38C-059 City of Northampton REQUIREDINSPECT[ONS
�'' '� 1. Footings and Walls
vim.. BUILDING DEPARTMENT 2. Stmwa
cti Components in Place*
x > 3. Complete Building*
Office of the Building Inspector
No. 1034
Zoning Form No. 961682 Date 11/5/96_Fee ,40.012 Check# 1861
Page, 38C Parcel 59 ,Zone ORB Section 127 U Yes 0 No
BUILDING PERMIT
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Alan raj before Building Inspections
has pemtission to remodel kitchen s bathroom Inspection on Site--Foundations
situated on 392 South St - Thomas & Norma Scelligot 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 fde in this office,end 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.Expiressix ttonthsfromdate 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 CONSPICUOUS PLACE ONi E SES
Certificate of Occupancy
Building Inspector _ .I
Gen 1!Lli 110
FILE # 961682
NOV 4 1996 a- '
APPLICANT/CONTACT PERSON: //X 4 IP/—9/5
ADD-HESS/PHONE:_-„- doe --T- .4y ? u!, i y/ja.nit of (,J/n33
PROPERTY LOCATION: ,.+.a.: i :r_ ' ' 7cr.",xtL 11' s'tho --
MAP 357C'.. PARCEL: ZONE 74-2
THIS SECTION FOR.OFAICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
7ONTNG FORM FILLED OFT
Fee Paid
Building Penn it Filled mit
_ ✓
W—TyrFee Pact CM1d'« S-9e—
Type
e of f nnctnsrtinn•
New Cnnctrurtiou.. �:• /d
II t . ♦ . _..67
Addition to Evicting
Arreccary Strnrtnre
Enfiding Planc Tneltuled• rJ
awn er/Orenpant Statement nrd�irrns e#�/�.c7cto
i Setc of Ptanc t Pint Plan
TlAye1&LO WING ACTION HAS BEEN TAKEN ON THIS APPLICATION: s
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: § wIZONING BOARD OF APPEALS
Received& Recorded at Registry of Deeds Proof Enclosed_
Variance Required under:§ w1ZONING 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 Coo -.lssion
s � / a.
Signature tin Date •
NOTE:issuance of a /ping permit does not relieve an applicant's burden to comply with all
zoning requirements and obtain all required permits from the Hoard of Health. Conservation
Commission. Department of Public. Works and other appiloabie permit granting authorities.
NOV 41996 / {{//� //ff r ;
File No. !4/a2
ZONING PERMIT APPLICATION (§'20 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: /4
L.Gii cam- 1
( D1�p '`! [3 — HsSa
Address: Z-.�-IJ 'fes i�� 6' S± .�` Tele honor 7 —
2. Owner of Property: y v<G -.2as4G1Liof
Address: 5<9I ' r.ftn <f Telephone: 5C( /Ca XO
3. Status of Applicant: Owner Pt-Contract Purchaser Lessee
Other(explain): .r
4. Job Location: _ 5 17 S't
Parcel Id: Zoning Map#34p e Parcel# District(s):
(TO BE FILLED
<IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 5- 75Le'' f w i r y
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
(i_ek VCA-ACLet-r 'D7.1 thecae"
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 PermitNariance/Finding ever been issued for/on the site?
NO °V--- DON'T KNOWYES 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? NO e<-- DONT 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)
tt,,/ C'
10. Do any signs exist on the property? YES NO yam,
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO IC
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION-
This coli to be filled is
by the Building Department
gRequired
Existing Proposed By Zoning
Lot size
•
Frontage
Setbacks -front
side L: R: L: R:
-rear
Building height
Bldg Square footage
•
%Open Space:
(Lot area minus bldg
Spaved parking)
# sit ‘Parking Spaces
f- of Loading Docks
Fill:
-(volume--& location)
_. ..
13. Certification: I hereby certify that the intonation contained herein
.. 4 is true and accurate to the best of my knowledge.
DhTE: - APPLICANT'S SIGNATURE
NOTE: fssuan• • a zoning permit does not relieve an ap cant's burden comply with all,
zoning require :nta and obtain all required permits from the Board of Health. Conservation.
Commission. Department of Public Works and other applicable permit granting authorities,:,-
FILE
uthortlea:pFILE # ,,.
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel No._... Alterations
NORTHAMPTON, MASS. _Li/1 7 �19 -(f Additions
APPLICATION FOR PERMIT TO ALTER Repair..
{{ Garage
I, Location_. '3622_ co-v itt) ✓� Lot No,
2. Owner's name . ./1�/✓cr.a _ ,e/ ' (/ . •ddress_._'R 622_ 5.-,:rick Ii--. ..
3. Builder's name 4L .4 iv' 6.9,T Address 210 Tt,-,/o, Sr £' An6Yr .4./A9
Mass.Construction Supervisor'sLicease No, 6257007 Expiration Date 2/0/9 7
4. Addition /f
. Al anar f0.P -rvt rib, i K tic-L., c-vt r( •�4 e- •
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
I L Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost- 000 e
The undersigned certifies that the above statements are true to the best of his. her
knowledge and belief.
'7� ,+ t e of resspo..s: app.:ca(n: / j
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