35-045 (5) o� Jb
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DEPARTMENT OF BUILDIj\'G INSPECTIONS
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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 HOMEOWNER 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.
Signature & r&Ae
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. S56a677 Alterations
go NORTHAMPTON, MASS. /L��19� Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location , -e<.2 64w ,Qn w /�L o.P i'Cr,� AV Lot No.
n
2. Owner's name 6�DGV,6"? J`/. .) L0.?&� Address �����F�/T O f.�orP`` •�: ��
3. Builder's name 69,0lee-` VA.J' vj, Address �`°S'� L!/irT&.4l37-p A
Mass.Construction Supervisor's License No. 0106 o o2 £ Expiration Date 9-f
4. Addition /j � �tT �.;���ofrI
5. Alteration
6. New Porch /)
7. Is existing building to be demolished? A/10
8. Repair after the fire ®
9. Garage,_ O No.of cars Size
10. Method of heating /Y/d
/o-
11. Distance to lot lines C)
12. Type of roof ; fi'e G'.L�.r.� J'15?/-Y6b4L�
13. Siding house_ )
14. Estimated cost:-
� � 9 oa
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of r4Wonsible applicant
Remarks c9 B
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PLAIN, TiSHOP
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Date Filed File, NO."
ZONING PERMIT APPLICATION (510. 2)
1. Name ;of Appligan L?/X, sz .1 Lf
Address ', �'<7 ,� �, Telephone:
2 . Owner of Property: . ✓
Address : , Telephone:
3 . Status of Applicant: er contract Purchaser
Lessee other (expla nt ).
4 . Parcel. Identification; Zoning Map S et# Pa'reel;y
Zoning Districts) (include ov lays)
Street Address 's K73, ek
12egttired .
S . T)xisting Proposed byrot�in
Use of Structure/Property
(if project 'is. only interior work, skip to 6)
Building height_ �_
*Bldg , coverage (Footprint)
Setbacks - front ` , ' 7 _
- sid6 i` Q0 awe
- rear
Lot size
Frontage
Floor. Area Ratio
%Open Space (Lot area niinus
• k;U!,Iding and parking) _...._.�.
Parking Spaces
Loading _._�..
Signs
Fill (volume & location)
6 . Narrative Description of Proposed rk/Project: (fie addition a;l sheets
if necessary) 70 �,�, 4
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: a.f� 1�1- 4'j Applicant ' s Signature;
- w — _ — — -'THIS SECTION r.Ch OFl,fcxAL Usf ONLY: — _ T
' Approved as presented/based on inforniation' presented
Denied as presented
e;sor► f r D, vial :
gnat, r-d of Builda g Inspector Date -
NOTE: Issuanco of a zoning permit doors not rolleve an applicant's burden to comply witli all zoning roquiramonts and obtatrt ail r•vquh-(J ponrits
frorn tho Board.of Monhh, Conservation Commission, Dopartment of Public Works and othor applicable ponnit granting authorities,
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