23D-040 (2) 0�11Ah1p
� City of Northampton REQUIRED INSPECTIONS
� Itiijt 1. Footings and Walls• BUILDING DEPARTMENT *
''•' 2. Structural Components in Place
0 4 : may 3. Complete Building*
No. 1169 Office of the Building Inspector
Zoning Form No. 003603 Date 11/18/94 Fee $40 Check# 1906
Page, 23D Parcel 40 ,Zoe URB Section 127 ❑ Yes ❑ No
BUILDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Jeffrey Haskell before Building Inspections
has permission to Remove slate, install plywood and shingle roof Inspection on Site—Foundations
situated on 67 Milton Street 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, 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 CONSPICUO PL CE PREMISES
Certificate of Occupancy
Buil • Spector
Ce P2D11 51101
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
tC:r NORTHAMPTON, MASS. Ii. /� 19 �I `� Additions
APPLICATION FOR PERMIT TO ALTER Repair
=: Garage
7
1. Location w I ln 11.1 e•' £i . Lot No.
2. Owner's name M r S . PAC-R``,. Address 6 2 tm,L T4 J
3. Builder's name �c(re N��,.4 Skey_1 1, Address (r I l P% i..J'S, J` it
Mass.Construction Supervi cr's License No. ODS�tI,, I I Expiration Date /�- 01 1 - 9 cS
4. Addition
5. Alteration Pt- —Pets'
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 n
12. Type of roof 6�cmDc-L. aJf-,e I-o i eA It -- 1A1�1
13. Siding house
14. Estimated cost:--(1
ost i 1 �o O,
The undersigned certifies that the above statements are true to the best of his, her
` „, knowledge and belief. ' x.4 ,
Signature of esponsible app.icant
Remarks Re 442,A. ., 1.0 s/T4 c _ 1.3 CIA Ul � � co k Qv!J Rc.— r-,Acjl.{, R.
. Vi hica.IN, .
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003603
Date Filed File No.
ZONING PERMIT APPLICATION (§1.O. 2)
1 . Name of Applicant: �'�' A �"
Address: Telephone: .
2 . Owner of Property: MISS. j rip-r
• Address: • Telephone: 2) Sr---'
3 . Status of Applicant: Owner /ontract Purchaser
. Lessee Other (explain: )
•
4 . Parcel Identification: Zoning Map Sheet# i23.1 Parcel# Vy ,
Zoning District(s) (include overlays)
Street Address l -7 )91, _
Required
5. Existing Proposed by Zoning
Use of Structure/Property A '/-
(if project is only interior work sk p to `6)Building height ll��
%B1dg. Coverage (Footprint)
Setbacks - front -..
- side L: R: L: R:
- rear
Lot size
Frontage.
Floor Area Ratio !'
s
. %Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs .
Fill (volume & locatio
•
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) We/k»i,�t_�DI Ll S(:�; - ).-3 C79 tt //," l'Px �(
119 C rf4 R. 4,,,.,, �_ rQ_e 511.,>c' _i
, .
. . . .
7. Attached Plans: Sketch Plan Site Plan
. 8 . Certification: I hereby certify that the informati n conta 'ned herein
is true and accuratej to the best of my knowled e.
Date: 1)- 4) - Q I. Applicant/s Signature:
THIS SECTION FOR OFFICIAL USE 0 :
Approved as presented/based on information presented
Denied as presented--Reason:
S 'ecial' Permit and/or Site Plan Required:
i / g quired: Variance Required:
gnat of Bu nspector \I\ D, 96
e
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 rho Board of Health,Conservation Commission,Doparimont of Public Works and oUror appiicablo permit granting authodUos.
/C9')-
PERMIT APPLICATION CHECK LIST
PAGE ' ` PLOT 'IL ZONE (a- 7 Win-) i YES NO DATE
1 . ZONING FORM APPLICATION afi
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
if Igo
12 , PERMIT FEE - CHECK ONLY - MONEY ORDER
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 , UNDER SECTION 127 - CMR 780
15 . FORM A
16 , FILL
COMMENTS :
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