23D-040 (4) .�° �• City of Northampton REQUIRED INSPECTIONS
A �
L �� ' ��e 1. Footings and Walls
V.4,1. BUILDING DEPARTMENT 2. Structural Components in Place*
‘t , 3. Complete Building*
No. 319 Office of the Building Inspector
Zoning Form No. 962145 Date 4/22/97 Fee $40.00 Check# 1236
Page, 23D Parcel 40 ,Zone URB Section 127 ❑ Yes ® No
BUIL,DING PERMIT
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT JLH Design - Jeff Haskell before Building Inspections
has permission to Remove slate roof,1/2" CDX ply & shingle front section Inspection on Site—Foundations
situated on 67 Milton St - Stacy Page 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
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ONIft P ISES
c Certificate of Occupancy
Building Inspector
i FILE # 962145 331
APR 2 21997 �p _
A.PPLI T/CONTACT PE S,ON: — Oc
,0-0 ADDRLI`§PHONE: 4// de - ,5.e(,--6 e 7
PROPERTY LOCATION: 6 7 - 2Pa _
MAP ,9 3 I) PARCEL:
THIS SECTION FOR-OFJ ICIA.L USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FIRM FTT.T.F,TT! OTTT
Fee Paid
Rnilding Permit Filled nt �
Fee Paid e ./vtq3& t1/1'—
Type of C'nnctnnrtinn•
New C'onctnirtinn L/0. YL9v`-e
Remodeling Interior ya � K.,e 1 4'
Aciditinn to Fxicting 4Ae4- eep -i % , f �3L
Arreccory Structure
Ruilding Plane Tneluded•
owner/Orrnpant Statement n T.ice ice# 400A, // 4-------
3 Sete of Plane /Plot Plan
T/FrOLLOWING 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 Healtt, Well Water Potability-Bd Health
i se ...41 n '...•.°1 on
7/ 2 92
Signature of Building Inspector Date
NOTE:Issuanoe of a zoning permit does not relieve an applloants burden to oompty with all
_ zoning requirements and obtain ail required permits from the Board of Health, Conservation
Commission, Department of Publlo Works and other appiioable permit granting authorities.
if rr 1.
Pli., 2NT
�� 2
DEP T OF 8l1}I P'NG INSPECTIONS Fi 1 e No.9ar�s
ZONING PERMIT APPLICATION (§1 0 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: N fr. /4/9 SK L 1 LL J \ Ot, I4vki
Address: 6 I l RiOcJS% 8 r.- V. Telephone: s86" 60 7
2. Owner of Property: infs. Sic, (.4 P46-c,.
4Address: 7 Ott r o r1) S ) t r c I Telephone: 86 — S /SB
3. Status of Applicant: Owner / Contract Purchaser Lessee
Other(explain):��
4. Job Location: 6. / /"u1 L Ip.1} S T,
Parcel Id: Zoning Map# p Parcel# /21(P; District(s): ,..a/2-6—
(TO(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property P t? S
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): •
at mouL SU i Ron % illci I w S tall /1. if CQx FAI : i-os ,. a
/O c 4 ." chi.-J k•I✓ S . 1' r J % SAC 10..7 or tR 00 C
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 Permit/Variance/Finding ever been issued for/on the site?
NO A. DON'T KNOW 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 X 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 }C ,
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO )t
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 - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
of -Parking Spaces
# fof Loading Docks
Fill:
vol-ume -& location)
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowledge.
l' Y
DATE: APB, v, ��, ��j� 7 APpLICANT's- SIGNATURE �
NOTE: issuanoe of a zoning permit does not relieve en appli a�s rden to oomp withall
zoning requirements end obtain all required permits from the ,= • - of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
FILE if
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/ Zoning
Miscellaneous Additions,Repairs,Alterations,etc. p Tel.No. 'S b^ 6 0 78 Alterations
• • NORTHAMPTON, MASS. A1 r, ` `�►7., l ;)q �7 Additions
t'- ` .A' APPLICATION FOR PERMIT TO ALTER Repair
B
Garage
_
1. Location C� *7 M► L1-0 ) S 1 r. .c t Lot No.
p
2. Owner's name 1 A t
G-'Imo. �Address 7 M► L rO h) 1//��.
3. Builder's name J L. ' S' & ►'J Address 4 I ! R ► tier S ;d r. Or.
Mass.Construction Supervisor's License No. Oo 8 6 I f Expiration Date 1 • a i ` g 7
4. Addition // 1
5. Alteration / c'olk� S L4�� � �.-� t !•,� S tc{ �L.. C 1,A D` , i.0 S la_<<, yt�La
6. New Porch t 5 N+,-J rjv to S ,
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- a a Do,
The undersigned cenifies that the above statements are true to the best of his, her
knowledge and belief.
i W',/L-
/ • i re of responsible appiica
Remarks