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INSPSCTCDR 14o1' h mptom t:f on 01000
AS A HOMEOWNER I UNDERSTAND THAT I MAY APPLY FOR AND RICEIVE
A BUILDING PERMIT FOR A HOME OR ADDITION I INTEND TO LIVE IN ,
I ALSO UNDERSTAND THAT I AM RESPONSIBLE'. FOR 101OWING "('FIE STATE
BUILDING CODE AND ZONING ORDINANCE: OF THE. CI 'T'Y OF NORTHAMPTON,
BEING A,MOROWNGR 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
go NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location �S ' f v .f v rz C. e Lot No.
2. Owner s name C �}v % r��5 ra c�r y Address S(� t�)1-'�t
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition �i ` ��i;c'' rcu
5. Alteration
6. New Porch
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:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature o responsible applicant
Remarks
PHINTaSHOP
Date Fiied-____ File No .
ZONING PERMIT APPLICATION (§10 . 2 )
I - Name Of Applicant: C&AGO(f " Fkt'W151� zcc/,.,ev
Address : Te/lephone :
2 . Owner Of Property: ,3y 4&�,C
Address :_____.__ -Telephone :
3 . Status of Applicant: V"Owner contract Purchaser
__Lessee Other (explain 7.
4 . Parcel Identification: Zoning Map Sheet9 Parc �1,�
Zoning District (s) (include overlays)
Street. Address yo rjQ� I r
vleq:iired
5 • Use of S tructure/Property Existing Proposed by Zoning
(if Project is only interior work, skip to #6)
Building height
%Bldg. Coverage (Footprint)
Setbacks front
side
Lot size rear l
Vo
Frontage
Floor Area Ratio
%open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volujij(�, & location)
6......-Narrative Description of Proposed Work/Project: (Use additional sheets
f
necessary)
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 .
Date: 7 -16-71 .- Applicant' s Signature:
- - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - --
THIS SECTION FOR OFFICIAL USE OY.rY -,
Approved as presented/based on information presented
Denied as presented,
-eason for. prnnial :
k8lic mat o�Buildi � Ii
Date
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