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DEPARTMCNT OP 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.HOM50WNER 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.
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No, Alterations
a NORTHAMPTON, MASS. l"115r-/l. 19 Repair
Additions
APPLICATION FOR PERMIT TO ALTER Garage
1. Location �"asT /� �sav> Fry-< Lot No.
2. Owner's name w-. Z ,2p e-j - Address 1> 7 tA-*" 7 Aw c"z- eov—
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage 6v ci s►-..`t A-Aa-w 6 n =r s.e. No.of cars 3 Size
10. Method of heating 1A-r /fl 1, 14 e4 0001V71 Ag 14 �/d 1 ��� ao � , S•��/bv� d=P�.� J�o �
11. Distance to lot lines p
12. Type of roof 1` It."11
13. Siding house �-l r C /A, �a�•�'^
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible applicant
Remarks—
PR P
Date Filed File No.
ZONING PERMIT APPLICATION
Zoning ordinance Section 10 . 2
1 . Name of Applicant :
Address : 3 3 (,� � rspti� C ,,,c telephone:
2 , Owner of Property :
Address : Telephone:
3 . Status of Applicant : Owner Contract Purchaser
Lessee OtEer (explain : )
4 , - Parcel Identification; Zo ing Map Sheets Parcel. o ,
Zoning Districts)
Street Address
5 . Compliance with Zoninu: Existing Proposed
Use of Structure/Property
Size of Structure (sa.ft , ) �l� G
Building height ,?
Building Coverage
Setbacks - front
side
' - rear
1 Lot Size L 4
{�. Frontage
Floor Area Ratio
Open Space
` — - Parking Spaces
Loading Spaces --
Signs —
Fill (volume & location)
6 . Narrative Descrintion of Proposed Work/Project: (Use
additional sheets if necessary) 0,11 a g iX r G��.
'V' C,,.* '2)c'/ C � �rt 1 �L �,_max o
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 :_ iv���-lam Applicant ' s Signature :
THIS-SECTIONyFOR OFFICIAL IISE ONLY^ -' _ - - _ _ _ _ _ _ _ _
Approved as presented
Denied as presented
Reason for Denial:
Signature o` Building Inspector Date
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