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INSPGCTCR Noi tlinm��ton, !rinsr;, O10(�0 —''
AS A HOMEOWNER I UNDERSTAND THAT I MAY APPLY FOR AND RICEIYF.
A (BUILDING PERMIT FOR A HOME OR ADDITION I INTEND TO LIVE IN ,
I ALSO UNDERSTAND THAT I AM RESPONSIBLE FOR ?,MOWING .IIIE STATE
BUILDING CODE AND ZONING ORDINANCE OF THE CITY OF NORTHAMPTON,
BEING AAdO(rfLrOWNERAND NOT A PROFESSIONAL CONTRACTOR IN NO WAY
ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE TIIAT AU. FACaTS-
OF THE RULES AND REGULATIONS ARE COMPLIED WITH ,
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
�a (,T NORTHAMPTON, MASS. i ( 19 \/
e Repair
�"""'" tie Additions
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APPLICATION FOR PERMIT TO ALTER
� Garage
1. Location LAC ST Lot No.
2. Owner's name rl OR() 04 AM t e-S Address ;2,
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
k Porch R2
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
12. Type of roof
13. Siding house
14. Estimated cost: ,L
'TT The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible applicant
Remarks
'\
PRIN, _T�SHOP
.y
1
Date Filed File No.
ZONING PERMIT APPLICATION (§10.2) _
1 . Name ,of Applicant: k Ml Mi'l-e-5 _
Address: � 1 C.AYe S7• ctoC,e� Ce Telephone: 5X �Zti3�--__
2 . Owner of Property: ffj& .A A jA,,c\%*ffS
Address : 9.1 s? Telephone:
3 . Status of Applicant- Owner Contract Purchaser
' Lessee 76t—her (explain: pf}v�h*ee, )
4 . Parcel Identification: Zoning Map Sheet# 1'7C, Parcel, __.L__r
Zoning District (s) (inclu e ove
Street Address --
Required
5 . Existing Proposed b Capin
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
setbacks - front
- side
- rear --
Lot size _
Frontage
Floor. Area Ratio
%Open Space (Lot area minus
building and parking)
:Parking Spaces
Loading
signs _ ---
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) Rebpu Ott,g as)c�L S) ,ecr`, P0,4 S)e(e P0J'ct\. ---
'�rh env, �.►t� rP rn���n .�:��1�`r s�•z��
7 . Attached Plans: 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: S Z4 I Applicant ' s Signature:
- _ - - _ THIS SECTION FOR OFFICIAL USE ONLY: ._
Approved as presented/based on information presented
Denied as presented
Aso y for D ial:
S gnatur of Buildi nspector Date _
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required pennits
from the Board.of Hoalth, Conservation Commission, Dopcutmont of Public Works and other applicable permit granting authorities.
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City of N REQUIRED INSPECTI NS
f 1 . Footings and Walls
BUILDING DEPARTMENT 2 . Structural Components in
Place
3 . Complete Building
No. 490 Office of the Building Inspector
Date August 30, 1991 19
BUI DING P RMIT
THIS MAY CERTIFY THAT Heidi Adamites Insp. on Site — Foundations
has permission to Rebuild back deck & side porch. Insp. of Plumbing — Rough
situated on 21 Lake Street 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 CONSPICUOU PACE N THE PREMISES
Certificate of Occupancy
Building In or
P MF P