38-073 (7) g "•e ("Ity of Northampton' REQUIRED INSPECTIONS
e � I. Footings and Walls
BUILDING DEPARTMIEN .r 2. Structural Components in Place*
3. Complete Building*
No. 920 Office of the Building Inspector
Zoning Form No. 960375 Date10/24/95 Fee $20 Check# 2111
Page, 38 Parcel 073 ,Zone URB Sec":ion 127 L)Yes 0 No
BUILDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Lawrence Sawula before Building Inspections
has permission to strip & reshingle porch roof. Inspection on Site—Foundations
situated on 12 Burts Pit Road - Michael Pushkin Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspectian of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordin►nces relating to the Construction, Inspection of Wiring—Rough
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors. �
Building Inspection—Finish
** Install per Manufacturer's information: windows,vinyl siding,roofs
and woodstoves Smoke Detectors (Fire Department)
Other
• THIS CARD MUST BE I)I LAYED IN A CON$PJCjJOUS PLA ON T ISES
Certificate of Occ
Building Inspector
. FILE # t)
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APPLICANT/CONTACT PERSON:,
ADDRESS/PHONE: Lv
PROPERTY L ATION:
MAP `13 x PARCEL: t'S ZO 412
THIS SECTION FOR.aOFFICIA.L USE ONLY:
PERNUT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee PAid
Ruilding Permit Filled nvit
Fee Paid1�t C L .
Addition j
c
0,�npr/Drrupant ,qtntpment nj,iremqe ;�
THE ALLOWING ACTION HAS BEEN TAKEN ON TMS AP KATION:
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 Conserv tion C o m m i i
A07 2.
Signature of Building InVecto D to
NOTE:issuanoa of a zoning permit does not relieve an applicants burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioabla permit granting authorities.
d 3
i
File No.
.ZONING PEP2M.IT APPLICATION
PLEASE TYPE OR PRINT ALL =FORMATION
I
1. Name of Applicant: r6'r.E " tC9 I�tt
Address: �_C,.L„� Telephone:
2. Owner of Property: i"Jilg.L
Address: U �tL t Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other (explain):
4. Street Address:
Parcel id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property j 1QSf
6. Descrip ' n of Proposed Use/Work/Project/Occupation: (Use additional sheet? if nece ary):
7. Attached Plans: Sketch Plan Site Plan 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/Vadance/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 DON'T KNOW YES
IF YES: enter Book Page and/orDocument#
�
9. Does the site contain a brook, body of water or wetlands? NO �- 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:
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DMB TO
LACK OF INFORMATION.
Th-Ls co?- to be f1lled in
by the Building Department
Required i
Existing Proposed By Zoning
Lot size
i
Frontage
Setbacks frnnt
-
I
- side L: R: L: R:
- rear
Building height
Bldg Square footage
i
%Open Space:
(Lot area minus bldg
&Paved parki-ng)
# _of 'Parking Spaces
# of Loading Docks
Fill:
-:{vol-time--& location)
13 . Certification: I hereby certify that the .information contained herein
r,; is true and accurate to the best of my knowled e.
_A
DATE:_�(��1 ��� APPLI CANT's SIGNATURE /
NOTE: Insuanoc+ of a zoning permit does not relieve an applioant's b-urAon to oompty with al
x9ning r1-1qu1r43ments and obtain all required permits from the Hoard of H-ealth, Conservntic
CommIsalon, Department of Publio Worcs and other mpplloabler permit granting authorities.
FILE #
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. -n("L e) Alterations
NORTHAMPTON, MASS._ � Additions
APPLICATION FOR PERMIT TO ALTER Repair C�
Garage
I. Location�,� VC' S '1' �� �11'T'O�t ( Lot No.
2. Owner's name 1Nt t�hQ l�� �+� �'�� Address1- 5 Ral-,
3. Builder's name/ A,9 Y-eY1r-,)0 !!�49(A f Address l!�ER
Mass.Construction Supervisor's License No. Cs nlq T Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair afw dirfrei-r7 T O(\C.h
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-6—
Oq
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of res onsible app icani
Remarks