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vl.'PAATMPNT UP nUILDINO 1NS11130T►ONS _
IFlSPEC1'OR 212 n:fnin Street I1?uniell�nl 13ufldh�� , '•=��'
Nortlinmpton, lAnss, 01000
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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 TIME CITY OF NORTHAMPTON,
BEING A,HOM5ONNC.R AND NOT A PROFESSIONAL CONTRACTOR IN NO WAY
ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE THAT ALL FACFTS
OF THE RULES AND REGULATIONS ARE COMPLIED WITH ,
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.Noe Alterations
a NORTHAMPTON, MASS. f,7- 9 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location Yf/�(/-5 l� C,F? Lot No.
2. Owner's name d I')cc l�— f s$ Address C-r ZL,1i, Q,�e
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition c o ye✓' e?c:�l po r : t
5. Alteration
6. New Porch l a ;/L 19),-c `t
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 rA 6/ ,e– A Sy U Z
13. Siding house
14. Estimated cost:- O 0
i
The undersigned certifies that the above statements are we to the best of his, her
knowledge and belief.
Signature of responsible applicant
Remarks
PR tN, T�.SHOP
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Date Filed File No.
ZONING PERMIT APPLICATION ($10.2)
1. Name of Applicant:
Address: ,�,� s f;�, C,`�. Telephone: �-�• 2
2. Owner of Property:
Address: Telephone:
3 . Status of Applicant: !/owner Contract Purchaser
Lessee Other (explain: )
4. Parcel Identification: Zoning Map Sheet#-4� Parcel#-?YS',
Zoning District(s) (include ove;lays) 61rj�2
Street Address
Required
5• Existing Pro osed b Zonin
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%Bldg.Coverage (Footprint)
Setbacks - front
side
rear '
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
- - Loading — - -
Signs
Fill (volume & location)
x b. Narrative Description of Proposed Work/Project: (Use additional sheets
.a
. Zz f£_necessary)
Lv, Le
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7. Attached Plans: Sketch Plan Site Plan
8 Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
Date: Applicant's Signature:
- - - - - - - - - - - - - - - - - - - - - - - -THIS SECTION FOR OFFICIAL US$ ONLY: - - - - - - - - -
Approved as presented/based on information resented
P
D as ese d
Re o
Signature of Bu g Inspector Date
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