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o4� TO
„ MRss Etc 11 its etis I,
DEPARTMENT OF BUILDING INSPECTIONS
a
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01000
AS A HOMEOWNER I UNDERSTAND THAT I MAY APPLY FOR AND RECEIVE
A BUILDING PERMIT FOR A HOME OR ADDITION I INTEND TO LIVE IN.
I ALSO UNDERSTAND THAT I AM RESPONSIBLE FOR KNOWING THE STATE
BUILDING CODE AND ZONING ORDINANCE OF THE CITY OF NORTHAMPTON.
BEING A HOMEOWNER AND NOT A PROFESSIONAL CONTRACTOR IN NO WAY
ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE THAT ALL FACETS
OF THE RULES AND REGULATIONS ARE COMPLIED WITH.
X�
Sig re & ate
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
go NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
O
1. Location ric'- d tj r, Lot No, q ,7
2. Owner's name L tC✓�� a- /`vfGrh�c.,* s Gt f;L Address 417 Cr l_,A�I ew Oro r l0 re h c c'
3. Builders name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition C'C f,
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 -� i +
11. Distance to lot lines -ronTSo' le t:ii'd 161 rlQhr SJc 2C ha(A <3q' Pp
T-after buildinu d,,ck
12. Type of roof , e rQ�t 5
13. Siding house
d •
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief ,
�� 1r t
Signature of responfible applicant
Remarks `may( Uh f
Date Filed 1 6 File No
ZONING PERMIT APPLICATION (510 . 2) C1 R r
1. Name of Applicant: �- /'��j A_'Av
Address : Pr,-, 4 jxw t a C Telephone:
2 . Owner of Property: '5
Address : Telephone:
3 . Status of Applicant: Z115w-ner Contract Purchaser
Lessee Other (explain—: �
4 . Parcel Identification: Zoning Map Sheet# 0-9 }parcel# 46a-,
Zoning District(s) include overlays) _
Street Address 1 " %y'e, r/1f /U
Required
5 . Existina Pr000sed by Zoning
Use of Structure/Property ' disc, deck
(if project is only interior work, skip to #0
Building height 1=7` 1 c�.
%Bldg. Coverage (Footprint) . o e Jq-t '4")L d ec.k, 2
Setbacks - front 0Cr 16c
- side jeLr r fa ie T IiL r ht
_ - rear rr 1,4 Ft
Lot size I vo-Cleo ` iod t 100
Frontage 0 a `
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) ck or" y
�
� c r J rid
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: Age; ) J F1 19 q Applicant ' s Signature: ill' ' ��� ' r, °"' � °�
THIS SECTION FOR OFFICIAL USE 0 Ys
- Approved as presented/based on information presented
Denied as presented
eason f r Denial:
igna are of Buil _^ng Inspector late
NOTE: issuance of a zoning permit does not relieve an applicant's burden to comply with all zonirtfl.rt#gttiremer>ts and obtain ail required permits
from the Board of Health,Conservation Commission, Department of Public Works and other applicable'pertttR grranft wthorMes.
APR 2 8
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