29-503 (2) pB ylluenriluu,llu � , -r. -'��
DISPnitTM(??J'1' ON OU11.00,10 111SI'(SGTIOW x
'210 Halm Strout Kunit;Q nl 73011tIng
Ih�Sn�G1'Q(; ?4o&hnmpton, Mum 01000
AS A HOMEOWNER I UNDERSTAND THAT I MAY /{,PPILY FOR AND R( CEIVr
A BUILDING PERMIT FOR A' HOME OR ADDITION I INTEND TO LIVE IN ,
I ALSO UNDERSTAND THAT I AM RESPONSIBLE FOR KNOWING 'I'FIE STATE
BUILDING CODE AND ZONING ORDINANCE OF THE CITY OF NORTHAMPTON,
BEING A,HOhiTOWNSR 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. ('-7) 3 Alterations
-� G no4-aW.(,4d)
a NORTHAMPTON, MASS. r-1S e -1 19�� Additions , �Repair
APPLICATION FOR PERMIT TO ALTER
Garage
1. Location 81 n L .e X4)/0/- d Lot No.
2. Owner's name r..I--fe, 111 Address t ✓r/(,., h< j)r I-I Q —C4 P_ X,4
3. Builder's name 12+!X O . Address (c,
Mass.Construction Supervisor's License No. C( Q I ` Expiration Date
4. Addition •1-r
5. Alteration 42 f A
6. New Porch Al l A
7. Is existing building to be demolished? ,A/ Q
8. Repair after the fire iU 1 A
9. Garage �(�" No.of cars ,/V f.f Size
10. Method of heating 4.7 1 4
(� f
11. Distance to lot lines E i-c^t J rJ l 1C. �� �1 d y. .3 ,�t 1 d� 4
12. Type of roof 6g- r-,'
13. Siding house AZ
14. Estimated cost:-
7cia. cn, a
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. f
ZIn &A
Signature of responsible applicant
L�
Remarks
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OVDate Filed ' y/ File No.
ZONING PERMIT APPLICATION (510.2)
1. Name of Applicant:
Address: Telephone:
2 . Owner of Property:
Address: VYl t'^ 1� j J Telephone: S -? I f3
3 . Status of Applicant: V--.O'wner Contract Purchaser
Lessee Other (explain: `)
4 . Parcel Identification: Zoning Map S eet#o), l_ Parcel# '501
Zoning District(s) (include verlay/p)
Street Address � j - -_- .L'1 z
Required
5• Existinq Proposed
13v Zoning
Use of Structure/Property
(if proj ent is only interior wo , sk ' to #6)
Building height
%B1dg.Coverage (Footprint)
Setbacks - front
- side
- reaX -�'-
Lot size --
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
-- Loading
Signs -
Fill (volume & location)
b 6 Narrative Descript 'on Of,, Proposed Work/Project: (Use additional sheets
r-,.��Y £;.necessary) - : •���., .g
7. Attached Plans: Sketch Plan Site Plan
$ 8 . Certif ication: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge
Dater Applicant's Signature:
- - -THIS SECTION FOR OFFICIAL USE ONLY: - - - !_ " - r
Approved as presented/based on information presented
' Denied as presented
Reason for Denial:
Signature of Building Inspector Date
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