23D-076 (10) City of Northampton REQUIRED INSPECTIONS
$%�JJ.
�� 1. Footings and WBUILDING DEPARTMEN 2. Structural Components in Place*
3. Complete Building*
No. 264 Office of the Building Inspector
Zoning Form No. 960857 Datt 4/18/96 Fee$20.00 Check# 1734
Page, 23D Parcel 76 ,Zone URB Sect on 127 ❑ Yes ® No
BUELDING PERMIT
* Pluml ing and Electrical Inspections required
THIS CERTIFIES THAT John Zieminski before Building Inspections
has permission to install replace!lent windows (1) bathroom (4) kitchen Inspectio, on Site—Foundations
situated on 121 Warner St. - Daz1 Olshansky Inspecti. .1 of Plumbing—Rough -
provided that the person accepting this permit shall in every respect Inspect; n of Plumbing—Finish
conform to the terms of the application c 1 file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinani es relating to the Construction, Inspection of Wiring—Rough
Maintenance and Inspection of Building; in the City of Northampton.
Any violation of any of the terms above nc:ed is an immediate revocation Inspe tion of Wiring—Finish
of this permit.Expires six months f• m c Ite^*i1,0,.. . ' -,.
i,u ._ ig Inspection—Rough-
Note:A certificate of occupancy will be is,ued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wit ig and Building Inspectors.
Bulk ing Inspection—Finish n 1." 1-2 q-!C`
** Install per Manufacturer's information windows,vinyl siding,roofs Smoke Dete;tors (Fire Department)
and woodstoves
Other
THIS CARD MUST BE D S_PLAYE' A C NSP,ICIJOUS P CE ON THE P IS S
Certificate of Occupancy , ,
Bui
icing Inspector
•
9 6 9 3 5 7 p/: ,)z;-1.
1 r; .. . FILE I
— APPPLLICANTT/ •
/CONTAC PERSON: cfi _ / ��.P��
DE ,Ceh'�
5IFH0NE: 0 2 z v� "'
7/7 —M1-516402
PROPERTY LOCATION: 4:
MAP o23 D PARCEL: /74:, ZONE�_/2 ;~--
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FBI I.FT) OUT
Fee Paid
Building Permit Fille doll >�
Fee Paid CX./F/7,3y 0
Type of(nnctructinn•
New Construction
Remodeling Interior ! ' T��t_
Addition to Fiicting i/�� ".tcrrj
Arceccnry Structure (/2JIL14 (//)
. new
Building Plans Tnrluded•
Owner/Ocenpant Statement n icence—�‘,/7,Q y '..-------
3 Sets of Plans /Plot Plan
THE/OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: `
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 Conservation mission
7/j7 - .
Signature of Building ector Date
NOTE: issuanoe of a zoning permit does not relieve an applicant's burden to oomply with all
_ zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other appiioable permit granting authorities.
'Ll
! File No. 9( fi ?
L_________
APR 1 71996 i
DEFT Of SU!!DIPJG INSPr,'ZONIING PERMIT APPLICATION (§10 . 2)
NORTHAMPTA MA CIG60 PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: s/0/-y�J / _ „Z../6:7>f/d-/I.i/C/'
ID Sox 66 ,-(er
Addre �o�77�-, - "�). rr4- Telephone: S S' Yam Z 0/0 6 0
2. Owner of Property:
/1Pro/p�erty: / a-/ Gij 41,e- 1✓� S?—,
)Address: 2-"i e)C5,471 51: j Telephone: CY76,75/
3. Status of Applicant: Owner Contract Purchaser Lessee
)C Other (explain): _ems -"772- - 2
4. Job Location: /9.( , U/472r,(=yL -- i_ D
Parcel Id: Zoning Map# Df4J2 V Parcel# 7 District,(s): ,,�i�L'//�i—
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)/�
5. Existing Use of Structure/Property_ / /Ij E�=LL /dZli-e___
6 Description of Proposed Use/VVork/Project/Occupation: (Use additional sheets if necessary):
frPer/2-t C- / w, s-s 0 4-7 /54 11 -'.roes
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/Variance/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/or Document#
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 x..y.:
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 DUE TO
LACK OF INFORMATION.
This column to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
•(Lotarea minus bldg
&paved parking)
# �f -Parking Spaces
#' fof Loading Docks
Fill:
(vo1-ume--& location)
_. ._
13 . Certification: I hereby certify that the information contained herein
c, is true and accurate to the best of my knowledge.
DATE: t / �� APPLICANT's SIGNATURENOTE: Esau411
noof a zoning permit does not relieve an a ii ants burde o oomply with all
zoning requirements and obtain all required permits fron&th Board of Health, Conservation
Commission, Department of Pubiio Works and other applio le permit granting authorities.
FILE #
a
a'5;4E1;1 $4 ' ICF-a.
.v,
f = i-
`' 3 p H
c C a
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. leYt/6d 2- Alterations
k'CGaNORTHAMPTON, MASS. ✓1✓ / /`• / 7 19��G� Additions-
%4l APPLICATION FOR PERMIT TO ALTER Repair
:�
rage
1. Location /a-/ 11 ii p✓ °ST Lot No.
2. Owner's name 77J J t 2 LS/ ✓S/Z 5' Address /2--/ G`/ V S%.
3. Builder's name (r// . ,E/17tj/w 5/C / Address/26)t4X c.2-- ve N` -7-7,47,""P`�"
C
Mass.Construction Supervisor's License No. f 7 fa'j Expiration Date L/>c / c)C
4. Addition
5. Alteration iee-VL - / z3. W [�.', W d(ct J "7 /c'i Tc'ifz L..r..,<,,,I/le).4.s
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
13. Siding house
14. Estimated cos
% 200 . cIC'
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
.) Sigfnat re of responsible appicant
Remarks