17C-244 (2) t, W
r
a
ar +B l�l+iscnrlliiurllo � __
DP.PARTM(INT 01+ 13UILDI�\10 IN311t,19♦IONS
212 twain Street ' hsunicil>al 13uliding
INSPECTOR Northampton, joasn 01000
AS A HOMEOWNER I UNDERSTAND THAT I MAY APPLY FOR AND RkCEIYE
A BUILDING PERMIT FOR A HOME OR ADDITION! I INTEND TO LIVE IN ,
I ALSO UNDERSTAND THAT I AM RESPONSIBLE FOR KNOWING '('FIE STATE.
BUILDING CODE AND ZONING ORDINANCE OF THE CI 'T'Y OF NOR'T'HAMPTON,
BEING A,HOM50NNER 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 ,
y ,
IkJ
o
wed j
I
� a s
I y°�
l
r
` of!>fiP/rE� S ect
QA Y.
i
r
VZco �o� ( a L v Huge
New
O
C n
C b O tro"
Y
O rn
bd o �y
y
" O
d o �
y
I
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.,�58 Alterations
a NORTHAMPTON, MASS. 1.�.��t' 19'L Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location f �� t n I"o f Lot No.
2. Owner's name V1 d G k Address ( N K j lU 1
3. Builder's name vi ( 6_11-_111_1A Address
i
Mass.Construction Supervisor's License No. 1 �? Expiration Date
4. Addition Pj f m a k- v
5. Alteration
6. New Porch
7. Is existing building to be demolished? h'
8. Repair after the fire
9. Garage i(.l f No.of cars Size
10. Method of heating v� t Nc �g 44—
11. Distance to lot lines
12. Type of roof t'7
1" LI)0 e J
13. Siding house +.✓<>6 1�
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge an elief.
vz
Signature of responsible applicant
Remarks
PHIyNpTn�SH�OP
Date. Filed File No.
ZONING PERMIT APPLICATION (510.2)
1. Name of Applicant: Cmon J
Address:
N• 1 Telephone:
2. Owner of Property: 5'/�YYIE
Address: � / P W A-T 1U ;-E Telephone: .�
3 . Status of Applicant: \•/Owner Contract Purchaser
Lessee Other (explain
4. Parcel Identification: Zoning Map Shee # / 7 G Parcel#-2 -7
Zoning Districts) (include overlays) Y-
Street Address Cat, c)
Required
5. Existin g PrOIDOsed bv Zonincr
Use of Structure/Property
(if project is only interior work, skip to 16)
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)
i 6 Narrative Descri tion of Pro osed Work/Project: (Us�, e additi nal sheets
�
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 knowledg .
Date: Applicant's Signatur e: t �'
_ - _ - - -THIS SECTION FOR OFFICIAL USE ONLY: - - - - - - - - -
-L k
pproved as presented/based on information presented
Denied as presented
s for D ial•
Sfignatu;(e Of-Building I Date
s✓��/9r
City of Northampton REQUIRED INSPECTIONS
�= 1 . Footings and Walls
t DEPARTMENT � ' Structural Components jai BUILDING
m Place
3 . Complete Building
No. 326 Office of the Building Inspector
Date JUNE 26 1991
BUI DING P RM- —IT
THIS MAY CERTIFIMP ANDRE EMOND & Insp. on Site — Foundations
has permission to ADD A 2nd . FLOOR BATHROOM Insp. of Plumbing — Rough
situated on 91 NORTH MAIN STREET Insp. of Plumbing — Finish
4' 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 Smoke Detectors (Fire Dept.)
return of this card signed by the Plumbing,Wiring and Building
Inspectors. Gas Inspection
S
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE O M,THE PREMISES
Certificate of Occupancy
Building Inspect
P INT SH P