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. PERMIT APPLICATION CHECK LIST
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NO DATE PA �� .
1 . FORM APPLICATIM,
2 . PE
3 . OWNER I NOT
4 . 3 SETS F S T P
5 . NEW CONSTRUCTION YES
6 , CURB CU
7 . WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR
9 . ADDITIO
10 . ACCESSORY STRUCTURE
11 . SIGN / AWNING �i
12 . PERMI FE - 0 LY - MONEY ORDER G�
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM A
16 . FILL
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �"f�3 S' 8664 Z Alterations
a NORTHAMPTON, MASS. 1c).E 19 `'�� Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location d Q mGi-�A€-a+C� S"`, Lot No.
2. Owners name_ n� C0 Address_ . OV2� -P CT
3. Builder's name f~'Ll CO3L-1jD V,- Address_-; C C*)V<C�
Mass.Construction Supervisor's License No. C,50-NCY(�2 —Expiration Date
4. Addition bZ e& '4R41" Vim Foil.—
5. Alteration '�£NS�Yi- -C— taA IUP A1.,t per^cN �'r' C4 G r U
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:-
The undersigned certifies that the above statements are tru ,to th est of his, her
knowledge and belief
Signalure of esponsible app icanl
Remarks
• � u
1 - 1�"'�`J 1
.1
Date Filed 001G File No.
ZONING PERMIT APPLICATION (§1.0 . 2)
1 . Name of Applicant: M�� C42NOIIZft"Y
Address : icy or_WA W_,n sX W-tc>rq Telephone: 6'9yy-1.
2 . Owner of Property: n
Address : Telephone :
3 . Status of Applicant: A.-Owner Contract Purchaser
Lessee Other (explain: )
)n: Zoning Map Sheet#.zrc_ Parcel# 1(,S-
include overlays)
Required
Existinq Proposed by Zonin
r pertY *S
n , interior work, skip to #6)
)tprint) s .z
)nt (1 ► �O
e L R
r 7
act
=a minus
�)
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project : (Use additional sheets
if necessary) > QYp't nn s-r L�%Lc�C�te A�A.fz'�c'��i1�t.'t'► ,�c Ir�CC 1��'rN4�
7
7 , Attached Plans : 'Sketch Plan v Site Plan
8 . Certification : I hereby certify that the information containe herein
is true and accurate to the best of my knowledge.
Date : l0 Applicant' s Signature:
/ THIS SECTION FOR OFFICIAL USE ONLY:
/Approved as presented/based on information presented
Denied as presented--Reason:
Special* Permit and/or Site Plan Required :
r
XPinrling Rdqu,fred: Variance Required:
r—
X > Z& 4,� "Sllgnatu ol Buildi spector ate
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, Departmont of Public Works and other applicable permit granting authorities.
g�°� �;e City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 1. Footings and Walls
e e 2. Structural Components in Place*
3. Complete Building*
No.
943 Office of the Building Inspector
Zoning Form No. 001689 Date 10/14/93 Fee $40 Check# 1018
Page, 25C Parcel 165 ,Zone URB Section 127 ❑ Yes 0 No
BUI]LDINGPERM11'
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Chris Daniels before Building Inspections
Renovate lst floor apartment - new kitchen, bath Inspection on Site—Foundations
has permission to add closet and alter entryway l
situated on 20 orchard 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
i THIS CARD MUST BE DISPLAYED IN A CONSPICU LACE IE PREMISES
Cetificate of Occupancy