25C-214 (4) PERMIT APPLICATION CHECK LIST
PAGE PLOT �JV ZONE `f 3 �fS ' ` ' � ES NO DATE
ZONING FORM IC IO �l1
2 . PGRMIT APPLICATION
")IF NOT
3 0
3 S
5 . NEW S
6 . CURB CUT
WATER
8 I
9 . ADDITION
0 , ACCESSORY
11 , SIGN
12 , PERMIT FEE - CHECK ONLY - MONEY 0 DER
3 , SPECIAL I IF APP IC B
4 , UNDER - CMR 780
15 . FORM A
6 . FILL
COMMENTS :
. ' z �
70 �
v
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T �
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A
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 4 b'\ Alterations
a rNORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location `{ 1jw(Z—:: A t Lot No.
2. Owner's name W ! i;MTA Address '^
3. Builder's name C_.ft-ASS Address Zl)
Mass.Construction Supervisor's License No. r)-1 Expiration Date l.t u
4. Addition
5. Alteration 's --'
6. New Porch
7. Is existing building to be demolished?
S. 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- tl ` Z-1 j
6 The undersi ed ertifi t t e above statements are we to the best of his, her
i f knowledge d lief
Signature of response !e app scant
Remarks lib COyANW k-L r.( 6,1.4 Ant:�D
6a- C !�4 5 A►'h l2
Date Filed File No.
ZONING PERMIT APPLICATION
1 . Name of Applicant:
Address:, Z�� ��, ,�� �� Telephone: -7-
2 . Owner of Property: U)A-gglj�t4 SM1 L bk
Address: `� � -7-, Telephone:
3 . Status of Applicant: Owner -"'Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheetf )SC' Parcel# 2-14
Zoning Districts) (include ov r ys) WV-
Street Address . 4,i
Required
5 . Exis-tinq Proposed by .Zonincr
Use of Structure/Property Z
(if project is only interior vftrk, kip to #6)
Building height
%Bldg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:'
- rear
Lot size -I q 20
Frontage.
Floor Area Ratio
oopen Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) H-5.,4' "K�> 8r1'2cwt. K4c-ch
—Ac 1-Qti7
6-A -il� -G. t;` dt•! h ry .- z a c+�S tk�
7. Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the info ation ntained herein
f
is true and •accurate to the best of my knowle g
Date: t }' Applicant Is Signature:
THIS SECTION FOR OFFICIAL USE ON Y:
Approved as presented/based on information presented
Denied as presented--Reason:
Special** P rmit and/or Site Plan Required:
i d'n R 'red: Variance Required:
f
gna e of Buildzn spector l-��j� gatA
NOTE: Issuanco of a zoning permit does not retiove an applicant's burden to comply witli all zoning requirements and obtaln all required permits
from tho Board of HoaltN Conservation Commission, Npartmont of Public Works and othor applicable permit grantlno authoritios.
r
" City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 435 Office of the Building Inspector
Zoning Form No. 004348 Date 6/5/95 Fee $160 Check# 3475
Page, 25C parcel ..214 Zone URC Section 127 El Yes ® No
BUI]LDING PERMIT
I '
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Sackrey Construction before Building Inspections
has permission to Remodel kitchen & bath Inspection on Site—Foundations
situated on 43 - 45 North Street Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the teams 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 CONSPICU PLA O THE PREMISES
,
.Certificate of Occupancy
B ' g Inspector -
(�o�+! 1:.111!SilJll