35-190 (2) � a Crzt� of Xort4ampton
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' DEPARTMENT OF BUILDING INSPECTIONS
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INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060 Sv
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.
Signature & Date
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�f Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. \,��`3 30 Alterations _
a NORTHAMPTON, MASS. 3 0 19 %%
Additions
Repair
APPLICATION FOR PERMIT TO ALTER Garage
O �, K\0rC.V\C-e. t JV`� Lot No.
1. Location ��.'alv �C�tr}S Q� S Cr.
2. Owner's name k,�C Addresses CA-C, U A—C QO -
3. Builder's name Address 1~
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration 0X
6. New Porch
7. Is existing building to be demolished? 6
8. Repair after the fire In 0
9. Garage No.of cars Size
10. Method of heating .`'" I,j �-
11. Distance to lot lines
12. Type of roof
13. Siding house b
14. Estimated cost:- S G 0 G d
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. n
XY �� Signature of responsible applicant
Remarks
PA YN, T�SHOP
Date Filed/
r.,
- .fi � � File. No,
ZONING PERMIT APPLICA'T'ION (910 . 2)
1.
Name ,of Applicant:
Adclx•ess ;lfaC, �1,./'; i ,P c7 Telephone:
— —_
2 . Owner of property:
Address ;Zj :(. Art', Telephone: LAT
3 . ,Status of Applicant:2{ Owner contract Purchaser
Lessee Other. (explain:
A . Parcel Identification: Zoning Map Sheet# Parcel;
/go ,
Zoning District (s) (include erlay��
Street Address
Requived .
5 Existing Probosed by., china
Use of Structure/Property
(if project 'is, only interior work, skip to 6)
„ Building height
��31c1�1 . Coverage (Footprint)
t - S.etk,acks - front
- sidd
- rear
Lo t•'size
Frontage
Floor Area Ratio
_. %OP en Space (Lot area minus
building and parking)
- Parkincl Spaces ._
-Signs —_._._..
Fill (volume & location) -
6 . Narrative Descri Lion• of Proposed Wo k Pro ect
if riFcessary) p� p- / (Use additional sheets
7 . ..' Attached Plans : Sketch Plan Site Plan
s . Certification: I ' hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
Date: Applicant ' s Signature: t\ _-
_ - --,rHts s cTioN root o FzaiAZ vs oNI;Y i _ - - _ - ;
Approve-d as �reserited/based on in•for'mation' presented
D ilea as presented
dasorl f c, Denial: .
gna a of Bu g Inspector Date ,--"
NOTE: Issuanco of a zoning pormil dons not rollovo an applicant's burdon to corn
frorn Uw.Board.o(Flonnli, conaorvation Commission, Dopartmont of Public Works and oUUor al zoning Ilclooponnittgra, and otKalrt alt rv<�uirrd i;onn?is
pp ponnit granting aulhoriUod.
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