29-314 (9) � � "A �:I�1�>• iT,f �iT.L"�'�rtllll'�.7'�:plY � � —
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DISPARTM13IN'1' O1+ WILDITNO INSPP.CI`IONS
INSPgCTOP 212 Main sh'00t T,tunic �nl 13ufldh� /�
Northampton, Mass. 01000
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 '[HE CI'T'Y OF NORTHAMPTON,
BEING A,HOM50NNER AND NOT A PROFESSIONAL CONTRACTOR IN NO WAY
ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE THAT ALL FACTS
OF THE RULES AND REGULATIONS ARE COMPLIED WITH ,
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No -1—S)SL Alterations
a NORTHAMPTON, MASS. �- -- f 19 Additions
Repair
APPLICATION FOR PERMIT TO ALTER
�` (�j, Garage
1. Location oU h 7Jt- . ]� ) Lot No.
2. Owner's name Address • ��
3. Builder's name. 1 1Address t3
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
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6. New Porch ,vt)c
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 roofs
13. Siding house
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
i
Remarks
PNINUSHOP
� f
Date Filed �f___ j _ �j File No.—
ZONING PERMIT APPLICATION (510.2)
1. Name of Applicant: G /
Address: Telephone
2 . Owner of Property: L /
Address: mot, Telephone
3 . Status of Applicant:XOwner Contract Purchaser
Lessee Other (explain: )
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4 . Parcel Identification: Zoning Map Sheet§A-q— Parcel#3i&,
Zoning Districts) (includ overlay )!
Street Addres
Required
5 . Existing
Pro osed
by Zonin
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
tB1dg.Coverage (Footprint)
Setbacks - front
side -70,(,
- rear
Lot size
Frontage -' - ,
Floor Area Ratio
%Open Space (Lot area minus _
building and parking)
Parking Spaces
Loading - --
Signs
Fill (volume & location)
6 Narrative Description o Proposed Work/Pro 'ect: (U e a ditional sheets
{
xa £ necessary) : fi
7. Attached Plans: -Sketch Plan Site Plan
8. Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
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Date: _. ,f _ Applicant's Signature: i�/l rl 11
THIS SECTION FOR OFFICIAL USE ONLY: —
!L Approved as presented/based on information presented
Denied as presented
ReVon f r De al
Si ure uilding ector late
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