17A-222 (4) PERMIT APPLICATION CHECK LIST
PAGE 1 7 4 PLOT Z2 2 ZONE 41L,46- E I
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I . ZONING FORM APPLICATION lam ` -t
2 . PERMIT P C
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3 . OWNER OCCUPANT STATEMENT LIC.# IF NOT
4 . f,
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3 SETS OF S tPLOT PLAN
5 . NEW CONSTRUCTION
6 . CURB CU
7 . WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR
9 . ADDITIO
10 . ACCESSORY STRUCTURE
SIGN / AWNING
PERMIT - CHECK ONLY ---MONEY OR D 3ZS�� L v
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABL
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. 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location 1 S t je)p LC- S f" Lot No.
2. Owner's name Address t N c) . M�4 Pl L' S 'A'�
3. Builder's name Al A y R1 o- l�\bR» -�rjN3S Address 3D A .S� S`�' C 4 + e�#�'�: MA Cat a28
Mass.Construction Supervisor's License No. Expiration Date Q ^ Li r- 9 'S
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 q,s P 4A-U
13. Siding house C L`9AOe-
14. Estimated cos[ )q y ��
I
The undersi ned certifies that the above statements are true to the best of his, her
*'now ledge d lief.
Sign a responsible app icanl
Remarks i ra 5�1--L C) yJ N�'`L-- LU /AJ7 C (A J
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Date Filed
File No.
ZONING PERMIT APPLICATION (510. 2)
1
Name of Applicant: cLI R,J
Address: A,,t sL S Wi c PC_Z; Telephone: ! - 2��?
10 2-C-)
Owner of Property: R_-L0_ j 644N.a
Address: , �,a, M npLC S Z-- Telephone: 5 �.
Status of Applicant: Owner Contract Purchaser
Lessee Other (explain:
4 . Parcel Identification: Zoning Map Sheet# 13/1 Parcel# ZZ-4 r
Zoning District(s) (include overlays)
Street Address lee YYG
Required
5 • Existing Proposed by Zo in
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size r
Frontage
Floor Area Ratio
%open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
C6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) 6 'V/NY[., w1,XPr1 u1 S
7 . Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the rmation contained herein
is true and accurate to the best of my le e.
Date: Applicant's Signatu e:
J
ZApproved THIS SECTION FOR OFFICIAL USE ONLY:as presented/based on information presented
Denied as presented--Reason :
cial• Permit and/or Site Plan Required:
n 'ng Re i e Variance Required: r
gnat of Building Ins 1;Y �5 �9i Pet o
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from tho Board of Health, Conservation commission, Department of Public Works and ollior applicable permit granting authorillos.
ic'T)-
City of ort ampton REQUIRED INSPECTIONS
g 1. Footings and Walls
e BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 548 Office of the Building Inspector
Zoning Form No.
002824 Date 6/20/94 Fee $40 Check# 3251
Page,
17A parcel 222 ,Zone—� Section 127 ❑ Yes ® No
BUI]LDING PERM Ir-1
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Maurice Morin before Building Inspections
has permission to Install vinyl siding, windows * reshingle roof Inspection on Site--Foundations
situated on 188 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
** Install per Manufacturers information: windows, vinyl siding,
roofs and woodstoves. Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICU U -PLA O THE PREMISES
Certificate of Occupancy
Spector
IMF