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29-396 (2) PERMIT APPLICA'T'ION CHECK LIST _3 9 C LLB l' Yes No Date 1 , Zoning Form Application 2, Permit Application 3, Homeowner statement if applicable Lic , It if Pot 4. 2 sets of plans- 5. Curb cut 6. Water Department 7. Permit fee - check only ` ` - �G C. Gc% Ci B. Special Permit required, with dged If anlicable A�Under spct on 127 -_-CMR-IBC- �Q Form A - - a 93 Cam. a.W. .. .i. n.rr�r.m.... ,.._w.wm+.WQ. ......, TOTAL F . ti 1 OQ"TNAMA�O Gl ltd of wortljamptnn N � B �lxsepd�usetts :' � o DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 - 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.nature & Date � � o O C r' tv 'b �• M w c zn o � z y _ o Zoning /Z"-j 4 �' Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.,59V 3V 9-4-' Alterations so NORTHAMPTON, MASS. 'T 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location/060 SO h Al Lofft No. 2. Owner's nam�na d g l am£.i-�.a�rrw 0)2 4-`>k t Address,/06 �vi % Y/t 1 3. Builder'snameGeocbc, )-t6Gn6Ci6CA,2ejW (O-,S/ Address, OOC!%yj//i�-Lc"vBby-b 51- �ie�U�ly1l`a- Mass.Construction Supervisor's License No. _.`000a,J Z_9 S . Expiration Date 6r 30' " 4. Additioo�D X A, 1O1e (J cOnel 5. Alteration V 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 Fjec f, 6stln-oG,cy 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost:-,$,' /Q 000 The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. �^ Signature of responsible applicant Remarks PRINUSNOP 6�NV Date Piled� v yAy. l�ile. No ,' ZONING PEMIT APPLICATION (,rj l0 , 2 ) 1 , Name ;oi Applicant , ohald ry? CUar3�� Address i -t'O& Gt1 C14 TeIpphone I t, 2 , Owner of Pro ert ; 1 �»lc( fe eve�l•• l� '} OZ — Address ; 106 Sq,,� v �uCc-- vel6pjione ,gtatus 0�17 Applicant : owner contract Pu•rchasex . Lessee Ot1jer (explain ; 4 , Parcel xdentificatiott ; zoning 1411p S e t�� PacCG1,i. . � Zoni)')c,� Districts) ( include overlay:) (� St J;a e t Address fir. • ItL• CY1l- : 5 , Gxisi ink Proposed Use o Structure/Property _ ( 14• project 'is only intoriox work, skip to Sui•:l.diily height. ,. kAldc� , coverage (Footprilit) S,etY.tacks - front - side rear -- Lo'i: s i u e _. ._...____.._ ploor, Area Ratio kapok Space (Lot circa 'minus 1:�r.i'•7d.i»q and park.ing) Pa'r ltillc� •Space,s Signs - ..._.._� I'i1;t (vo.Iunto Ei location) _._ 6 , Nar;:nt.ive Description- of Proposed 140rk/Pr.oject•I (Use additionci:l. . ,Iieets ' . . �,� pFC;ossary�evri�UC�o �+' '�hcl '�.el•c/ �• �..�4� y �-� "� Y��cl,�-�� ? ' Attaohed Plana ; ✓S)<etch flan V ,site P1'an Certification ,- 'I , hereby certify that the information oon�uil�ecl hG.rain is true and accurate to the best Of my knowledge , .,Date I Applicant 1•s Signature CHxB AROTION 2'OR 0b'Y10TAL. IT89 ON7aYI d on it orm�tiot' presented DeiieO as presented , 11or �eii ia1 l c na x of Bu lc nc.{�asp ector t© NOTM laauanou of a zonln0,pormll douo no!tolluvo an appllcunn bunfun to cotnpi wlut oil zonlnp roquirumonts and QbW1l n11 (loin IN 6oard,o(Monilh, Conootvauon Commloolon, Poptvtmonl of Pubtlo.Worko and oVior oppllcabto PgTm7—u- l v4, i .. � � ,� 3 � ,� "3 / '� r�-' • *, n y� z O A A CL •� C `'' O Cs7 c C. rp fA A 0 0 O y rA A o ' O O fD �C ob W E3 W3 D <fb wO w ;� A,pn pA�, Q�C, •�p O' ��-�n Q,' �o_ o°A 1 =- a l<0 A 0 o PO�! r Wo�" w a 4 CL ob z 10 ... A CL C vi CT cm c! a �Q td ►•r .w 0•4 0.* ►.i ..i 3 ""j y C C O D O O D O u l 1 A D c A —• c c A oa. C� —o• v o A � 7th o 0 y ' �_ rA o `� A y � � ° o° ►� � a � '° A � � ti0 7d ILI V� -44 4y A y a r.