17C-228 (8) v 1
Date Filed /r % File No.
ZONING PERMIT APPLICATION
:1 . Name of Applicant: 70 r10 PJL4 VtS�.A �Y f
Address: D`rpcx l-- �T La-)- c Telephone: ___ X511 —5S
2 . Owner of Property: 7vAY1 \�vXA�iA Se
Address: c /,� jy� a('L [c, Telephone: —c, /
3 . Status of Applicant: Owner ✓Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map SheetJ22C. Parcel# ,2?;
Zoning District(s) (include ove.Krlays)
Street Address
Required
5 . Exis-tincT Proposed by Zonin
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%Bldg. Coverage (Footprint) ~
Setbacks - front
- side L: R: L: Rf'
- rear
Lot size
Frontage.
Floor Area Ratio
oOpen Space (Lot area minus
building and parking) �n
Parking Spaces
Loading
Signs
Fill (volume & location)
6. Narrative Description of Pro osed Work/Project: (Use additional sheets
if necessary) 4 Pr ,c Nct S
ij- al (,y� s1J�
.r
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: (p (off - Applicant's Signature:
THIS SECTION FOR OFFICIAL U5E ONLY: r
Approved as presented/based on information presented
Denied as presented--Reason:
ecial.' P9xjpit and/or Site Plan Required:
Weof i d: Variance Required:
gna pectorL-k'� �% at
NOTE: issuance of a zoning permit does not relieve an applicant's burden to comply Willi all zoning requirements and obtain all required permits
from the Board of Hoatlh,conservation commission, Department of Public Works and other applicable permit granting authorillos.
T �
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Z m
r o n O
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. G!/ Z _ypj— 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location U C•UV Lot No.
2. Owner's name L7301')V\ — 'Vj 16 JF- Address or) . A G O le
3. Builder's name 12�) AI u S k, j r Address DtW CSC-[C S)(( LaQd< '
Mass.Construction Supervisor's License No. 67�5 5 Expiration Date a J 14
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 ( G C_iln c C^ (CIF _(A_)� C�S'V c-P-1 S}�l LR0
13. Siding house
14. Estimated cost:-
d
c� d The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief
vILG S vvU CTC,.A
Signature of responsible app lcant
Remarks
M R
PERMIT APPLICATION CHECK LIST
PAGE ,Z C PLOT ZONE J?�1�ttt� �. ES NO DATE
ZONING FORM C IO N r;/y J
2 . PERMIT I "
3 , 0 �JF NOT
3 SETS OF PLANS /PLOT PLAN
5 . NEW CONSTRUCTION
6 CURB CUT
7 . WATER
8 . REMODELING
9 , ADDITION
0 , ACCESSORY
11 . SIGN / AWNING
J
2 , PERMIT FEE - - MONEY ORDER
3 . SPECIAL PERMIT REQUIRED IF APP ICABUE
4 . UNDER S - CMR 780
5 . FORM A
6 , FILL
COMMENTS ; L•�
-
e City of Northampton REQUIRED INSPECTIONS
$ e 1. Footings and Walls
e BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 496 Office of the Building Inspector
Zoning Form No, 004410 Date 6/15/95 Fee $20 Check# 1655
Page, 17C Parcel 228 , Zone GB Section 127 ❑Yes No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT John Punska Jr. before Building Inspections
has permission to Replace k of roof Inspection on Site—Foundations
situated on 24 North Maple St. 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 Manufacturer's information: windows,vinyl siding,roofs Smoke Detectors (Fire Department)
and woodstoves
Other
THIS CARD MUST BE DISPLAYED IN A CONSP,IC US PL O THE PREMISES
Certificate of Occupancy
B nspector