38-073 (6) Cityof NorthamptonREQUIRED INSPECTIONS
a
BUIELDING
1. Footings and Walls
DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 542 Office of the Building Inspector
Zoning Form No. 961133 Date 6/26/96 Fee$20.00 Check#1366
Page, 38 Parcel 73 ,Zone URB Section 127 ❑ Yes No
BUI]LDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Tom Quinlan before Building Inspections
has permission to strip & install MSR100 roofing Inspection on Site—Foundations
situated on 12 Burts Pit Road - Michael Pushkin 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,
Maintenance and Inspection of Buildings in the City of Northampton. Inspection of Wiring—Rough
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,Whing and Building Inspectors.
** Install per Manufacturer's information: windows, vinyl siding,roofs Building Inspection—Finish
and woodstoves Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON T PREMISES
Certificate of Occupancy
Bui ding nsp or
FILE # 961133
2 p �Ch�
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APPLICANT/CONTACT PERSON:
ADDRESS/PHONE:
PROPERTY LOCATION:/,;2 J � 1
MAP PARCEL: ZONE_ , ; r THIS SECTION FOR.:OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM M,T,F.D ()ITT
Fee Pq if]
IRnilding Permit Filled nzif
Addition to Existing
ter'
c.
THE LOWING ACTION HAS BEEN TAKEN ON THIS AP ICATIOM
JX Approved as presented based on information presented
Denied as presented:
Special Permit and/or Site Plan Required under:
PLANNING BOARD ZONING BOARD
Received & Recorded at Registry of Deeds Proof Enclosed
Finding Required under:§ w/ZONING BOARD OF APPEALS
Received & Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
!Permit from Conservation C019mission
Signature of Building Inspec ate
NOTE:lssuanoa of a zoning permit does not relieve an applloant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities. —
3
2 0 File No lf-�_
ZONING PERbff T APPLI CATXON M 0 . 2)
PLEASE =E OR PPMT .ALL INFORMATION
1. Name of Applicant: / o r" tit t.c i
Address: y, O;.> �'�¢ t� W Telephone:
2. Owner of Property: 1'r'1 ICA i?e� '� r �_/L
Address: a .5' Telephone:
3. Status of Applicant: Owner t�Contract Purchaser Lessee
Other(explain):
4. Job Location: f
Parcel ld: Zoning Map# Parcel# �— District(s): /� '-'
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
��rT b-c b ►��
7. Attached Plans: Sketch Plan Site Pian Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook,body of water or wetlands? NOy' DON'T KNOW YES
IF YES,has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
10. Do any signs exist on the property? YES NO
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES,describe size,type and location:
II. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colo= to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L• R: L: R•
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
pf. -Parking spaces
`of Loading Docks
Fill:
(vol-time--& location)
'13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DA'Z'E: W (l`'/9 G APPLICANT'S SIGNATURE j
NOTE: Iss an a of a zoning' permit does not relieve an applicant's b en to comply with ail
zoning requirements and obtain all required permits from the Boa of Health, Conservation -_
Commission, Department of Publio Works and other applicable permit granting authorities.
V. 11. FILE #
T
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
1 r
Garage
I. Location a ��•� fS �,D Lot No.
7 ' . Address J f
2. Owner's name 1' t I11-V Ll hh
3. Builder's name / ►- l.?�.,c`� r' �""�r`' Address 4 QAA, yV&AJ
Mass.Construction Supervisor's License No. C)1/ a Y q Expiration Date l!o
4. Addition
S. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of ears Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:- COO
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. �
/�YeLa�
Signature of responsible app+scant
Remarks 4.1 <SQL_`f;Uu 0 !' 1-0- 0 a�diu'r/ 7�b #—Q, f? tf � j 2Q 74 �1
M S e J uo