29-245 (2) o�`K�pTO
$ � �iGlxsaschnsetts " W
' DEPARTMENT OF BUILDING INSPECTIONS
f �
212 Main Street ' Municipal Building
INSPECTOR un
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 COMPLIER WITH.
c/ignature & Date
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations a
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go NORTHAMPTON, MASS. � 19 Additions� Repair
APPLICATION FOR PERMIT TO ALTER Garage
1. Location Y F Aus I h f"x- 1 Lot No.
2. Owner's name on of S 2. Address r? X�y_S'T f f
3. Builder's name fw�E2 Address
Mass.Construction Supervisor's License No. Expiration_Date
4. Addition 5�Ae_ �
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_ n -
13. Siding house
14. Estimated cost:-
8. GG
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
3 Signature of responsible applicant
Remarks �[J
PHINTaSHOP
; . Date Filed File, No.'
ZONING PERMIT APPLICATION (510.2)
1. Name ;of Applicant: A�WA�
Address : . Telephone: -�
2 . Owner of Property: S&MO -�
Address : Telephone: ry_
3 . Status of Applicant: teYwner contract Purchaser
Lessee Other (explain: ).
4 . Parcel Identification: Zoning Map Sheet# Z9 PareeIJ ,
Zon-ing District(s) �i .cl de over ays) U-/A/+
Street AddressL'�
a2ecYuirad
S . Existing Proposed by , aLiin
Use of Structure/Property _
(if project 'is only interior work, skip to 6) /(v/jC/&f
Building height
%Sldcl . Coverage (Footprint) _
Setbacks - front rJl
side
- rear
Lot size
Frontage
Floor. Area Ratio
%Open Space (Lot area minus - ��-_-
Pullding and parking)
Panting Space.s -_-
Loading
signs _..._
Fill (volume & location)
6 , Narrative Description- of Proposed Work/Proj,ect: (Use additional sheets
if necessary)
_
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 knowled e.
•Dat,e: 01 � Applicant' s Signatur
- w _ -- ^''rHls SECTION FOR OFFICIAL USE ONLY: _ -. -
VApprove'd as presented/based on information' presented
Denied as presented
Reason for Denial: .
S gnature, of Building Inspector Date
NOTE: 1"uanco of it zoning pormit dooa not roNovo an applicant's burdon to comply wlut all zoning raqulrements and obtain all rvquirod porrrits
from Iho Board.of Hoahh, conaorvation commission, Dopwtmont of Public Works and ouior appllcablo pormit granting authoriuoa,
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