17D-036 (7) 2 PERMIT APPLICATION CHECK LIST
PAGE 1;7P PLOT 3 ZONE '°-- ,} 7 ,. ,�c t4 ..,t., .
YES NO DATE
ZONING FORM APPLICATION 4�
2 . PERMIT IC T 0
3 . OWNER OCCUP IF NO
4 . 3 SETS S PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 WATER S
8 . REMODELING
N
9 . ADDITION
10 . ACCESSORY C U
11 , SIGN / AWNING
12 . PERMIT FEE — — MONEY 0 DER12LL
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 2 — C R 780
15 . FORM A
16 . FILL
COMMENTS:
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3 c � CA
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 411 3 71 f, Alterations
NORTHAMPTON, MASS. � Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 7 .. ym,-Z- . Lot No.
i
2. Owners name /kallf4 _ i� f�- 71�.,a�./T� Address
3. Builder's name AddresslYAIU. 7t7
Mass.Construction Supervisor's License No. o.r� J��� Expiration Date
4. Addition
4
5. Alteration i ti N
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 1
13. Siding house�c
14. Estimated cost- -+ �,n O-D
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.'
4b-1 Sig ure Kofresp-o-nsibie app,icani
Remarks
0002747 Date Filed ��' File No.
ZONING PERMIT APPLICATION
1. Name of App licant: �,¢ / v
Address: yr Ir 6 Ir c Telephone: - ?
2 . Owner of Prop ty: k
Address : rye >Qtre , Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain:
4 . Parcel Identification: Zoning Map Sheet#� Parcel# ,
Zoning District(s) (include overlays
Street Address
Required
5. Existing Pro osed 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) f G R
•r
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 knowledge.
Date: 6/ Applicant's Signatu
/r r +THIS SECTION FOR OFFICIAL USE ONLY: Y
Ap p roved as presented/based on information presented
Denied as presented--Reason:
Special' Permit and/or Site Plan Required:
ding Re r variance Required:
6 7
gnat of Buildin c or `'t " Date
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all requirod permits
from the Board of Health, Conservation Commission, Dopattmont of Public Works and other applicablo permit granting authorilios.
i r"f•)-
City of Northampton REQUIRED INSPECTIONS
• 1. Footings and Walls
$ , BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 482 Office of the Building Inspector
Zoning Form No. 002747 Date 6/7/94 Fee 2� 0 Check# 001861
Page, 17D parcel 36 ,Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERMI]l
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Larry Jubb before Building Inspections
has permission to Install vinyl siding & replacement windows 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.
** Install per Manufacturers information: windows, vinyl siding, Building Inspection—Finish
roofs and woodstoves. Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPIC US LA N PREMISES
Certificate of Occupancy --
Building Inspector