UNDER SECTION 127 - C R 780
15 . FORM
16 • FILL
COMMENTS :
Y
City of Northampton REQUURXD INSPECTIONS
1. Footings and Walls
BUILDING DEPARTMENT
2. Structural Components in Place*
3. Complete Building*
No. 794 Office of the Building Inspector
Zoning Form No. 001675 Date 9/2/93 Fee $20 Check# Money Order
Page, 17D parcel 36 ,Zone URB Section 127 ❑ Yes El No
BUI]LDING PERM] I
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Wallace Brown before Building Inspections
has permission to Re-roof Inspection on Site—Foundations
situated on 27 Sumner Ave. Inspection of Plumbing—Rough
provided that the person accepting this pernnit 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 TB E ISPLAYED IN A CONSPICU US P CE ON THE PREMISES
Certificate of Occup
g Inspector
- �op+t '9:1;11 SN�JY
r
pl�0 City of Northampton REQUIIMD INSPECTIONS
BUILDING DEPARTMENT 1. Footings and Palls
2. Structural Components in Place*
3. Complete Building*
No. 794 Office of the Building Inspector
Zoning Form No. 001675 Date 9/2/93 Fee $20 Check# Money Order
Page, 17D Parcel 36 ,Zone URB Section 127 ❑ Yes No
BUI]LDINGPERMI F_I
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Wallace Brown before Building Inspections
has permission to Re-roof Inspection on Site,—Foundations
situated on 27 Sumner Ave. 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—FinishG�
Smoke Detectors(Fire Department)
Other
THIS CARD T BE ISPLAYED IN A CONSPICU US P CE ON THE PREMISES
Certificate of Occup
g Inspector
Gr'1"1 l:�t;lt Sil��r
I
k
i
f
i
{
i
i
i
a � I>
V
V OO
ICI
5 OZ
1 O
z o
y
eD
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. �;=1•.0a, 19c 3 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location �i�zu fv 0,0— Lot No.
2. Owner's name lhb Address c C c,
3. Builder's name _ Address
Mass.Construction Supervisor's License No. 4:1� —Expiration Date_/�`��
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
14. Estimated cost:- V?r;n iCS
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible appicanl
Remarks
ti�YN �L
Date .Filed File No.
ZONING PERMIT APPLICATION (§10 . 2)
1 'Name of Applicant: Zar11L,71-)
Address : - elephone: �-�9r�� e&
2 . Owner of Property:
Address :,Z7, Telephone :
3 . Status of Applicant: v Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification : Zoning Map Sheet# Parcel# ,
Zoning District (s) (includ -,overlay rU fj
Street Address ,
Required
5. Existing Proposed by Zoning
Use of Structure/Property
(if project is only interio work, skip to #6)
Building height
oB1dg. Coverage (Footprint)
Setbacks - front
- side L: R: 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 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 kno ledge.
Date: Applicant ' s Signat L e :-< _!_ _�_
THIS SECTION FOR OFFICIA USE NLY:
y Approved as presented/based on information presented
Denied as presented--Reason :
Sp ial' Permit and/or Site Plan Required:
in,din g Re e : Variance Required.- ,
X /
AZ�)P3
S gna u f uild ' r 2ra t
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, Deparlmont of Public Works and olher applicable permit granting oulhorilios.
ii T)-
tV►M
City of orthampton REQUIRED INSPECTIONS
1. Footings and Walls
BUILDING DEPARTMENT
e 2. Structural Components in Place*
3. Complete Building*
No. 794 Office of the Building Inspector
Zoning Form No. 001675 Date 9/2/93 Fee $20 Check# Money Order
Page, 17D Parcel 36 ,Zone URB Section 127 ❑ Yes a No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Wallace Brown before Building Inspections
has permission to Re-roof Inspection on Site—Foundations
situated on 27 Sumner Ave. 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 CONSPICU US P CE ON THE PREMISES
Certificate of Occupancy
g Inspector f
(,cat 1,1;1!Si1�J1