35-168 O O
G11tV of Nort4anyton z =
$ � �Iassad1usetks T
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.
ignature & Date —�=
�a� y
Date Filed File No.
ZONING PERMIT APPLICA'T'ION (910 . 2 )
1 . Name of Applicant:
Address : Telephoner
2 , Owner of Property: off. "Z . CALt-u q- ---
Address : \� `� Q 1 + ��► Telephone:
3 , Status of Applicant: ✓Owner Contract Purchaser
Lessee other. (explain:
4 Parcel Identification: Zoning Map Sheet# �� ParceiJ
Zoning District (s) (include overlays)
Street Address /3,39' ec, rr i� 2 __---_-__--
Reciuired
5 . Existing Proposed by___rgLiin
Use of Structure/Property
(if project is only interior work, skip to ,#6)
Building height
%B1dg. Coverage (Footprint) _
Setbacks - front
- side
- rear
Lot size
Frontage
Floor. Area Ratio
%open Space (Lot area minus
luilding and parking) _
Pa.rl,ing Spaces
Loading _ ---._.--
Signs
Fill (volume & location)
6 , Narrative Description of Proposed Work/Proj.ect: (Use addit-J or, t:i. sheets
if necessary) ls�rza.� �e�c ►� ►moo . lei., n► > �_. "��� Cam,
7 . Attached Plans V 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: C.-Zk., ._ ct1 Applicant ' s Signature : L
-- - - - - - - - ^ THIS sEcTiON r R OFFZcIAL U8 3 ONLY: - - - -- -
_ZApprove"d as presented/based on information presented
Denied as presented
Reason for Denial :
Q �----
Signature of Building Inspector Date
NOTE: Issuance of a zoning pormit door not rolicwo an applicant's burden to comply with all zoning requiramonts and obUti all i;i,nrrta
from the Roard.of 1-loallh, Consorvation Commission, Dopwtmont of Public Works and othor appiicablo ponnit granting authorities.
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. ST'A S'13 Alterations
a NORTHAMPTON, MASS. �_��—Cpl 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location cdc-" 'P i-r �!O Lot No.
2. Owner's name c�\n C'l4iZ�rt.tZ Address
3. Builder's name `S-0 k,,L,,- lZ Z. C A Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration _
6. New Porch IN '- 61 `/fs _T'�Z„tu � L��� i�.i°� ��� s�S ���5� 9�
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:- 1 0 o . C, U
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. —,—
Signature of responsible applicant
Remarks
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