17A-136 (3) PERMIT APPLICATION CHECK IS
AGE 19 PLOT lava ZONE `^'— � � DATE
ZONING FORM IC IO
2 . PERMIT I
3 , OW NO V
4 . 3 SETS OF L
NEW CONSTRUCTION
6 . CURB CUT
7 WATER-AVAILABILITY
8 , -REMODELING
9 . ADDITION
0 . ACCESSORY
1-1 , SI N
2 , PERMIT FEE - CHECK ONLY - MONEY ORDER 35 L�
13 , SPECIAL UI D WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - C R 780
15 , FOR
16 , FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �+,.� Alterations
NORTHAMPTON, MASS. /5 19 Yr Additions
' APPLICATION FOR PERMIT TO ALTER Repair
` Garage
1. Location o? 3 7 C��iG��7p rT r/arP`r r Lot No.
2. Owner's name Address S111e7-11-
3. Builder's name y Address iK —4-
Mass.Construction Supervisor's License No. /.?U;E� Expiration Date �f �5-
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 le/x/
13. Siding house
14. Estimated cost:-�i
2 ad
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible ap an
Remarks .57/-e —j?Yt 57 t i9
�7'v�r.ry ,sr sari/r' Olv LOGY icy
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00=� �� 56 .
Date Filed File No.
ZONING PERMIT APPLICATION j§10. 2)
Oil Name of Applicant: �ll<?
Address: 6p y, Telephone: - s
Owner of Property: 6,1�rg 14111f�4;r
Address: A?3_�' Telephone: 57�j
status -of Applicant: Owner 1----Contract Purchaser
� Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheetf Parcel#_3 ,
Zoning District(s) (includ overlays � -
Street Address 331 ,
Required
5. Existin Proposed b Zonin
Use of Structure/Property
(if project is only interior 'Vork4 s ip to #6)
Building height
%B1dg. 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)1
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary)
i rv�srp br S%�z y fly.
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 Signatur —r'---
� � THIS SECTION FOR OFFICIAL E 2L_,.Y5r:
�/Approved as presented/based on information presented
Denied as presented--Reason:
Special' Permit and/or Site Plan Required:
Finding Required: Variance Requi.rdd:
S gnature of H.Lud1ding Inspector '1 Da e
NOTE: issuance of a zoning permit does not repave an appficant's burden to comply YMi all zoning roquiraments and obtain all raqulrod permits
from tho Board of Hoolth,Conservation Commission,Dopatmont of Public Works and otlior appticablo pormit granting authodtios,
F
City of Northampton REQUIRED INSPECTIONS r
1. Footings and Walls
BUILDING DEPARTMENT
� e 2. Structural Components in Place*
3. Complete Building*
No. 295 Office of the Building Inspector
Zoning Form No. 004156 Date 4/21/95 Fee 20 Check# 3585
Page, 17A Parcel 136 ,Zone URA Section 127 ❑ Yes 0 No
BuiiLDiNGPERmi. r
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Alan Shumway before Building Inspections
has permission to Strip and recover porch roof Inspection on Site—Foundations
situated on 237 Chestnut Street Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the tem>c 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 PLACE ON P ISES
Certificate of Occupancy --
Building Inspector F