17D-044 (8) PERMIT APPLICATION CHECK LIST
YES NO DATE
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2-. PS . r A-L ,-
3 , 0
3 SETS OF PLANS /PLQI PLAN
5 . NEW CONSTRUCTION
6 , CURB CUT
7 WATER
8 , REMODELING INTERIOR
9 . ADDITION
0 , ACCESSORY
11 , SIGN / AWNING
2 , PERMIT FEE - -MONEY ORD Ma
13 . SPECIAL I IF APP ICABLE
4 . UNDER S - CMR 780
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6 , FILU
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 1 q Additions
a APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location Lot No.
2. Owner's name Address e
oe
3. Builder's name Address
/D�r aio /
Mass.Construction Supervisor's License No. 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 certifi he above statcments ar true to the best of his, her
knowledge and ef.
Signal re of responsible appicani
Remarks
O
gat
IAN 4
Date Filed File No.
ZONING PE IT APF ICATION
1 . Name of Applicant.
Address: Telephone: —
w ,
2 . Owner of Property: _
Address: Telephone:
3 . Status of Applicant: Owner &Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# Parcel# ,
Zoning District(s) (include o r_ lays
Street Address
Required
5. Existing Prolposed by Zonin
Use of Structure/Property
(if project is only interior wor sk to # )
Building height
aBldg. Coverage (Footprint)
Setbacks - front
- side L, R: R:
- rear f NV
Lot size
Frontagte.
Floor Area Ratio
oopen Space (Lot area minus
building and parking)
Parking Spaces
Loading
signs
Fill (volume & locatio
06. Narrative De scrip n of Y-:rop sed k/P jec : (U e a iti nal sheets
if nee s
7. Attached Plans: Sketch Plan Site Plan
8 . Certi ation: I hereby certify that the informati ntained ere.
is u and accurate to the best of my knowledg .
4
Date: Applicant's Signature:
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented-Reason:
Special- Permit and/or Site Plan Required:
F' i g Requ., ed: Variance Required:
S. atur of-gurldinc or at
i
NOTE: lszuartoo of a zoning permit does not relieve an applicant's burden to comply With all zoning roquiroments and obtain all required permits
k___ 1c,71-
from the Board of Hoaith,Conservation Commission, Dopailrnont of Public Wocks and* for applicable permit granting authoritios.
City of Northampton REQUIRED INSPECTIONS
e 1. Footings and Walls
• BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 444 Office of the Building Inspector
Zoning Fonn No. 004389 Date 6/8/95 Fee $20 Check# 5289
Page, 17D Parcel 44 ,Zone URB Section 127 ❑ Yes a No
BUI]LDING PERMIT
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Bob Thibodo before Building Inspections
has permission to Strip & reshingle roof Inspection on Site--Foundations
situated on 62 straw Ave. 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 terns 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
w THIS CARD MUST BE DISPLAYED IN A CONSPI US PLA THE PREMISES
Certificate of Occupancy
Buildin