17A-220 (9) PERMIT APPLICATION CRECK LIS
el 11
P
G 0 DATE
own f:
2
3 . O NOT
3 SETS OF PLANS /PLOT PLA�
NEW CONSTRUCTION
6 CURB CUT
7 . WATER- AVAILABILITY
8 ,-- -REMODELING INTERIOR
9 . ADDITION
0 . ACCESSORY UC
11 , SI N / AWNING
2 , PERMIT FEE — LEY ORDE��
3 . SPECIAL I D WITH DEED IF APPLICABLE
4 . UNDER SECTION 127 — QMR 780
5 . FORM A
6 , FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 4-/ 19 j. Additions
' APPLICATION FOR PERMIT TO ALTER Repair
Garage
I. Location/7 2 /)cn4( k YV\poy `Q- S 74" lC/yc/1 L'JL, Lot No.
2. Owner's name t`1AU1.4 CQe�� 7�i'�T— Address �. p �,
3. Builder's name C&Pg� `3r6e-++ Address
c�
Mass.Construction Supervisor's License No. H C I f L G L 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 vpe�-Ij '
The undersigned certifies that the e statements are true to the best of his, her
��. knowledge and belief.
Signatur of responsible app,kant
Remarks ��n/ C 2^'4c�'1`� ;V Cl Oki a C3
t
004081
Date Filed L/,- y File No.
ZONING PERMIT APPLICATION (910 . 2)
1 . Name of Appli ant: � �/
Address : L-1. . J } ll Telephone:
2 . Owner of Property: 3 kq C ��;�t5-17T-
Address : IZ2 6,e Telephone:-
3 . Status of Applicant: owner Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet# f'i_" w �, Parcel#�,
zoning District(s) (include overlay wll�
Street Address ►`� Y1,
Required
5 , Existzn Proposed by Zonin
Use of Structure/Property 4::��
(if project is only interior wo , 1ski to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
rear
Lot size �I"
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) SSI/ C`
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.
J
Date: / Applicant's Signature:
Y THIS SECTION FOR OFFICIAL USE ONLY:
//Approved as presented/based on presented
resented
. .
Denied as presented--Reason:
Special.' Permit and/or Site Plan Required:
Finding Required: AL variance Required:
s
Signature o BUIlding Inspector D e
MOTE: lssuanco of a zoning permit does not rellove an applicant's burden to comply with all zoning requirements and obtain all required permits
rom the Board of Noalth, conservation Commission, Dopartmont of Public Works and otlAer applicable permit granting authoriUos.
City of Northampton REQUIRED INSPECTIONS
i e 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No.
222 Office of the Building Inspector
Zoning Form No. 004081 Date 4/5/95 Fee 20 Check# 1019
Page, 17A pal 220 ,Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERNM
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Edward Corbett Jr. before Building Inspections
has permission to Install 20 replacement windows Inspection on Site—Foundations
situated on 172 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.
** Install per Manufacturers information: windows, vinyl siding, Building Inspection—Finish
roofs and woodstoves. Smoke Detectors(Fire Department)
**Condition: Windows in bedrooms must not be decreased in area Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLA ON P ISES
Certificate of Occupancy
Building Inspector nn�
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