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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.N Alterations
a NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location X_ Lot No.
2. Owner's name)�_c�u�-, �l �� ��` l\ _\^ Address
3. Builder's name \�,L t1 .Ci. (`\(1 Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration �h[1, �[1� S�C � 1����i C Q QC'e �C V7i`��
6. New Porch
7. Is existing building to be demolished? H v
8. Repair after the fire 'CA 0
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.
C,
Signature of responsible applicant
qA
Remarks
PRIN, T�SHOP
.y
VLAM
O
Gxf� of Nort4amptnn
DEPARTMENT OF BUILDIAjG INSPECTIONS
a
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.
C
Signature & Da e 1 ! r Aq
I
t PT
. . C-tte filed_ C Pile. No ,'
ONING PERMIT APPLICATION (910 . 2 ) �~
,. 1 , Name ;of Appliea ip
Address., Telophona -
2 . - Owner of Property i �
Address . ? Teldphone :
3 . . - Status of Applicant; Owner contract Purchaser
Lessee 6IT) er. (explaT : )
4 , Parcel Identification : Zoning Map Sh et Parcel;/
Zoning District (s) 1110 td oyerla��)� &
Street Address
5
g&j stincr Proposed
))y ,o rt i na
Use of Structure/Property _
(if. project 'is only into for work, skip to G)
Building height •
kpldg , Coverage (Footprint) --"
• S.etktacks - front
- s idd --'
rear
Lot size
Vrpntage
F-lour, Area Ratio
%Ope:n Space (Lot Brea 'minus
" J:vtl:ding and parking)
Parkinci .Space,s ._. _..... _.
• •�Qad.ing ._.__.
Fil.1 (vol.w,mQ a Zocatibt))
6 , Narrative Descri ion• of Proposed Work/PTOJe,ct (Use addi�ti na' _��lzeats
i� riegessaxy�) h ��le. ,
7', ' Attached Plans : Sketch Plan Site Plan
8 :' Certification. .I ' hereby certify that the information cantaihed herein
^ is true and accurate to the best of my knowledge,
Date , �° � �- L - �� 1• Applicant t•s Signature
THIS SECTION POR OPPICIAL USE ONLYt _ i �'
_Approve-d as 'presented/based on DiforMation' presented
Denied as presented,
Rpt so or Denia'
S nature o ding pat
NOTE; Issuanoo of a zonin ,
frorn the Board.of i•lonlilt, Conant aU n Comml ali n, Dopalmont of Pu Iofttkarand otl or aippiioablooponnit�gra ung m iii uiyr`cfuirt-J pormhj
City of Northampton REQUIRED INSPECTIONS
s 1 . Footings and Walls
BUILDING DEPARTMENT 2 . Structural Components in
Place
3 . Complete Building
No. 692 Office of the Building Inspector
Date December 18, 1991 19
B U1 DING P RMIT
\,ter
THIS MAY CERTIFY THAT Louis & Susan Routhier Insp. on Site — Foundations
Re-roof back porch, add new roof over
has permission to back stairs, replace window Insp. of Plumbing — Rough
situated on 394 Sylvester Road 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 of issuance, if not started. 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 PLACE ON THE PREMISES
Certificate of Occupancy
Building pector
JM
PERMIT APPLICATION CHECK LIST Page & Plot
�y --
Address : ;,q4 ce�C � �— �"��/ ✓�
Yes No Date
1 . Zoning Form Application lam' '
2. Permit Application Ll
3. Homeowner statement if a licable Lic. # if not V
4. 2 sets of plans
5. Curb cut
6 Water Department memn
7. Permit fee - check only -, it
$. Special Permit required with deed if applic e
9 Under section 127 - CMR 780
1Q Form A
City of Northampton REQUIRED INSPECTIONS
s
1 . Footings and Walls
BUILDING DEPARTMENT 2 . Structural Components in
Place
3 . Complete Building
No. 692 (:office of the Building Inspector
Date December 18, 1991 19
BUILDING P RMIT
µ l
THIS MAY CERTIFY THAT_. Louis & Susan Routh ier Insp. on Site — Foundations
Re-roof back porch, add new roof over
has permission to back stairs, replace window Insp. of Plumbing — Rough
situated on 394 Sylvester Road 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 Stal.utes and the Ordinances relating Insp. off' 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. — Ro 9� ') l
months from date of issuance, if not started. Building Insp. — FiYirs
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 PLACE ON THE PREMISES
Certificate of Occupancy _
Building 11r9pector
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