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D&PARTMLINT OP BUILDING INSPECTIONS = a
INSnECTOR 212 Main Strect ' 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 CI'T'Y OF NORTHAMPTON,
BEING A,HOMECOWNER AND NOT A PROFESSIONAL CONTRACTOR IN NO WAY
ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE THAT ALL FACFTS
• OF THE RULES AND REGULATIONS ARE COMPLIED WITH.
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Date Filed File No.
ZONING PERMIT APPLICATION
zoning ordinance Section 10 . 2
1 , Name of Applicant :
Address : �"z �� /r�p -rs Telephone : S is' y
2 . Owner of Property : -7- -
Address : Sa,,,,. Telephone : 5•d,,j,
3 . Status of Applicant : izOwner. Contract Purchaser
Lessee Other (explain : ) (
4 . Parcel Identification : oning Map Sheet# i)j Parcelo 1
Zoning Districts)
Street Address G- ./✓mss��s ,�
5 . ' Compliance with Zoning; Existing Proposed .
Use of Structure/Property A/, 4-s C
Size of Structure (sq. ft , ) 7:L
Building height
Building Coverage
Setbacks - front
- side
- rear
` Lot Size / S o sue . 1p ri` . S�aU
Frontage
Floor Area Ratio
Open Space
Parking Spaces
Loading Spaces
Signs
Fill (volume & location)
6 . 'Narratite Description of Proposed Work/Project: (Use
additidnal sheets ' f necessary)
7 . Attached Plans : Sketch Plan Site Plan
S . Certification : I hereby certify that the information, contained
herein is true and accurate to the best of my knowledge ,
Date: , di Applicant ' s Signature :
THIS CTION FORrOFFICIAL USE ONLY
Approved as presented
Denied as presented
Reason for Denial :
Signature of Building Inspector.
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Zoning
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Miscellaneous Additions,Repairs,Alterations,etc. /j Alterations
Tel.No.
a NORTHAMPTON, MASS. � �-1} C, 19 l ( Additions
Repair
APPLICATION FOR PERMIT TO ALTER
Garage
1. Location W4 Lot No.
/fit r r d 6AL .L
2. Owners name/Ife'�i oF' S.y st �v �'/i If Ivy- ;Fd-5 Address S%fGr
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration IV' ry,--// Z-
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire d,--6
9. Garage 'A'd No.of cars Size
10. Method of heating L At"K-
11. Distance to lot lines
12. Type of roof -
13. Siding house
14. Estimated cost:-
3 U e`c ��oU� The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible applicant
Remarks
PPIN, T�SNOP
.y
City of Northampton
° o� REQUIRED INSPECTIONS
$ 1 . Footings and Walls
. a
BUILDING DEPARTMENT 2 . Structural Components in
Place
3 . Complete Building
No. 74 Office of the Building Inspector
Date FEBRUARY 27 19 91
BUI DING P RMIT
THIS MAY CERTIFY THAT NEIL & MICHAEL SAMSON Insp. on Site — Foundations
has permission to Remodel xis ing interior of building Insp. of Plumbing — Rough
situated on 284 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. 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 PL CE N TIE PREMISES
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Certificate of Occupancy
Building Inspe
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FaiNTnSNOP