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Date Filed File No.
ZONING PERMIT APPLICATION
Zoning Ordinance section 10. 2
1. Name of Applicant: �t�� �
Address: `D6- Telephone: X2.2
2 . Owner of Pro pert P Y L L c� ��1 I S n
Address
3�Jt���L>(� ,,� ZAv� Telephone: NY6
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# S Parcel# ,
Zoning Districts)
Street Address
5 . Compliance with Zoning Existing Proposed
Use of Structure/Property QT 'S oo
Size of Structure (sq. ft. ) L tl5 t1trct rx1}
Building height
% Building Coverage
Setbacks - front 2 0 + N 4� , C kkij
- side t-16,1
- rear r
Lot Size
Frontage 4
Floor Area Ratio
% Open Space
0
Parking Spaces
Loading Spaces
Signs
Fill (volume & location)
6 . Narrative Descri tion of Pro nosed W rk Project: (Use
additional sheets if necessary) G
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: �� Applicant' s Signature: ���
THIS SECTION FOR OFFICIAL USE ONLY
Approved as presented
Denied as presented
Reason for Denial:
Signature of Building Inspector Date
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Zoning /
Miscellaneous Additions,Repairs,Alterations,etc. /Tel.No. Alterations K
a NORTHAMPTON, MASS. °�rl. � �� 19� Additions APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location `5 Lot No.
2. Owners name °`j Address c 3 = °t
3. Builder's name i`{� (f� 'vw� Address
Mass.Construction Supervisor's License No. C✓ & Expiration Date &- 3 � /J 9 I l
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? N i
8. Repair after the fire 10o
o -
9. Garage n..2v) No.of cars Size
10. Method of heating C
11. Distance to lot lines
12. Type of roof -S 4` 14"C
13. Siding house
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible applicant
Remarks LIPkAlt-, A/1'141&I�4 lit 0
PR YN, _T�SNOP
VLAM
City of RE Northampton Q
UIRED INSPECTIONS
1 . Footings and Walls
` - BUILDING DEPARTMENT 2 . Structural Components in
Place
3 . Complete Building
No. 661 Office of the Building Inspector
Date October 25 19 90
BUI DING P RMI
THIS MAY CERTIFY THAT Bob Reckman Insp. on Site — Foundations
has permission to _add 3 1/2' to kitchen and remodel Insp. of Plumbing — Rough
situated on 395 Audubon 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 CONSPICUZZR7=C
Certificate of Occupancy
din
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