17C-231 (10) •PERMIT APPLICATION CHECK LIST
PAGE 176 PLo T ZONE SL `� Y) , I("o .'x YES NO DATE
I . ZONING FORM APPLICATION
2 , PERMIT APPLICATION �-
3 . OWNER OCCUPANT STATEMENT LIC . # IF NOT
4 . 3 SETS F S PLAN
5 . NEW CONSTRUCTION
6 . CURB CU
7 . WATER- AVAILABILITY FORMS
8 . REMODELING INTERIOR
9 , ADDITION
10 . ACCESSORY STRUCTURE-
11 . SIG AWNING
12 ... PERMIT FE - CRECK ONLY - MON Y ORDER 6o �-°
13 . SPECIAL PERMIT REQUIRED -WITH DEED IF APPLICABLE
14 , UNDER SECTION 127 - CMR 780
15 . FORM A
16 , FILL
COMMENTS :
R be 9-- �Nbo�
Cl
CL
.I
i
Li Stud
Ya
LO
rte\�•� .
Y
\toS�F�%
F�•r•ava`r' .
s
1' q.
t �
3
1 MASS R
$tot K WAII
i
i �a S+eel '?" t3eAoA
i
F�a ZJ4ees
t o
I 1 i
I
r
w g 13 54fle ( 9.mn
hl c
A 2
7C 'L3
v
< �•
T �
z
� 3 a
p C cn
-- r. Z pm
A cn O
Fri
� O �
a
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. drZi 7, 19q Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 3q Nd • M,a e E l r cte i1 r M4 S S Lot No.
2. Owner's name /VAn/1 A+ MRoitIn Address�_�� A),-,, lllgplf S-k Fto&e`s-icP -41t4,
3. Builder's name Address Mx):h�iPl`�2�5� 1�� , 3ekk,- cfo,.J''k.
Mass.Construction Supervisor's License No. O q fi' r y S Expiration Date /O l0 /9,5—
4. Addition (�
5. Alteration fle 6.,i 5,ec°V i 0 h ja Goo sT �+
6. New Porch
7. Is existing building to be demolished? No
8. Repair after the Cue
9. Garage No.of cars Size
10. Method of heating Leajy_i t
11. Distance to lot lines i
12. Type of roof Jr 0 t?tfCk Jbbf2iZCQ AA-e lblt44Ae_
13. Siding house
14. Estimated cost'- v5v l)
1
The under ned rtifies tha t e above statements are true to the best of his, her
knowled e and beli
Signature of responsible app,icant
Remarks
00 ?Ll0 )
Date Filed �� v File No.
ONING PERMIT APPLICATION (510.2}
1 .) Name of Applicant: �, WJ
�,�
Address: z Q a pk, c ,e 4- Telephone:,
owner of Property: M9 rA 4 AAPCh,ner`
.
Address: 3cl 0&, roe nc , .Og Telephone
3 . Status of Applicant: owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# I ?c �j Parcel# 31 ,
Zoning District(s) (include overlays)
Street Address S4 yn cL ''
Required
5. Existin Proposed bv 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. ! 'w
Floor Area Ratio
%Open Space (Lot area nti
building and parkin
Parking Spaces
Loading
Signs
Fill (volume & location)
6 Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) Aoe .2o �C cac=-V 54ek C{UC PVL
t 6yLAw llco
.y
7 . Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that t information o.ntained herein
is true and accurate to the best of my nowledge,
� � / Z
Date: `� Applicants Siynatu e
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
ecial` Permit and/or Site Plan Required:
ilnding aed: Variance Required:
gnatu of Building ector
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning roquiroments and obtain all required permits
from tho Board of Hoalth,Consorvat Ion Commission,Department of Public Works and othor appiicablo permit granting authorities.
City of Northampton REQUIRED INSPECTIONS
fd DEPARTMENT 1. Footings and Walls
BUILDING 2. Structural Components in Place*
3. Complete Building*
No. 204 Office of the Building Inspector
Zoning Form No. 002405 Date 4/7/94 Fee 40 Check# 009900
Page, 17c parcel 231 Zone SI Section 127 ❑ Yes ® No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Daniel walker before Building Inspections
has permission to Replace rotted roof structure with rubber izedooTenmbranelnspecdon on Sites--Foundations
g
situated on 34 North Maple Street Inspection of Plumbing—Rough
provided that the person accepting this pen-nit 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 CONSPIC US ACE ON THE PREMISES
r'
Certificate of Occupancy �-
uilding Inspector IMF
t
s e
City of Northampton REQUIRED INSPECTIONS
• 1. Footin s and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No.
204 Office of the Building Inspector
Zoning Form No. 002405 pate 4/7/94 Fee 40 Check# 009900
page, 17C parcel 231 Zone ;�L SI Section 127 ❑ Yes ® No
BUILDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Daniel walker before Building Inspections
has permission to Replace rotted roof structure with rubberized rooT zng embraneInspection on Site—Foundations
situated on 34 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,ifnot 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 L
Install per Manufacturers information: windows vinyl siding,
.�
roofs and woodstoves. Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES
Certificate of Occupancy
Building Inspector