17D-057 (3) PERMIT APPLICATION CH/E�CK� LIST
PAGE i1 PLOT 51 ZONE I� ��' �'`` YES NO DATE
1 . C
ZONING 0 IC IO N c
C,-
2 . PERMIT I
3 , OW IF NO i'
3 SETS OF S PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 WATER S
8 . REMODELTNG INTERIOR
9 , ADDITION
10 , ACCESSORY STRUCTURE-
11 , SIGN / AWNING
2 , PERMIT FEE - - MONEY ORDER Ik I0
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION - C R 780
15 . FORM
16 , FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
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NORTHAMPTON, MASS. ���.) _ 19 ° Additions
;
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location Lot No.
2. Owner's name AIA4� ZArVA/OI t „:: c tlid�. x;gtia< Address 6,fACi�l.O A1vK.YG:
3. Builder's name Address
Mass.Construction Supervisor's License No. 6!Z56 Li Expiration Date 0-112"1�r'G
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 ismc-r 4 .4-- a.1` -;i,Z-,7 4j ai /a rTT
13. Siding house
14. Estimated cost:- "s 25, c, )
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
T l r � 0 4d -
Signature ojresponsible app icons
Remarks
V,
(1�-at , C, 0 Q 1 1
Date Filed f // " z File No.
—7 Z NING PERMIT APPLICATION (§10. 2)
1 . Name of Applicant:
Address: I// /,
Telephone:
2 . Owner of Property: i,q*'W:!l,Sj%.�lL- - ,i+?ic:�✓�� �R�� .
Address: - I A ;,t nv�iF,r� .Rv Telephone
3 . Status of Applicant: Owner contract Purchaser
_--
Lessee Other (explain
4 . Parcel Identification: Zoning Map Sheet# f'1 %
Zofting District(s) (include o erlays)
Street Address 4 p. o L, . .t u 0,
g ,
Exrstlng Pro osea
Use of Structure/Property
(if project is only interior work, skip to /#6)
Building height
oB1dg . Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage.
Floor Area Ratio
oOpen Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
Parcel# 57 . ,
Require
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 knowledge. '
Date: ZZL y Applicant's Signature:
ol
r ^THIS SECTION FOR OFFICIAL USE ONLY: r
" Approved as presented/based on information presented
Denied as presented--Reason:
Special' Permit and/or Site Plan Required:
ending Re ired: Variance Required: —
gnat a Buy ing In c \ a e
NOTE: Issuanco of a z �Consatv it does not relieve an applicant's burden to comply with all zoning r Iremants and obtain all required pormlts
from the Board of Ho ion Commission, Dopartmont of Public Works and other applicable permit granting authoritlos,
/C'71-
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 2. Swc�al and Walls
Components in Place*
3. Complete Building*
Office of the Building Inspector
No. 1263
Zoning Form No. 003718 Date 12/16 94 Fee 20 Check# 1 079
Page, 17D Parcel 57 ,Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERMI r-I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Larry Yentsch before Building Inspections
has permission to Reshingle roof Inspection on Site-Foundations
situated on 12 Garfield 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 CONSPICUO L IE PREMISES
KCertificate of Occupancy — —
B ' nspector rl_
I