17C-211 (27) PERMIT APPLICATION CHECK LIST
PA YES NO GATE
low-
2 .
3 , OWNER OCCUPANT STATEMENT IF NO
3 SETS OF S PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 WATER S
8 . REMODELING
9 , ADDITION
10 , ACCESSORY STRUCTURE
11 , SIGN / AWNING
2 , PERMIT E — MONEY O D
13 , SPECIAL UI D WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 — C R 780
15 , FORM A
16 , FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. — L3 d D Alterations
NORTHAMPTON, MASS. % � 19f'L Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location ci lim/ ` S : Lot No.
2. Owner's name r E A,G LJ O Pd Address M b I ti X F G
3. Builder's name&. 4i_7TP, Z ",6AT° K 0-A Address
Mass.Construction Supervisor's License No. Q(1 E°J J Expiration Date 6
4, Addition
5. Alteration Tee D LO o
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:-S'e-, 6
The undersigned certifies that the above statements are tr to the best of his, her
knowledge V—
Signalure ojresponsible appic d,
Remarks
j
Date Filed / - File No.
ZONING PERMIT APPLICATION (910. 2)
I Name of Ap licant: UJ k, LTA
Address: tJ '_�, N 4„) Telephone:
2 . owner of Property: 1 S-T
Address: j-Lylt xr,L � fi(� , � ►�1< Telephone: 5" /3du
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain J0 )
4 . Parcel Identification: zoning Map Sheet# / 7 Parcel#
Zoning District(s) (inc ud gverla s).7
Street Address t _
r
Required
5, F'Xis-tincr Proposed b Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
!.-' Bldg. Coverage (Footprint)
Setbacks - front
- side L: 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)_ /u�5.I 1 P C PZ/-)C. M
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: &b// /' - Applicant's Signature: ��
THIS SECTION FOR OFFICIAL USE ONLY:
'Approved as presented/based on information presented
Denied as presented--Reason:
A�-�gnatdrit'ial" Pe it and/or Site Plan Required:
In ing aired: Var*ance Required:
of Bu ld i Spector a
NOTE: lssuanoe of a zoning perm$does not relieve an applicant's burden to comply with all zon ng roquiromonts and obtain all required pormits
from the Board of Hoaith,consarvation Commission,Department of Public Works and otlior app6cablo permit granting authormos.
L
City of Northampton REQUIRED INSPECTIONS
$ 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 1212 Office of the Building Inspector
Zoning Form No. 003637 Date 11/30/94 Fee $240 Check# 323
Page, 17C Parcel 211 ,Zone GB Section 127 ❑ Yes ® No
BUI]LDINGPERMI rr-I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Walter Marek, Jr. before Building Inspections
has permission to Finish 3rd floor per plans Inspection on Site—Foundations
situated on 81-85 Main Street, Florence Savings Bank Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conforni 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
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOU PL CE QN In PREMISES
Certificate of Occupancy
B spector
(" �'Of si)(
i
i
(.,.Ity of Northampton REQUIRED INSPECTIONS
e
• 1. Footin s and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 1212 Office of the Building Inspector
Zoning Form No. 003637 Date 11/30/94 Fee $240 Check# 323
Page, 17C Parcel 211 ,Zone GB Section 127 ❑ Yes ® No
BUI I LDINGPERMII
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Walter Marek, Jr. before Building Inspections
has permission to Finish 3rd floor per plans Inspection on Site—Foundations
situated on 81-85 Main Street, Florence Savings Bank Inspection of Plumbing—Rough 6' l
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 nCw /2^7-X -g
Maintenance and Inspection of Buildings in the City of Northampton. y
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish F W �
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
Smoke Detectors(Fire Department)
Other
THIS CARD T D-I L D IN A CONSPICUOU PLACE ON TIME PREMISES
Certificate of Occupancy
B ' . spector -
vfl x-1fl mw