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DP.PAA'rM1?NT UN 13UILDINO INSP139PIONS _
212 Ivinin Street hfunici )n1 130din
blmghnmpton, Mass, 01000
AS A HOMEOWNER I UNDERSTAND THAT I MAY APPLY FOR AND RECEIVE
A BUILDING PERMIT FOR A HOME OR ADDITI0N I INTEND TO LIVE IT
I ALSO UNDERSTAND THAT I AM RESPONSIBLE: FOR KN0WING THE STATE
BUILDING CODE AND ZONING ORDINANCE OF THE CI 'T'Y OF NORTHAMPTON ,
BEING A,11050NNER AND NOT A PROFESSIONAL CONTRACTOR IN NO MAY
ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE THAT ALL FACETS
OF THE RULES AND REGULATIONS ARE COMPLIED WITH ,
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Zoning t Ala J
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. ry� �tErddM'9
so NORTHAMPTON, MASS. I t [ • 191E Additions
Repair
APPLICATION FOR PERMIT TO ALTER Garage
1. Location U/d � Lot No.
2. Owners name . Address v 1b
F3. Builder's name co o r ^ C� AddressP�l T..69&+C Tajo t? ►1�1
Mass.Construction Supervisor's License No. Expiration Date
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:- I/
` The un rsig certifies that the above statements are true to the best of his, her
know ge elief.
Signatur(e�of responsible applicant
/�.�C/(�C...(-✓La's--"
Remarks
PN\IN�OP
pate T i�} ed » • File No',
ZONING PERMIT APPLICATION
zoning ordinancc andti.on 10 , 2
Name of I z1.i.caI t: ' .��
Address , ~-- e ane ;
Cc
2 . Owl)er. of Pr.oiler,t.y ;
Address : __ �?2• _ �..._ Telephone ;
"/3 . b't&i us off 6pn1 iCant : Owner. Contract Purchaser
Losses Other
"/4 . Parcel Identification : Zon.i.n 14ap She et:d� Parcel �'�,
Zoning District (s) > _
Street Address—
Z, T 2C
5 , ' orynli.ance• with 7aoninv •l'xi•stinci Proposed
Use of Structure/Property 04,Le-
Si.ze of structure (sct , ft )
Building height
0
Building Coverage
"Setbacks - front uucr � -?'
- ..side 9` L e9
- rear `l�t
Lot Size
Frontage
Floor Area Ratio
Open Space
Parking spaces
Loading Spaces
Sign �- ^
Fill. (volume & location)
1ar_rati'Ge Description of 'Pro posed wo :kf Protect ; ( Use '
additi,dnal sheets if necessary)
7 , Attached Plans : Sketch Plan Site Plan
a , Cert'if icat ion t I hereby certify that the ih�prmation, oontained
herein is true and accurate to the best. wff my knowledge ,
"Date ! 3t P9l" Applicant ' s Signature ; `
THIS - SECTION FOR OFFICIAL USE ONLY :
ZApproved as presented i.
Denied as presented ,
Reason for Denial :
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Signature of SLia..lda.ng :fnspeeto . � � pa a '� ��
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