12C-085 (2) s '• p '
r
����
_ ,�_
i � ��U�
(Y
v 3 '� j
0 I L//
V�
��
� �
� - rv� '' � --.
� � �-
l� � �� �_
� � � ��
� r �'�E
� �
l
iIV 10
o �.
d
a
0 r b O
Cn Z
5 > ° •"
sz tri
I ro
,q Zoning
Alterations����
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. q
a
N
ORTHAMPTON, MASS. 191 _ Aditions C APPLICATION FOR PERMIT TO ALTER Repair
f Garage
1. Location 1 ,� C Lot No
i
2. Owner's nam i VX1q Address
3. Builder's name yn G d Address
Mass.Construction Sup I isor's License No. �q,_qZ7 q6 Expiration Date 3�
4. Addition
P G�'
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines b P[ 3 ! i We
12. Type of roof
13. Siding house
14. Estimated cost:- ^� /�� Q 3 pC `�' Q The undersigned certifies that the above statements are true to the best of his, her
knowledge and elief.
y
Signature of responsible applicant
Remarks
�a<
PRINTnSHOP
Y:�a
Date Filed ^- File No ,
Z011ING PERMIT APPLICATION
Zoning Ordinance 13ebti.on 10 , 2
1 . Name of Anpl-i�.ca -n-t-: ; �
Address : ..T_�fyr / Telephone
2 , Owner. of Pro er. �t_y ; J t
Addr. ess ; - -�-� _ � Telephone ,
3 Status a. Apn <a
1ic nt: ; olelnel. Contract Purchaser
Lessen- Other (expliain ; )
4 . Parcel ldent.i.ficatLgn !Zoning Map Sheet` ��� 5arcel���—
Zoning District. (s 1/K
Street Address ia �'C Off-i- G
5 . Compliance* with Zon.i.nu ; la i.sti.•ny Proposed
Use of Structure/Property C!')t 12 -Size of of Structure (su , ft .
)
Building height
Building Coverage
Setbacks - front — ,
- ,side
y{1 - rear , -
Lot Size
Frontage
Floor Area Ratio
Open Space
Parking Spaces
Loading Spaces
Signs '
Fill (volume & l.ocati.on)
6., 'Mar.rati,�ie Description of Pro se Wor Pro ect ( Use
ad i 'final sheets If neces ary)
or) r or-
71 Attached Plans : _J� Sketch Plan Site Plan
t3 , Qert'.:ffica� i.on : I hereby certify that the `i hn prmati.on, oontained
herein is true and accurate to the best of my knowledge ,
Date !. q t Applicant ' s Signature ; 7
THIS-SECTION 'FOR'OFFICIAL USE ONL`lr _ ._ _ _ _
'Approved as presented
Denied as presented
Reason for Denial ;
Y
Signature of BOilding inspector.- Date
__-
6
t
asM-1
-was law;
3'
h
4 {
f
e a -
Ef
TO Aoki
list
MY MYS T
}
S:
Yt +#
1 £
ARM 1130,x N
S.
A via
10111070777: 7,7111
"77
JIM
� mks
i
vfllft � -
City of Northampton °REQUIRED INSPECTION§{
1 . Footings and Walls
1
'►
BUILDING D 2. Structural Components in
.. Place.
3. Complete Building
No. 217 Office of the Building Inspector
Date MAY 15 1991
BUI DING P RMIT
THIS MAY CERTIFY THAT ' TODD M. ROLLAND Insp. on Site — Foundations
has permission to CONSTRUCT A DECK 10'X14' ON REAR OF HOUSE Insp. of Plumbing — Rough
situated on 12 RICK DRIVE 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 /I9t1
months from date of issuance, if not salted. .
Building Insp. — Finish �`9 q'� �
Note:A certificate of occupancy will 4ej6bed 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 CONSPICUO CE ON THE PREMISES
Certificate of Occupancy c