17C-104 (4) a
,> o
I < �
D
Z pm
°= 70 Z
> rn 0
Z
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Sl"i -2 dT i Alterations
NORTHAMPTON, MASS. Ag/SI-r1`F 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
a
Garage
1. Location l�lo•i7..►�,:�. Lot No.
2. Owner's name Address /I-*--
3. Builder's name:::TA& Address a/c -v,/Q^ t6-
Mass.Construction Supervisor's License No. 42!2E Expiration Date
4. Addition /�
5. Alteration la 4 fie/ C4.11 1n N e:�/6 v 4-rv.,. eba� 4„� �� �V�,.. +-/6s i�,
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- f�'
The undersigned certifies that the above statements are true to the best of his, her
knowled lief.
✓ 0 Signature of responsible app icani
Remarks
a ti
OQ3� 5.�
Date Filed_. /42-lCf-�''q File No.
ZONING PERMIT APPLICATION (§10.2)
1. Name of Applicant: ��
Address: G / N/ SJ Telephoner ]�7�
2 . Owner of Property:
Address: 43 S,/Sa, V e Telephone:
3. Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: �, o� )
4. Parcel Identification: Zoning Map Sheet# I� L- arcel# l� ,
Zoning District(s) (include o er ays) OQ
Street Address is zon
Required
5. Existi_n Pro Dosed b ZonilLq
Use of Structure/Property
(if project is only interior work s ip to 6)
Building height
%B1dg.Coverage (Footprint)
Setbacks - front
- side
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6. Narrative Descri t, of Proposed Work/Project: (Use additional sheets
if necessary) f �6�,// c���+,�.�i roM r6a!' A,,L G �aP
J r
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: lc� ::!if, Applicant's Signature: r��---
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
ZApproved THIS SECTION FOR OFFICIAL USE ONLY:
as presented/based on information presented
De led as presented
s fo r 'c
_r
ignat a of Bui g Inspector ��� ' J 4a4t �
NOTE: Issuance of a zoning permit does not relieve an applicanirs burden to comply with all zoning requirements and obtain all required permits
from the Board of HeaM,Conservation Commission,Department of Public Works and other applicable permit granting authorities.
PERMIT APPLICATION CHECK LIST
P YES NO DATE
2 .
3 . OW NER OCCUPANT STATEMENT - �IF NOT
4 . 3 SET S PLAN
NEW CONSTRUCTION
6 . CURB CUT
7 WATER
8 . REMODELTNG
9 , ADDITION
10 , ACCESSORY STRUCTURE
11 , SIGN / AWNING
2 , PERMIT FEE - MONEY ORDER
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 , UNDER SECTION 2 - C R 780
15 , FORM
16 , FILL
COMMENTS :
City of Northampton REQUIRED INSPECTIONS
e
BUILDING DEPARTMENT 1. Footings and WP n
$ e 2. Structural Components in Place*
3. Complete Building*
NO. 1049 Office of the Building Inspector
Zoning Form No. 003451 Date in/ig,/c) Fee 20 Check# 490
Page, 17C parcel 104 ,Zone URB Section 127 ❑ Yes No
BUI]LDINGPERMI r-I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Thomas St. Martin before Building Inspections
has permission to Rebuild chimney and install flashing Inspection on Site—Foundations
situated on 13 Stilson Ave. Inspection of Plumbing—Rough
provided that the person accepting this pemmit 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.
** Install per Manufacturers information: windows, vinyl siding, Building Inspection—Finish
roofs and woodstoves. Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS L O PREMISES
Certificate of Occupancy --
Buildin for rl_