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_ DCPARTMLINT 011 13UILDINO INSPBC'1'I0NS
212 Main Stroct rTunioipal Building —"
INSPECTOR 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.HOM50WNER AND NOT A PROFESSIONAL CONTRACTOR IN NO WAY
ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE THAT ALL FACBTS
• OF THE RULES AND REGULATIONS ARE COMPLIED WITH.
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Date Filed File No.
ZONING PERMIT APPLICATION
Zoning Ordinance Section 10 . 2
1 Name of Applicant : Lw,
Address : �vrc�s C�/,��, �fi r��6arz=� � Telephone :
2 . Owner of Prop ertty: 5�>7 C_P_QAipu e
Address : Telephone :
3 . Status of Applicant : Owner. Contract Purchaser
Lessee Other (explain : ) j
4 . Parcel Identification : Zoning Map Sheet# '2 q Parcel#
Zoning Districts)
Street Address °71 F5 .
5 , Compliance with Zoninct: Existing Proposed .
Use of Structure/Property ,Z C L7,—
Size of Structure (sq, ft , ) r r �
Building height
Building Coverage
Setbacks - front
- side f
- rear
Lot Size
Frontage
Floor Area Ratio
Open Space
Parking Spaces
Loading Spaces
Signs
Fill (volume & location)
6.. Narratite Description of Proposed Work/Project : (Use
additidnalsheets if necessary)
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7 . Attached Plans : —�Z 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 : �ot(cI/ Applicant ' s Signature : ` [ L
THTSrSECTTON FOR OFFICIAL USE ONLY : _ r
IV Approved as presented
Denied as-
presented-Reason for Denial :
Signature of Building Inspector ',, Date
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Zoning [mot X l't-
Miscellaneous Additions,Repairs,Alterations,etc. 1%�f7// Tel.No. R/:'- ," ��' Alterations
a NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
i
1. Location 1 �'r°st - r�,> R-01'P4/r e y Lot No.
2. Owners name[-j u p-L t( � i' Address�l f c��r<f C--I tt42CT r F Ica c2 v6C
3. Builder's name 1SI V _ >< ra Address
Mass.Con struction Supervisor's License No. Expiration Date
4. Addition CQA1;*_-QC Yt:N 0& t = .�,q P
5. Alteration
6. New Porch "-
7. Is existing building to be demolished o
8. Repair after the fire
9. Garage, or ;4 Cu,- Ar f.� cr
� ca /a a w� No.of cars <� Size
A/0 I �_�__
10. Method of heating / 0 f7 e�
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11. Distance to lot lines Era a'+ lc�f at- '1 r
12. Type of roof -� : A&I 1'
13. Siding house 4m 44 �� ic.�t11/ JA/ Ao"its, q F-
14. Estimated cost:- 7,30 0- o p /
The undersigned certifies that the above statements are true to the best of his, her
knowled e and belief.
Signature of responsible applicant
Remarks
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