23B-030 (3) a
City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 715 Office of the Building Inspector
Zoning Form No. 961 3'sa Date B/15/96 Fee 520.00 C heck#1548
Page, 23B Parcel 30 ,Zone ORB Section 127 ❑ Yes Ll No
BUILDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT tarry Jubb before Building Inspections
has permission to install vinyl replacement windows Inspection on Site—Foundations
situated on 11 Hatfield St - Agnes Rossi 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
provisionsofthe Statutesandthe Ordinances relatingto 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 dale 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 InspectionFinish
** Install per Manufacturer's information: windows, vinyl siding,roofs Smoke Detectors(Fire Department)
and woodstoves
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON T PREMISES
Certificate of Occupancy - -
'001— Building InspectUr
PILE /_ n r J 3 J ( lp
3 t
APPLICANT/CONTACT PERSON:_ ',2 te`�'.'�
ADDRESSrnaONE: ,LOiJlC[F.f%tt_ /jI3L1oZ,
PROPERTY LOCATION:_ `
MAPoT,: 7 PARCEL: . O Z NE,�_
THIS SECTION FORDFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED RE UIRED DATE
Zf)NTNC- FORM FITIRD OUT
11"ilding Perinsit Filled of
urm ndrlinoa_rnrrr'
Aljd'tinn tn,,,
AdrrccnrTSr
BDilding Plane Tn rinrterl•
ClwnrSlatementur I ensell
4 yp� gf➢lune {plot Plun i ,,
TIIE�OLLO WING ACTION HAS BEEN TAKEN ON TATS AP ICATION:
__ Approved as presented/based on information presented
Denied as preseute&
Special Permit and/or Site Plan Required under. §
_PLANNING BOARD ZONING BOARD
Received&Reasrded at Registryof Deeds Proof Enclosed
^Finding Required under,§_---w/ZONING BOARD OF APPEALS
_Received&Recorded at Registryof Deeds Proof Enclosed
/
_Variance Required under.§ wtZONING BOARD OF APPEALS
_ _Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
_Curb Cut from DPW _Water Availability _Sewer Availability
_Septic Approval-Bd of Health Well Water Potability-Bd Health
•_Permit from ConservationCo Ilemn
Signature u /y< Date
NOTE:isaua mer of nin9 Pormit dose at reliava an applioanrs burden to oamply with all
zoning raquiramants and obtain all required permits from the Board of Health, Conservation
Commisalon, Department of Pubtio Woriss and athar appiioabia permit granting authe aloe. —
j file No.�_�'�J
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORBSATION
1. Name of Applicant
Address: f fy. �fl%�'J Telephone: 5YY- J"W,
2. Owner of Property: /T c,/rY-'-�
Address:-�L�74'� ' A/, �' n9� Telephone:
3. Status of Applicant: ,Owner Contract Purchaser Lessee
___�_Other(explain):_
4. Job Location: 7����� C� 6r
Parcel Id: Zoning Map#�,,,,�� Parcel# ,2 District(s):,
(TO HE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed UsseM/ork/Pron}�e1ct/Occupation: (Use additional sheets if necessary):
7. Attached Plans: _Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning neparUre•nl Files.
8. Has a Special PermitNadance/Finding ever been issued for/on the site?
NO DONT KNOW_ YES_„ IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW,_ YES
IF YES: enter Book Page andfor Document#
9. Does the site contain a brook, body of water or wetlands? NO DONT KNOW YES
IF YES,has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained_„:...._ Obtained ,date issued: _
(FORM CONTINUES ON OTHER SIDE)
10. Do any signs exist on the property!? YES NO ,
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property!YES NO1V_
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
aui. �i� w n. rii:ea is
by Ghe B¢ildin9 3lenertmnt
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L:—R:-
- rear
: R:- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# pf -Parking spaces
f%f Loading Docks
Fill:
{vol-ame--& location)
13 . Certification: I hereby certify that the information contained herein
_ G is true and accurate to the best of my knowledge
DATE: dz-3/? 6 APPLICANT's SIGNATURE
NOTE: leauanoa at a zonln Permit dons not raileva
9 p pp o rden to oompty with all
toning requirements and obtain all required permits ro h Board o1 Health. ConsarvaBon
Camrnlsalon. Dapartmant at Publia Worha and other app amble permit granting muthoritlan..
�...,. FILE I
> >
� a '
x a
C n'
T e`
C M O.
>
x �
^ ' y X
Z
> > J
._ M. c z
>
I
i
Zoning
Miscellaneous Additions,Repairs,Alterations.etc. Tel.No,�/`/ "} �! Alterations
NORTHAMPTON, MASS. _192L Additions_
APPLICATION FOR P RMIT TO ALTER Repai ,,
-�/ Garage _
L Location �l j} ' � l F lLl '� Lot No,
2. Owne:s name �.. ' �(o" . Address �y-
3. Buflder'sname Address ��??✓�-Fj/
Mass Canswcvon Supervisors License No. oSS i 3? _Expiration Date �9zT �.
b. Addition �?
5. Alteration �4'�-
--- "Y" is v/,/ Il
6. New Porch /
7. is existing building to be demolished?_.. _
8. Repair after the fire
9. Garage,. No.of cars Size_
14. Methodofheating_..
11. Distance to IN lines
12. Type of roof_
13. Siding house
14. Estimated costy{ j �l
/ t The undersigned certifies that the above statements are we to the hest of his, ha(
knowledge and belief.
ygna�ure of ret�onnble appucm�
Remarks