24A-079 (5) °� City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls
�� ,;4.(m!•e BUILDING DEPARTMENTg
2. Structural Components in Place*
3. Complete Building*
No. 1016 Office of the Building Inspector
Zoning Form No. 960478 Date 11/20/95 Fee$40 check# 1625
Page, 24A Parcel 079 ,Zone URA Section 127 ❑ Yes ® No
BUILDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Dan Perkins before Building Inspections
has permission to remodel bathroom. Inspection on Site—Foundations
situated on 18 Ridgewood Terrace - Lori Steiner 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 CONSP_Ir PL ON THE PREMISES
Certificate of Occupancy
uilding Inspector
04-1 'P11,i!iii i'
> E # 960478 0\1)\\/
APPLICANT/CONTACT PERSON:(�i it �,� z
ADDRESS/PHONE: 2, '�/ $2 _ D/L32L�
PROPERTY LOCATION:
MAP (1/1 PARCEL: O 7 9 ZONE
THIS SECTION FOR.OFI ICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST •
ENCLOSED REQUIRED DATT
7nNTNG FORM FTT.T,F.T) OTTT 1//03p/�,g`
Fee Paid
Rnilding Permit Filled nu!-
Fee Paid
Type of C'nnctrnetinn•
n
„pemnrleling_Tnterinr 17
Additinn to Fzicting
Arreccnry Strnrtnre
Blinding Plans Tnrinded• /,
Owner/Occupant Statement T`rense_& Q1 P P
3 Sets of Plans /Pint Plan
TH�EE/OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
v 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
P it from p serve ' Commission -
S gnature of B 1. • •- for to
NOTE:lssuanoe of ning permit does not relieve en applloent•s burden to oomply with all
zoning requirements end obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
I
NOV 20 .�
File No.
DEPT OF BUILDING INSPECTIONS
ZONING PERMIT APPLICATION AM N.MA 01060
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: (� ,e b-e--el ; Telephone: (Q l c- - / �-�S
2. Owner of Property:
0ft2A--c- U '
Address: /Y d o�( ice-Telephone S( 171
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): /� /J
4. Street Address: ( ' —, // 411)0(.,(1T--TtLe4 je.12 i -
Parcel Id: Zoning Map# (.72# Parcel# £7 9 _ District(s): (PC/2
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property
6. Description of Proposed Use/VVork/Project/Occupation: (Use additional sheets if necessary): •
— / (Lt. I
7. Attached Plans: Sketch Plan 1/ 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 sit. ?
NO LZ 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 Documelt#
9. Does the site contain a brook, body of water or wetlands? NO V DON' 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
4
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:
(Lot area minus bldg
&paved parking)
of -Parking Spaces
g of Loading Docks
Fill:
volrime -& location)
13 . Certification: I hereby certify that the information contained herein
if
is true and accurate to the best of my kno ledge.
DATE: //- ,a / 9-sJ APPLICANT'S SIGNATURE
NOTE: IssuO1oe a zoning permit does not relieve an applioant's burden to comp with all
zoning requirements and obtain all required permits from the Board of Health, Co ervation
Commission, Department of Publio Works and other appliosble permit granting authorities.
FILE #
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
�r NORTHAMPTON, MASS. II'2_ 19& Additions
k'- ' .` APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location . (i C l t) 1 010 TeR
,A c. I�A t Qgilsi ptoL Lot No.
2. Owner's name LOR I Sl I l-f•iL. Address I' P14 6E-WOOD Itr24PtifL itiORWAYNt
3. Builder's name kilW Per- Nq S Address
,, (3'x S U.34C fi a 01/i OI373
Mass.Construction Supervisor's License No. Olt 7 V q 8 1 ')11'6Expiration Date i /1-5N J
4. Addition `p— A
5. Alteration PgtlllyowA 4 e niece - 'No stytt r41 014t4 & - (isttni 'fkOr1kali
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 cost- fi J)SC)O
The undersigned certifies that the above statements are true to the best of his, her
knowled e and lief.
Oextuli APf
Signature of responsible appicont
Remarks