17D-014 (3) PERMIT APPLICATION CHECK LIST
PAGE 1,-2,6 PLOT /K ZONE/.C2� ES NO Q%A7T E
1 . ZONING 0 LIC IO
2 . PERMIT APPLICATI ON
3 . OW 0
3 SET PLAN
NEW ST C 0
6 CURB CUT
7 WATER S
8 . --REMODELING
9 . ADDITION
0 . ACCESSORY
11 . SIGN / AWNING
2 PERMIT FEE — — MONEY 0 E / e/
13 . -SPECIAL- PERMIT UI D WITH DEED IF APPLICAB
14 . UNDER SECTION 127 — CMR 780
5 . FORM A
16 . FILL
COMMENTS:
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
' APPLICATION FOR PERMIT TO ALTER Repair
/ Garage
1. Location 1�_ e t. Lot f�o.
2. Owner's name .�✓ n c>^� Address a ie� I'v
3. Builder's name Vu } ' Address 3 0 v
Mass.Construction Supervisor's License No. G 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:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
` Signature of responsible app icant
Remarks Own
Ft
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,.Late Filed ' 00341 `'
� File No.
ZONING PERMIT APPLICATION (510.2)
1. Name of Applica t: ,-Y 50 ooh
Address: 'gip 'f p Telephone: p
2 . Owner of Property:
Address:-. LaTiOA AL.,e _ Telephone:
3 . Status of Applicant: Owner J/�Contract Purchaser
Lessee Other (explain: )
4. Parcel Identification: Zoning Map Sheet# 17� arcel# ,
Zoning District(s) (include overl-ays) j�
Street Address J � ,
Required
5. Existin Pro osed by Zonin
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg.Coverage (Footprint)
Setbacks - front
- side
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus /
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6. Narrative Desc
. 'ption of Proposed W k�Project: (U e additi nal sheets
if necessary) 8� f v,) e ex; eo - lJ� l e,�v
2` &\X - n - - 0, 57
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:_ 5 (0 ( T � Applicant's Signature: e Vf1—�/�
ZApproved THIS SECTION FOR OFFICIAL IISE ONLY: - - - - - - - - -
as presented/based on information presented
Denied as presented
J�d'ason for ial:
S gnatu of Buil�i .. lnspector - a e
NOTE: Issuance of a zoning permit does not relieve an applicants burden to comply with all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission,Department of Public Works and other applicable permit granting authorities.
t+iW
City of orthampton REQUIRED INSPECTION
s2 � tie
BUILDING DEPARTMENT 1. Footings and Palls
� e 2. Structural Components in Places
3. Complete Building*
No.
1018 Office of the Building Inspector
Zoning Form No. 003412 Date 10/11/94 Fee 40 Check# 117
Page, 17D Patel 14 URB Section 127 ❑ Yes 0 No
BUI]LDINGPERM] l
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Kurt Brown before Building Inspections
has permission to strip and reshingle roof Inspection on Site—Foundations
situated on 6 Garfield Ave. 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)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES
Certificate of Occupancy --
Building Inspector �i-