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DEPARTMENT 01+ DUIGDING 1NSPG+Cf10NS _
212 Main Strect Municipal Building
INSPECTOR 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,HOMTOWNER 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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Date Filed File No,
ZONING PER241T APPLICATION
Zoning ordinance Sebtion 10 , 2
11 Name of Applicant :
Address : (`W- Telephone :
2 , Owner of Property : g�
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Address : IAq A- — -- _ _ Telephone :
3 . Status of Applicant ; k_ 'ow11Cr. Contract Purchaser
Lessee Other
4 . Parcel Identification :. Zoning Map Sheet#,-;)5C P'arcel# /Z
Zoning Districts)
Street Address � r L W- (j,,
15 , Compliance' with Zoning : 'Existing Proposed
Use of Structure/Property
Size of Structure (sq . ft , )
Building height
Setbacks
Building-,coverage
,„side
� 3 rear '
Lot Size
Frontage
Floor Area Ratio
k Open Space
Parking Spaces
Loading Spaces
signs
Fill (volume & location)
6., 'Narratite Description of Proposed Work/Project : (Use
addit;6nal sheets if ecessary)
7 , Attached Plans : Sketch Plan Site Plan
a . Cert•if ica�ion : I hereby certify that the 'information, contained
herein is true and accurate to the best of my knowledge ,
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Date : •� `!,5 �— �/ Applicant ' s Signature
THTS . SECTION FOR_OFFICIAL USE OlgL`l
! fApproved as presented
Denied as presented
Reason for Denial :
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Signature of Building inspectors n Date. ✓4; ��
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. � t Alterations
a NORTHAMPTON, MASS. / t(f,j �, k / 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
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1. Location /r'��- h r 7,! `' Lot No.
,�� � T � -
2. Owner's name �/ t7/ � lt�°Li 1�--? Address
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
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9 No.of cars Size
10. Method of heating
11. Distance to lot lines �j7—' ` STS �� 2 s i
12. Type of roof
13. Siding house
14. Estimated cost:- G�
The undersigned certifies that the above statements are true to the best of his, her
knowledge and bplief.
Si lure of responsible applicant
Remarks
PLAIN, TnSNOP
4� PT City of Northampton
REQUIRED INSPECTIONS '
1 . Footings and Walls
BUILDING DEPARTMENT 2 . Structural Components in
Plac
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3 . Complete Building
No. 1 n1 Office of the Building Inspector
Date MARCH 18 1991
BUI DING P RMIT
THIS MAY CERTIFY THAT EDWIN ANUSIEWICZ Insp. on Site — Foundations
has permission to BUILD A 8 ' X 12' SHED Insp. of Plumbing — Rough
situated on 49 A GRANT AVE. Insp. of Plumbing — Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date. Building Insp. — Finish
Note: A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLAC ON THEPREMISES
Certificate of Occupancy
Building Inspector
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y City p of Northam ton REQUIRED INSPECTIONS
1 . Footings and Walls
BUILDING DEPARTMENT 2 . Structural Components in
Place
3. Complete Building
No. 1 o1 Office of the Building Inspector
Date MARCH 18 1991
BUI DING P RMIT
Q�
THIS MAY CERTIFY THAT EDWIN ANUSIEWICZ Insp. on Site — Foundations
\ has p ermission to BUILD A 8 ' X 12' SHED Insp. of Plumbin g — Rough
situated on 40 A GRANT AVE. Insp. of Plumbing — Finish
rb provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date.
Building Insp. — Finish
Note: A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLAC ON HE PREMISES
Certificate of Occupancy
Building Inspector
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