35-007 (7) �:� i
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9 � �lassacl�nsetts -
of Xort4ampton
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(office of the "Inspector of jouilbings
212 Main Street*Municipal Building = ��
Northampton, Mass. 01060
COMPLAINT SHEET
Complaint No. �,-
How received: Telephone ( ) 0 p
Personal V� ( , 19% Date:
Letter ( ) Time: A.M. uP.M.
DEP?.OF BiltsOtNR ECTIQ. 1 3
NORTHAMPTON,MA.01060 Telephone No. y
Complainant's Name: tzq La
Complainant's Address: 5 �14 ,i
DEPT. OF SU11LDING INS?E4,'ONS
Complaint received by: 212 Many Street
VIOLATIONS OF: W)rthampton. Maas. oioso
❑ Chapter 44 Zoning Ordinances, City of Northampton
❑ Chapter 802 As Ammended Mass. State Building Code
❑ Sanitary Code, Art.2
Complaint reported against:
Name: �� -�-► ti / r4 )4 1 jt�T��Tc� )= Tel.
Address:
Location of complaint: T t� n �_= Ji Aap# _ Lot#
Signature of Complanants: . - ,
0
Nature of complaint:
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Investigation: Yes ( ) No ( ) Investigated by: 0.1-119 P P
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. �t° y 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location /S i{/ e !r Lot No.
2. Owners name fo,6 Address
3. Builder's name � Address
Mass.Construction Supervisor's License No. —Expiration Date 61/3 0 / �<
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? _
8. Repair after the fire
9. Gage C474 4�)[- No.of cars Size
c
10. Method of heating f ,J�
11. Distance to lot lines / �J --�'/1 Z_ �� � �C}
12. Type of roof
13. Siding house
14. Estimated cost:- , 1 o
The undersigned certifies that the above statements are true to the best of his, her
G � knowledge and belief.
Signature of responsible appicant
Remarks —
r rt �, J ,
Date Filed File No.
ZONING PERMIT APPLICATION (510 . 2 )
1 . Name of Applicant :
t- S
Address : 77` ,,,./, ,'_Telephone:
2 . Owner of Property:
Address : Telephone:
3 . Status of Applicant: owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# .7� Parcel#:,
Zoning District (s) (include overlays )
Street Address
Required
5. Existing Pro Dosed -by Zoning
Use of Structure/Property o -C__ I ck)fi42 C
(if project is only interior work, skip to #6)
Building height I 'y
%B1dg. Coverage (Footprint) f,{`
Setbacks - front ,e
- side L: S_% R: ,C7 L: R: C
- rear .1 ��
Lot size
Frontage , 7y5 i yo-
Floor Area Ratio
%Open Space (Lot area minus
building and parking) _S%n y_ ielj
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Pr posed Wor /Project : f (Uge additional sheets
if neces sary) �, �7 - +��JG'�-t
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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 Applicant' s Signature: 4vc
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
_Approved as presented/based on information presented
Denied as presented--Reason :
Special' Permit and/or Site Plan Required:
in ; ng Re red: Variance Required:
ignatur f Buildin - D to
NOTE: issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities.
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