23D-040 (3) NAN pi,
?oso "Qti City of Northampton REQUIRED INSPECTIONS
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c'=.� a r1P 1. Footings and Walls
-� p �. BUILDING DEPARTMENL2. Structural Components in Place*
3. Complete Building*
No. 76 Office of the Building Inspector
Zoning Form No. 960641 Dat,?, 2/21/96 Fee $40 Check#2199
Page, 23D parcel 40 ,Zone URB Section 127 ❑ Yes ® No
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Jeff Haskell before Building Inspections
has permission to remodel bathroom fixtures & window. Inspection on Site—Foundations
situated on 67 Milton Street - Stacey Page Inspection of Plumbing—Rough d4-acP``7G,� .
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish 72-i4 �4giv�
conform to the terms of the application on file in this office, and to the Gas Inspection 77
provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough y/, ,
Maintenance and Inspection of Buildings in the City of Northampton. �j
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish !/4 3/,2�/9F
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 $ ri 7---,?7- <7‘
Smoke De;Lectors(Fire Department)
Other
THIS CARD MUST BE DI PLA /' D CONSPICUOUS P .AC N THE REMISES
Certificate of occupancy 6p`
Building Inspector
(Ape 7)-21;11 SilTil
FILE # 900641
APPLICANT/CONTACT PERS : YJad/eee-6
ADDRESS/PHONE: G// 71)4 `loa2Q
PROPERTY LOCATION: lv2 ��'
MAP o1 J.� PARCEL: '/s) Z
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONTNCT FORM FIT I ND (MIT ,2//3/9 G
Fee Paid
Building Permit Filled nut L�
Fee Paid (A )1 y LiY
Type of('onctructinn•
New ('nnctriictinn
Remndeling Interinr
Addition to Fzicting -.!�iG�i:l/L�� f pre4 z'?i_
Arreccory Structure
Building Planc Included•
Owner/Occupant Statement n I.irence e)v, CD// L�
3 Setc of Plans /Pint Plan
THE/FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
(/Approved as presented/based on information presented
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received &Recorded at Registry of Deeds Proof Enclosed
Finding Required under:§ w/ZONING BOARD OF APPEALS
Received& Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING 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 fro Conservat• om • ion
Signature of Building Inspector D to
NOTE:issuanoe of a zoning permit does not relieve an appiloants burden to comply with all
zoning requirements end obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other appiioable permit granting authorities.
File No. gLP!/o FEB 5
ZONING PERMIT APPLICATION (§10 , 2r mGitisn,-.no s
01660
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 1 gmk,1.
Address: b 1 ( {''�+ wj— �,'� L Telephone: S7 . 60 77
c
2. Owner of Property: ail S , ,f
Address: 6 7 ( i L 1J-3 Telephone: SIZ
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Street Address: 7
Parcel Id: Zoning Map#' '3 37 Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Qs--/V717../.„6 A°
6. De(�1Gription of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): •
#U
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 Department Files.
8. Has a Special PermitNariance/Finding ever been issued for/on the site?
NO DON'T KNOW X YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO DON'T 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 K
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This column to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnf
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
•(Lot area minus bldg
&paved parking)
# Pf -Parking Spaces
# of Loading Docks
Fill:
(volume & location)
13 . Certification: I hereby certify that the information co tained herein
( is true and accurate to the best of my knowled
DATE: - /c- Q , APPLICANT's SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an ap nt' bur e to oomply with all
zoning requirements and obtain all required permits from t Board of Health, Conservation
Commission, Department of Pubilo Works and other applioab a permit granting authorities.
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
iiki:r NORTHAMPTON, MASS.Cr".7
19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location ,r3 I L l'►+ L j -.D ,S t .L kA,,.,(J t C)1 Lot No.
2. Owner's name 1 A G-t Address 1-,"7 M. L-i- S
3. Builder's name - cg) 1'1 n-+\C,L Address 6, 1 I a t -j c.., ` sr,
Mass.Construction Supervisor's License No. Q aq4, I ( Expiration Date 1 a,- a i - g 1
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- 4, ,SO o. `-�
The undersigned certifies tha the a ve s t ems are true to the best of his, her
knowledge and beliek I
'/�f;'
nature of responsible applicant
)..57
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