23A-011 (3) City of Northampton REQUIRED INSPECTIONS
f' 41 —
• I. Footingsand Walls
BUILDING DEPARTMENT Structural Compnnen s Place*
1:131' 3. Complete Building*
No. 157 Office of the Building Inspector
Zoning Form No. 003580 Date 11/15/99Fee S20 Checks 154
Page, 23A pal 11 Zone URB Section 127 0 Yes ® No
BUILDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Kurt Brown before Building Inspections
has permission to Strip a reshinyle roof Inspection onSite—Foundations
situated on 30 Park Street Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the tams of the application on fde in this office,and to the Gas Inspection
provisions of theStatutes and theOnfinances relating to theConstruction, Inspection of Wiring—Rough
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the toms above noted is an immediate revocation Inspection of Wiring—Finish
of this permit Expires six months from date ofissuance,ifnot 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(Fitt Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLAIN ON7 P ISES
Certificate of Occupancy _ _ /�.1ret
iv
Building Inspector
PERMIT APPLICATION CHECK LIST
PAGE a3 F3 PLOT II ZONE `' "H`et N- YES NO / DATE
1 . ZONING FORM APPLICATION (✓ <<( 8( 4r
2 , PERMIT APPLICATION • l..
3 . OWNER OCCUPANT STATEMENT / LIC .# IF NOT
4, 3 SETS OF PLANS /PLOT PLAN
5 , NFW CONSTRUCTION
6 , CURB CUT
7 , WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR
9 . ADDITION
10 . ACCESSORY STRUCTURE
11 . SIGN / AWNING
12 . PERMIT FEE - CHECK ONLY - MONEY ORDER 1i ($4 $) Li
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
1S . FORM A
16 . FILL
COMMENTS ;
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Date Filed 11 \ Ft it00358 _ File No. }tG 135
ZONING PERMIT APPLICATION (510. 2)
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1. Name of Applicant: \ Telephone: Sp(-
Address: 3o R,e,,, - _
2. Owner of Property:
Address: elp ?,01Z73977-70- Telephone:
3. Status of Applicant: Owner . J Contract Purchaser
Lessee _Other (explan: )
4 . Parcel Identification: Zoning Map Sheet! a � iarceli ( L r
Zoning District(s) (include e, as) W�"'
Street Address
Requ red
5. Exist'n. Pro.osed b Zon'n.
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
*Bldg.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 reposed W r}C/Project• Use ad itional sheets
if necessar (� 1 41
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h I v 0 \i b C, UM„'1 it t(�k�,.�.Q
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7. Attached Plans: Sketch Plan Site Plan
. S. Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
Date: t113 1019 Applicantrs Signature: �C.f t J ".ti'--
// THIS SECTION FOR OFFICIAL USE ONLY:
y'Approved as presented/based on information presented
Denied as presented--Reason:
special' Permit and/or Si, - Plan Required:
Finding Requ'red: / Variance Required:
4411,7
Signature of ; a ld g nspector 4\ Date /
di 9
NOTE: Issuance eta zoning permit does not regwo an applicant's burden to comply with art zoning roqutrornonts and obtain all inquired pomdtz
from gra Board W Huom,,Oonsarwgon Commission,Ooparimom of Public Works and*that appricabto ronin Wonting a,nMMloa.
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Zoning
Miscellaneous Additions.Repairs.Alterations.etc. Tel.No. Alterations
NORTHAMPTON, MASS. _ 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
-r+� -}. Garage
I. Location PAS, `Lot No.p
2. Owner's name ff�� Address .3b ()ODD 4 S(�"�' Flo,
3. Builder's name KO.Cr 1.lgdwn Address 3 p I�.yorv` Kk' Flo .
Mass.Construction Supervisors License No. 11 6 113ti Expiration Date
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 li^fs
12. Type of roof S :h5“
13. Siding house
14. Estimated cost n J
j 6 oo- Do
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
S,g'w; re of r.sponsgm.avc,gsam
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Remarks Semove �eo RoE�- of�7 15' ii,Ikt- r4,(f,r 1Sf o.1um,hIfi� ICK tr e_ A1d\ Ox 2.(rO ( m
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