31D-142 FACES (4) PERMIT APPLICATION CHECK LIST
PAGE 3 PLOT fy� ZONE at V YES NO DATE
1 . ZONING FORM APPLICATION `� Q
2 . PERMIT APPLICATIONLi
3 . OWNER OCCUPANT STATEMENT , NOT
Ll
3 SETS 0 NS /PLOT PLAN
5 . CONSTRUCTION
6 . CURB CUT
7 , WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR
9 , ADDITIO
10 , ACCESSORY STRUCTURE
11 . SIGN WNING
12 , PERMIT FEE - CHECK 0 - MONEY ORDER
L_--
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 , UNDER SECTION 127 - CMR 780
15 . FORM
16 . FILL _
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location lZ r MAI 0 ` ST- Lot No.
2. Owner's name Q,-�t S Address 0 0 trV l IJ ST'.
3. Builder's name_ ! �� �e �4�.� Address -2,( Glc
Mass.Construction Supervisor's License No._ 0'3A-74R:3 Expiration Date ( t> i g __
4. Addition
5. Alteration11 `�CX�C� / �-z-uo�,t- S fh�K.� a}p e t-„C\J-F 1---
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:- `7P / d CSU
The undersigned certifies that the above statements are true to the best of his, her
� knowledg d belief.
01,0
Signature of responsible app<icant
Gt �
marks �A CV,5 �L...2.-'�"�C= �ip�
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Date Filed �'� File No.
ZONING PERMIT APPLICATION (51.0 . 2)
I . Name of Applican
Address : Telephone: 2-
2 . Owner of Property:_ , <� /5 6LI
Address ; Telephone :
3 . Status of Applicant: Owner L,---Contract Purchaser
Lessee Other (explain : )
4 . Parcel Identification: Zoning Map Sheet# j Parcel# l�z ,
Zoning District (s) (include aver s)
Street Address Z 75 ,
Required
5 . Existina Proposed by Zoning
Use of Structure/Property Cl..
(if project is only interior work, skip to #6)
Building height
%Bldg. Coverage (Footprin t
Setbacks - front
- side L: L: R:
- rear
Lot size
Frontage
Floor Area Ratio°
oOpen 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 : etch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowle e.
Date :—
(,,2�t&! 7, Applicant' s S ignaturc
j
— — — — — — — — — — — — — — — — — — — — — — — — — — — _ — — — — — — — — —
THIS SECTION FOR OFFICIAL, USE ONLY:
_ZApproved as presented/based on information presented
Denied as presented--Reason:
Special` Permit and/or Site Plan Required ;
I
n ung Re ed: _ iancet�quired:
zzo
gnat e f u ' lding ctor at PV
NOTE: issuance of a zoning permit does not reBove an applicant's burden to comply with all zoning roquiroments and obtain all required pormits
from the board of Health, conservation commission, Dormitmont of Public Works and other npplicabio pormit granting authoritlos.
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 1. Footings and Walls
2, Structural Components in Place*
3. Complete Building*
No. 522 Mice of the Building Inspector
Zoning Form No. 001269 Date 6/28/93 Fee $260 Check# 4327
Page, 31D 142 CB -1 No
—Parcel Zone Section 127 ❑ Yes F
BUIULDINGPERAM
THIS CERTIFIES THAT Bob Walker Plumbing and Electrical Inspections required
before Building Inspections
has permission to Add 4000 sq' of retail space to lower level Inspection on Site--Foundations
situated on 175 Main Street - Faces_ 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 term above noted is an immediate revocation Inspection of Wiring—Finish
of this pen-nit.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
Building Inspector
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City of Nk.. REQUIRED INSPECTIONS
1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No.
522 Office of the Building Inspector
Zoning Form No. 001269 Date 6/28/93 Fee $260 Check# 4327
Page, 31D Parcel 142 ,Zone CB
Section 127 ® Yes ❑ No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Bob walker before Building Inspections
has permission to Add 4000 sq' of retail space to lower level Inspection on Site—Foundations
situated on 175 Main street - Faces Inspection of Plumbing—Rough
provided that the person accepting this pemut 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, Insation of Wiring—Rough �/ 3
Maintenance and Inspection of Buildings in the City of Northampton. t ,,, // ��Any violation of any of the terms above noted is an immediate revocation tron of Vvrnng—FiZs 1 3 ✓t
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough(o 3 �t Q
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.
Y'5 Building Inspection—Finish r.--z
Smoke Detectors(Fire Deparunent) f
Other
THIS CARD S BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES
Certificate of Occupan --
Building Inspector
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