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MORTGAGE LOAN INSPECTION'
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SEC: FK.6115 —PCT.2lp7
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I Hereby report that the promises shown on this plan is not ocated within�:a Flood
Hazard Area as shown on nrpar!•.mont of n.U.n. rrde,ra1 xnsurancn Adrrinistrdti.on MAp9,
Comimin.i.ty Number 250167_ ;0001A
7dpnt•.itl.cntic t�Ap'�
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TO THE SUFFIELD BANK Q r
HOME MORTGAGE CORP. i
AIJb TIIC COIIMON14FALTH LAND Co.-ONLY
OCATIONt
To the best or my knau,ieti(e, informa- LOT '6 INDIAN HILL`ROAD NORTHAM TON
tion and belief, I hereby report: that i
have examined the promises and that this ALMEp NUNtL Y
try ,a AS OCR -r_8, IN
inspection plat shores the improvement• or SURVEYORS-ENOINEE13 -LANDSCAPE ;MRCHITECTt
improvements as located nn QQ•the premises de- SO INDUSTRIAL DR1 E EAST P. , BOX 568
scribed, that the improvement or improve- NORTHAMPTON,M SSACHUSETT8 01060
ments are entirely within lot lines, and
that there are no encroachments upon the SCALE, '
premises described by the improvement or
Improvements of any adjoining prnmises,
except as indicated. I further report,that 6 DAI Et
•t.here are no easements of record affecting THOMPBON c�
the tract shown hereon, cept as noted, NO SO ti ,�( 6OS7' 30, /7
�fCIST 4 Q r
>�r�r 90 93
THIS PLAT 18 FOR IDENTIFICATION PURPOSES ONLY AND DOES NOT OONSTiTUTE A PROPEOTY SURVI
�° •tti�la�by _
1� ,lliHSallrlinurllo � ,
G� D1!PAATMPN7' 011 DUILDINO INSPECTIONS
INSPECTOR 212 Main Stroot ' M, unicilml Building
Northnmpton, Mnss, 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,HOM5OWNER 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 ,
f '
Date Filed File No , _-
TT- ?jo2?j2jG PEIRMIT APPI41C.ATXON
0oni.ng Ordz)ietnce Sa6ti.on 10 , 2
1 . Name of ArnLI.i,cant: ; z.N�_W;keAstl
Address : Vii." -- �� J Telephone 1 5K; ;1
_ __ ]tsn1�
2 Owner. of property _ i ✓' ��F�v �.. ,
Addr. ess ; _. t•-.- , H- _ `Telephone ; ;� L-.
3 , Status oi' AjDp._l a cant. 0wn ca)r Con'tract, Purchaser
L e,ssce 0t er (e.xp1a.i.n c )
4 . Parcel Identi.ficat. on Zo i.ng 1Tap Sheet", Parcel#
Zoning Districts) -__-'OCR
Street Address 29nLAAA l all
5 . Compliance' with zon.i.nu : }; .i.stin Proposed
Use of Structure/Property
Size of Structure (sq . ft . )
Building height. _
0
Building Coverage
Setbacks - front r 4 ..
rear
Lot Size
Frontage
Floor Area Ratio
Open Space
Parking spaces
Loading Spaces
Signs _
Fill (volume & Location)
6., 'Mar.rati,�ie Descri.nti.on of Pr. onosed Work Pro ectf ( Use '
addit final, sheets if nece sari ` 'Le"
7 , Attached Plans : Sketch Plait Site Plan
e , Cert;'ifica�ion ; x hereby certify that the 'infprmation, contained
herein is true and accurate to the best of my knowledge ,
' Date ; � 3��1 Applicant ' s Signature ; `�_ +
_ _ - _ _ _
THIS , SECTION�FOR�OPPICIAL USE ONLY:
'Approved as presented
Denied as presented
Reason for Denial :
Signature of Bdilding Inspector ��� Dane. �/
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
go NORTHAMPTON, MASS. � 19 1 I Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location l� Lot No.
2. Owners name -�IXI 'AA- C AeAbL'I Wk Address `S i✓ t�=M'� �
3. Builder's name E;�;L'y'r Z Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition_ Rr� 10 t
5. Alteration
6. New Porch
7. Is existing building to be demolishedQ
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating N I
11. Distance to lot lines ��' ��'- ��a ���� <<✓`E £fit ��'Q �t t
12. Type of roof l�k
13. Siding house
14. Estimated cost:- � �O
I1
The undersigned certifies that the above statements are true to the best of his, her
1� knowledge and belief.
Signature of responsible applicant
Remarks
- PHINTaSHOP
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