36-142 (2) e ' �r. Q� IA l!.1-Y•Cl> IT,C ��:� l7';•l'I)bllll'�•11�171I � � _'? fF.{�)
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T;fnIn 3,t1,00 too IKoll 1 33"HdI g
INSPGCTC)R 1lortlinu��'�Pon, 01000
AS A HOMEOWNER I UNDERSTAND THAT I MAY APPLY FOR AND RkEIYE
A BUILDING PERMIT FOR A HOME OR ADDIT10H ! INTEND TO LIVE IN ,
I ALSO UNDERSTAND THAT i AID{ RESPON000 PO KNOWING 'I't,lf STATE
BUILDING CODE AND ZONING ORDINANCE OF •flit. Cl OF N•ORTHAMPT.QN,
BEING kHOMErONNER AND NOT A PROFESSIONAL CONTRACTOR IN NO WAY '
ABSOLVES ME OF ANY RESPONSIBILITY TO f NSURK 'nlAT ALL FACFTS-
OF THE RULES AND REGULATIONS ARE COMPLIED WITH ,
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No..���" `100 Alterations
a NORTHAMPTON, MASS. 5 A✓ 50 19� Additions
Repair
APPLICATION FOR PERMIT TO ALTER Garage
1. Location 3m &00X�Joe, Itde .� /� Lot No.
2. Owner's name Id t �AGo L BQAIZ Address ,300 ,Bre0,�5/p t,/woh , Arynee, ,4L
3. Builder's name OL4)71zr Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition Al 11 fq
5. Alteration ML (dice s craw sJyd
6. New Porch hyA _
7. Is existing building to be demolished? ��S
8. Repair after the fire 0
9. Garage Al Q No.of cars Size
10. Method of heating tV.1 //►►
11. Distance to lot lines 4rcm 4Q- + 5-i feet t4d"
12. Type of roof les
13. Siding house &12
14. Estimated cost:- 01-T620.00
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible applicant
Remark
Pp P
Date Filpd
ZONING PERMIT APPLICATION (510 . 2 )
1. Name of Applicant:-D-9-k;,O -f
Telephorie :
2 Owner or Property,_.p (34,eg4
3 Status of Applicant: owl r-10 Purchaser contract
__V/
--Lessee other (explai-n:
4 . Parcel. Identification: Zoning Map Sheet// Parcalj
Zoning Districts) (include overly s)
Street Address ._,k
5 . Req,i_ired
Use of Structure/Property Existilig Proposed by Zoning
(if project is only interior work, skip to #6)
Building height
G,%Bldg . Coverage (Fcctpri,,2t)___
ethacks f ront ("OX'e-
s i d C
C( _4� rd,
rearito- _. 7-
Lot size
Frontage
Floor Area Ratio
.7=4
%-Open Space (Lot area minus
building and pa.rking)
Parking Spaces
Loading
Signs
Fill (volume & location) --
<6 Nar_rative Description of
Proposed Work/Pro 'Dec (Use additional sheets
"n
necessar
get JG
IL
A"s � -o X
7 . Attached Plans : V/ 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/ Applicant Is Signature:
�';Z_
THIS SECTION FOR C11CIAL USE our
y:
Approved as presented/based on infci..niiation presented
Denied as presented.
aso-n f or eniaJ_
S gnatu e f' Buildj' Inspector Date
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