23D-029 (3) 01007:
s° ' 4 g City of Northampton REQUIRED INSPECTION
"• 1. Footings and Walls
.'z, ate g
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 235 Office of the Building Inspector
Zoning Form No. 002422 Date 4/14/94 Fee $20 Check# 353
Page, 23D Parcel 27 ,Zone U5 Section 127 ❑ Yes ❑ No
BUILDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT William Gnatek before Building Inspections
has permission to Re-roof garage
Inspection on Site—Foundations
situated on 460 Elm Street Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Fuush
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 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
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPIC S PIC N TIC PREMISES
Certificate of Occupancy
Bttig Inspector
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Date Filed r'r"` 002422
File No.
ZONING PERMIT APPLICATION (510 . 2)
1 . Name of Applicant: (L L /. -wt. NA-•i E-
Address: ���` ��,«�� s: eltAPL&-)" Telephone: c<FY S^� i
2 . Owner of Property: Po -27
Address : �� �� ; tA i 1'i,, Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet/ g Parcel# a ,
Zoning District (s) (include overla *-1_ t( k6
Street Address 460 eekvi
Required
5 . Existing , Proposed by Zoning
Use of Structure/Property
(if project is only interior work, ip o #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 Proposed Work/Project: (Use additional sheets
• if necessary)
Cam^
7 . Attached Plans : Sketch Plan Site Plan
. 8 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
Date: `(---/J- y Applicant's Signature: ?D _
THIS SECTION FOR OFFICIAL USE ONLY:
7 Approved as presented/based on information presented
Denied as presented--Reason:
Spec ' 1• Per ' and/or Site Plan Required:
n 'ng Re ire : Variance Required:
•
gnat re f wilding I ector D to ,
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities.
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
.a5r' e.TO, NORTHAMPTON, MASS. Q,,.c.� // 19 C4/ Additions
.I►; ;.. .,l Repair
y4, APPLICATION FOR PERMIT TO ALTER Garage
G D Ef per." g
1. Location ,�- �-�" (,�C.tQ� '/ Lot No. ��`"
2. Owner's name ,mot ei __.��..__�� Address 4`G6 E/rni Sr,
)7I Q ht -)4,-,V
3. Builder's name i-r� J /1(..e2;C¢A Address °O JC�G�r.Qlae� .le, '. ' "' i %/jrq.
Mass.Construction Supervisor's License No. / ca- _Expiration Date /"all"9.
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 lines
12. Type of roof ( O/2 .4.,477/4a)
13. Siding house
14. Estimated cost:- 607).. O-O
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
zecet,..........-
"/'' C�
Signature of responsible appicant
Remarks
PERMIT APPLICATION CHECK LIST
PAGE ` , PLOT ZONE ? ' ) - YES NO DATE
1 . ZONING FORM APPLICATION
2 . PERMIT APPLICATION
3 . OWNER OCCUPANT STATEMENT / LIC .# IF NOT
4 . 3 SETS OF PLANS /PLOT PLAN
5 . NEW 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 ORDERa
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 — CMR 780
15 . FORM A
16 . FILL
COMMENTS :