Loading...
28-011 (3) nPERMIT APPLICATION CHECK LIST PAGE Ott? PLOT !/ ZONE +�--eg YES NO DATE ZONING FORM APPLICATION 2 . PERMIT I I 3 OW O PLAN 5 . NEW CONSTRUCTION 6 . CURB OUT 7 WATER 8 . REMODELING 9 , ADDITIO 10 . ACCESSORY STRUCTURE ii . SIGN 12 , PERMIT FEE - CHECK ONLY - MONEY DE 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 4 . UNDER SEC 7 - C R 780 15 FORM A 16 , FILL COMMENTS : ` 1 z � zm rm Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location i� G^�iT�l /S�IJ Lot No. 2. Owner's name_ fa m t r Address 3. Builder's name ,n-.e Address s� z- Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration 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:- z7-, The undersigned certifies that the above statements are true to the best of his, her q�j knowledge and belief. Signature of responsible app,icant Remarks J AQ Date F 0033?iled File No. ZONING PERMIT APPLICATION 1 . Name of Applicant: Address :._ _s;, v�Csn r_ 12J— Telephoner-- '-y--- 2 . Owner of Property: . A02 Address: Telephone: 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain ) 4 . Parcel Identification: Zoning Map Sheet# � ` Parcel# /( Zoning District(s) (include ov rlays), Street Address , Required 5. Existing Proposed by Zonin Use of Structure/Property r, (if project is only interior work, skip to #6) Building height %Bldg. Coverage (Footprint) Setbacks - front - side L: R: L: R: - rear Lot size 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 necessar )_ Ali i S f c w% ,�G�+.-r Y ' 7 . Attached Plans: Sketch Plan Site Plan 8 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: Applicant's Signature: ._ TH18 SECTION FOR OFFICIAL USE ONLY: _L�Approved as presented/based on information presented Denied as presented--Reason: Sp 'al' Permit t�/or Site Plan Required: i Requir .idj/ ,; Variance Required: S nature uild'Ing Inspector D e NOTE: Issuance of a zoning permit does not relieve an applicants burden to comply with all zoning requirements and obtain all required permits from the Board of Health,conservation commission,Department of Public Works and other applicable pormit granting authoritias. le ll- City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 1. Footings and Palls • 2. Structural Components in Place* 3. Complete Building* No. 967 Office of the Building Inspector Zoninja Form No. 003325 Date 9/22/94 Fee $40 Check# 287 Page,v 28 Parcel 11 ,Zone RR Section 127 ❑ Yes ® No BUI]LDINGPERMI rr'I * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Michael Samson before Building Inspections has permission to Finish 2nd floor Inspection on Site—Foundations situated on 284 Sylvester Road 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 CONSPI"U , N THE PREMISES Certificate of Occupancy - Building-I spector (A" - 'l-Jlf Sil��� l