17C-140 (5) PERMIT APPLICATION CHECK LIST
,
PAGE YES NO DATE
1
OWN
3 . OWNER OCCUPANT UIF NOT -
4 .
3 SETS OF S PLAN
5 . NEW CONSTRUCTION
6 . CURB CU
7 WATER AVAILABILITY 0
8 . REMODELING
9 . ADDITION
10 . ACCESSORY STRUCIURE
11 , SIGN AWNING-
12 . PERMIT FEE - - MONEY 0 DE
13 . SPECIAL PERMIT E UI ED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - C R 780
15 . FORM
16 . FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations f
NORTHAMPTON, MASS. 19-1y Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location �� /U- M 5t- Lot No.
2. Owners name fly 6y-1 k C-ch /ICA e- Address S a L
3. Builder's name T-A.0 zlZ KS Address IVt�, /?u.
Mass.Construction Supervisor's License No. G Expiration Date!1 f31 5
4. Addition `_ ( f r
v,'5. Alteration ��a I r �1 2•Y"� G7F YJ�a L`e •t G J L. : n i e . L'J� .7 : .y LlJ G a `A of 5 i' o
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 we to the best of his, her
knowledge and belief.
Signature of responsible app,icani
Remarks
Date Filed f�146/ ,_ File No.
ZONING PERMIT APPLICATION
I . Name of Applicant: o;
Address : � t 51,,4 Rdi. t,✓.0,,10.e P e_:-r Telephone: 3�7
2 . Owner of Property: _ De6o-, ,,1x
Address :_Y4 ;/V 11,4z �# ?�f� zN,,�.:�+z. C",cz c Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet# Parcel# ! ,
Zoning District(s) (include' overlay h,
Street Address ,
Required
5• Existin Pro nosed by Zonin
Use of Structure/Property
(if project is only interior or skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L' R:
- rear
Lot size
Frontage,
Floor Area Ratio
. %Open 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) '�'wg+,I( . ciCA/r xU _ - '-4L, el;( ke,,,te a ,�, s-
0,e-^ -..31N1t1 V1,e_-4J C4 Q J i f) 4
'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: i°/ / Applicant's Signature:
4
T THIS SECTION FOR OFFICIAL USE ONLY:
Z- Approved as presented/based on information presented
Denied as presented--Reason:
S ecial" Perm and/or Site Plan Required:
g Re ; variance Required:
S gnat o Buildin spector !� ` e
NOTE: Issuance of a zoning permit does not roliovo an applicant's burden to comply wiUt all zoning requirements d obtain all required permits
from the Board of Hoolth,Conservation commission, Department of Public Works and opwr applicable permit Vr ling authorillos.
A=P11P City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 2. S�ccttural and Components in Place*
3. Complete Building*
Office of the Building Inspector
No. 845
Zoning Form No. 003215 Date 8/24/94 Fee $20 Check# 1502
page, 17C Parcel 140,Zone URB Section 127 ❑ Yes No
BUI]LDINGPERMII
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Joseph Helems before Building Inspections
has permission to Install header over new window Inspection on Sites-Foundations
situated on 46 North Maple 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
t
THIS CARD MUST BE DISPLAYED IN A CONSPICUOU PL CE N PREMISES
Certificate of Occupancy
Pce
B s for 11 (F�'1 Si)�)7�