Loading...
17A-196 (10) 0005JLJ Date Filed d 2­44 I �-z-0 File No. 1 ,7A - 14 ' ZONIN PERMIT APPLICATION (§10.2) 13 ` 1. Name of Applicant: t LO trip Address: 'p,p, gox Flo I N T&�-, • V4 . o to e I T lephone: g' —8'-t LF 2 . Owner of Property:CAg?.c l +- Address: ►5l No2 i� Vy�t�Pt_�. ��o .moo - Telephoner • -1! (o 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: 4 . Parcel Identification: Zoning Map Sheet# 1-7A— Parcel# Zoning District(s) (include overlays) (_,IIZ$ Street Address 1 =F' Ft0 Required 5. Existin - Prop osed by Zonin Use of Structure/Property C (if project is only interior work, skip t1b #6) Building height %B1dg. Coverage (Footprint) Setbacks - front - side 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) ,,T� -- ot kCr W 1 tti Dav s — N C, T o ra-w t-1a I��.G[1J 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. � t Date: N00 , 7�� Z Applicant' s Signature: THIS SECTION FOR OFFICIAL USE ONLY: MW W2 (/Approved as presented/based on information presented 2 4 De ied as presented as for vial: l yr Ygnatu,/ee,"oT Bui.ldin ec or D e NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain ail required permits from the Board of Health,Conservation Commission,Department of Public Works and other applicable permit granting authorities. 7/92 FXAS PERMIT APPLICATION CHECKLIST r' _ PAGE ! PLOT t �� ZONE P YES NO DATE 1 . ZONING- FORM APPLICATION o iC-a 14- -Z 2 . PERMIT APPLICATION ` 3 . OWNER OCCUPANT STATEMENT LIC . # IF NOT t! 043 `#4-3 1-- 4 . 3 SETS OF P ANS /PLOT PLAN � � �� P, 5 NEW CONSTRUCTION 6 . CURB CUT 7 . WATER AVAILABILITY FORMS 8 . REMODELING INTERIOR 9 . ADDITION 10 . ACCESSORY STRUCTURE 11 . SIGN AWNING 12 . PERMIT FEE — CHECK ONLY — MONEY ORDE ? 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 , FORM A 16 . FILL COMMENTS : Lr, E�- to Y-- ��� �Y� `zt•C.6 COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY ti 1 OF 1010 COMMONWEALTH AVE. MASSACHUSETTS BOSTON MA 02215 �£ L a r E N S L CAUTION EXPIRATION DATE _�s'1 3'6 S T R. �;U P 1 �V 1 S Oi P 33i3C5'fRiCl'10�1 4 EFFECTIVE DATE LIC-NO. I FOR PROTECTION AGAINST THEFT, PUT RIGHT THUMB o s'13 is/194 i =+—'4 4 PRINT IN APPROPRIATE 6 o BOX ON LICENSE. r > O RTHUK 6 SILVER o r -;x �' p o a+?k 1'i 1 BLASTING OPERATORS SS +tJ--4L— ,55�. m� TI+fi±-iPTVti rA C7vti # MUST INCLUDE PHOTO. PHOTO BU.S J sIG OPR ONLY) FEE: ' u y? } NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED—OR-SIGN TUBE OF THE COMMISSIONER 3 � DOB: j. 4 'K� THIS DOCUMENT MUST BE « SIGN NAME IN FULL ABOVE SIGNATURE LINE CARRIEDON THE PERSON OF Z SIGNATURE FLICENSEE ..�.,_,• THE HOLDER WHEN EN- �y.. A# j OTHERS.—RIGHT THUMB PRINT GAGED INTHISOCCUPATION. COMMI STONER I �4,�CsN►�lC-r W(1�-t�� ,t'kwN�MC-rt�l tnt�cr••� t rr I i 'lcec- ¢'° t �� z1 Sri L4 0 �L 3 1© a IV > o G' r• f C n tv b c r � � a ZZ tt" 8 Z � O y I Zoning Miscellaneous Additions,Repairs,Alterations,etc. Q� Tel.No. 5 y l / J Alterations ti NORTHAMPTON, MASS. �►f�y' z�q Additions f ` APPLICATION FOR PERMIT TO ALTER Repair C �t Garage 1. Location N OTL( Lot No. 2. Owner's nameC�L-fib^ � ►`� Address 151 . t-4t Pt-rf— . �t_c�•rz��lc,�� 3. Builder's name Aa- u v-- l Ly Address -•© ,GO x 90 t , N Mass.Construction Supervisor's License No. O14 3 y 4-2, Expiration Date rR 4. Addition 5. Alteration 6. New Porch No 7. Is existing building to be demolished? NO 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating ( `-,zs 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost- The undersigned certifies that tha above statements are true to the best of his, her ' knowledge af. a Sl nature of responsible ap licant Remarks City of orthampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 2. Strucnt ral Components in Place* 3. Complete Building* No. Office of the Building Inspector Zoning Form No. 51 A Date 11/25/92 Fee $40.00 C heck#p 1718 Page, 17A Parcel 196 ,Zone URB Section 127 ❑ Yes ® No BUILDINGPER.AM * Plumbing and Electrical Inspections required THIS CERTIFIES THAT carol & Al Bertram before Building Inspections Remodel a Second Floor Porch Inspection on Site—Foundations r has permission to into a 3/filth Bathroom situated on 151 North Made St. / Florence, VIA Inspection of Plumbing—RI %A—/y—9ot ' provided that the person accepting tlmf,s permit shall in every respect Inspe;;tion of Plumbing—Finislo//f conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordin,:aces relating to the Construction, Inslsection of Wiring—Rough . / — 4 1211ACC01-1-1 Maintenance and Inspection of Buildiogs in the City of Northampton.Any violation of any of the terms above doted is an immediate revocation Inspection of Wiring—Finish `� of this permit.Expires six months fron i date of issuance,if not started. Bt,ilding Inspection—Roug1 Z Note:A certificate of occupancy will N,.issued by this office upon return Insulation Inspectio of this card signed by the Plumbing,Wiring and Building Inspectors. B gilding Inspection—Finish Smoke E etectors(Fire Department) Other THIS CARD T E DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES Certificate of Occupanc Buil ng Inspector rGbp�Ga� 1'�l`i f!Silt