24A-042 (14) 3T"""•,
43�o 04. City of Northampton REQUIRED INSPECTIONS
!6.!`.7er
1. Footin sand Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
1,
3. Complete Building*
Office of the Building Inspector
No. 713
Zoning Form No. 960153 Date 8/22/95 Fee 000000 Check# NO FEE
Page, 24A parcel 042 ,Zone URB Section 127 ❑ Yes ® No
B ..,
I DING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT John Hamel before Building Inspections
has permission to remove ceiling tiles & refasten loose sheetrocCoFfegatch Inspection on Site—Foundations
situated on 120 Jackson St. - Jackson St. School 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 0 _
Smoke Detectors(Fire Department)
Other
THIS CARD S E P YED IN A CONSPI U LAC PREMISES
Certificate of Occupancy
Buildin pector
(a Got 'h1;11 SiIUrI
.. FILE Ij117)J
APPLICANT/CONTACT PERSON: Al ,6�7z
ADDRESS/PHONE: , 9e/ 7(?, _,d ..fits ,y, 0/60), c � , 3,,,`i
PROPERTY LOCA' 'lON: / �% .��� '-de7L_ AT1i , ' / /=eC.t)L�J
MAP 7/ PARCE . T-, ZONE
THIS SECTION FOR-OFFICIAL USE ONLY: _
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
TONING FORM FIT J.F.D (NTT ✓ _
Fee Paid
Building Permit Filled nut `-/-
Fee Paid 72( - _C-'�= .
Type of Cnnctrnctinn• _
New Construction _
Remndeling Interinr ( C' ti ii _/--e ti2_
Addition to Fyicting
Acceccnry Structure
Building Plans Included• �s`�
Owner/Occupant Statement r Licence C� 1415 7 I7 `_-----
3 Sets of Plans /Pint Plan
THEOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: 'k'
✓✓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 fr onservation Commission
..... ;:or
1--,7-
ignature uilding Inspector Date
NOTE:lssuanoe of a zoning permit does not relieve an applioant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
File NO. 9 01L. 3
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: JZ)/1-' i9 6 -
Address:2Ofb'- 577Y7i CAzrt.-A3� elephone:('y 4'� 7-77a7
2. Owner of Property: .vanitt,r n/7 4✓ f,uovL A
Address:2/7 An/9..v S% c 177 7 Telephone:(y,7)SY'6-t 176'
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): /?/A, et en rf 44/7;
4. Street Address: /2 G' •�f1-c/:jai-✓ S i c,T y
Parcel Id: Zoning Map# //9 Parcel# (n,'1,) District(s): 8
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property SG/�ooL-
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
g1/n4vit of et&,..d 7'4-Jf , 2F/9-S •Ofrf/li✓gT/D BY //3Ur�/J;4,5 J.d fire
�l/ fY�Ti✓ LOOSE SirR-��%/LOCK !9-'/) /''%%G� r04F
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
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 - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of Parking Spaces
# of Loading Docks
Fill:
- (volume & location)
13 . Certification: I hereby certify that the -informat 'on contained herein
is true and accurate to the best of my know ge
DATE: -Z2-q j— APPLICANT'S SIGNATURE (/
NOTE: 1ssuanoe of a zoning permit does not relieve a a piio nt's burden to oomply with all
zoning requirements and obtain all required permits fr the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.e//3>3V1-L9..70 Alterations
iiKir:: NORTHAMPTON, MASS. gv((/SI ZZ 19q� Additions
t,.;IA APPLICATION FOR PERMIT TO ALTER Repair
Garage
g
1. Location d u o" S'% Jliiv i. Lot No.
2. Owner's name/Van.Tfifm/'i7/r✓ P'i3Lic. .S't/teoiS Address212 /»Ri•✓ a-7 ciry
3. Builder's name TUNS '3' iii9ins%L Address2D/44T9975 Cr 6-1Y*.4//7 /r,.9 0"ii3/
Mass.Construction Supervisor's License No. 00 a''r 97 Expiration Date ‘-?1-94
4. Addition A"kt
/.-,G4.4. Roe.",
5. AlterationRfr''l cfa.,.'b 7. ii5 TPVG,.+ .1/r6 cT7i e/r iir /to . ,c idi/ /a itai/a6//d 7/2z1 "-elx2,-1
6. New Porch /•'/a`r
7. Is existing building to be demolished? A1A-
8. Repair after the fire 4✓li4
9. Garage Wirt No.of cars Size
10. Method of heating /1,/4+-
11. Distance to lot lines /1/A9
12. Type of roof n/f/?
13. Siding house 8i/it
14. Estimated cost-1/f Gd
The undersigned certifies th the above statements are true; to the best of his, her
knowledge and i i
//
Signature of responsible applicant
Remarks i9 '7 5m:i'sritoc/f 7-fm- /S L /ro$e G-/Le_ ne grimri-fl', O, Ate✓/ NoL,ff 1.-' G
J3I fii+ret el, G.i/i-d t/ m6a✓/r'/ /•"iikaildviivig ivy/ln a/y/9-'7.o p/l o/' el/Elks A-IZ4 /l e
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