17A-128 (5) PERMIT APPLICATION CHECK LIST
YES NO DAT -
1 .
3 . OWNER OCCUPANT E IE NO
3 SETS OF NS /PLOT PLAN
5 . NEW CONSTRUCTION
6 . CURB CU
7 . WATER V I T S
8 . REMODELING INTERIOR
9 . ADDITION
10 , ACCESSORY STRUCTURE
11 . SIGN AWNING
12 . PERMIT FEE ONLY - MONEY 0 DE
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM A
16 . FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. Additions
�! Repair
• APPLICATION FOR PERMIT TO ALTER
_ Garage
1. Location C �rI, /' Lot No.
2. Owner's name C&I `^ Address S— a tp , Flpty,er]�/�
3. Builder's name—2&
ddress -3 fx-r- �� �as u.,� .►T
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-
The undersigned certifies thzoresponsible ements are true to the best of his, her
knowledge belief.
S app,icant
Remarks
Date Filed File No.
ZONING PERMIT APP ATION (§10 . 2)
t
1 . Name of Applicant:
Address : elephone:
2 . Owner of Pro erty:
Address : ,. Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map heet# Parcel# I �sC.
Zoning District(s) (include over ys) U1l,lL
Street Address_ 73 ,5-
j �� ,
Required
5. Existina I Pro nosed b Zonin
Use of Structure/Property ,
(if project is only' interior work, $kib to #
Building height
-Bldg. Coverage (Footprint)
Setbacks - front
- side L: R: L:
- rear
Lot size
Frontagse.
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)_
7 . Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the informa on contained herein
is true and accurate to the best of my knowled
�r
Date: 3 Applicant' s Signature: '
ZApproved THIS SECTION FOR OFFICIAL USE ONLY:as presented/based on information presented
Denied as presented--Reason:
4Sc4cial' Permit and/or Site Plan Required:
ding Re Xr Variance Required:5- 7�
r of Budding Ins �tor i ate
NOTE: Issuance of a zoning permit does not reilove an applicant's burden to comply with all zoning roqulroments and obtain all requirod permits
from tho Board of Hoafth,Consorvation Commisslon, Dopartmont of Public Works and otbor appiicablo permit granting authoritios.
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 1. Footings and palls
2. Structural Components in Place*
3. Complete Building*
No. 47 Office of the Building Inspector
Zoning Form No. 003808 Date 1/24/95 Fee 20 Check# 620
Page, 17A Parcel 128,Zone ' Section 127 ❑ Yes No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Dennis Labato before Building Inspections
has permission to Install vinyl siding Inspection on Site--Foundations
situated on 315 Bridge 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 tern ficate 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 CONSPICUOUS LA O r PREMISES
Certificate of Occupancy
Buildin for
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