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Da te Filed File No
Zoning ordinanc•o 80bt iOn 10 . 2
1 , Name o�' A��� .i.cani �
Address : Telephone i
2 , Owner. of Pro mert•v
Address : Telephone
3 , St,at;us of," ALD Qnt OwIIon, Contract Purchaser
Lessee Oiher (e::p).aan )
q , Parcel I dentj.f.icat:J�� : 7�pn•i.nq Map Sheetj,� P'areel#
zoning oist:rict (s) GL U
Street Adclress_____T_�f
5 , gon) li.ance' wit..h Zoning : l:axi.sti.nq Proposed
Use of Structure/Property e
Size of Structure (scr ft . ) ys
Building height
Building Coverage
Set backs - from:
' side
rear
Lot Size
Frontage _
Floor Area Ratio
t Open Space
Parking Spaces
L,oadin,g Spaces
Signs
Fill (volume & ).ocat ion)
6., iar. at.i�ie Description of Proposed work./project !�C�Prolect ; ( Use
additidnaJ sheets if neeessar/y
7 , Attached Plans : ske�: I Plan Site Plan
e , Cgrt'i ca�jon : I hereby certify that the 'ingprmation, contained
herein is true and accurate to the best of my knowledge ,
Date ! Applicant ' s Signature :
THxS SUCTTON—FOR-O—FP X—C YAL USL O—Iq—T Y
""Approved as presented
Denied as presented
Reason for Denial :
Signature Of- S011d.ing :CnSpector.
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
1 Additions
2az"""'"roy NORTHAMPTON x}26 �
MASS. 19 c
e '
'• ' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location Lot No.
2. Owners name �-'11 •° Address ?�' . ,,, .. . ,� 27.1' yr '.fy t
3. Builder's name e-1/r e, j' Address
Mass.Construction Supervisor's License No. I 7 1 ,a Expiration Date
4. Addition
5. Alteration Q
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage IN 0 No.of cars Size
10. Method of heatingt
11. Distance to lot lines
12. Type of roof '
13. Siding house �j Q
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
%aoacjedge and belief.
Signature of responsible pplicant
'�-
Remarks
PRIN, .TaSHOP
•Y
City of Nor ton REQUIRED INSPECTIONS
$ 1 . Footings and Walls
BUILDING DEPARTMENT L . Structural Components in
Place
3 . Complete Building
No. 267 Office of the Building Inspector
Date JUNE 4 19 91
BUI DING P RMIT
Ikh THIS MAY CERTIFY THAT THOMAS PELISSIER Insp. on Site — Foundations
'�� has permission to BUILD A DECK 15 'X16' Insp. of Plumbing — Rough
situated on 105 CHESTNUT STREET, FLORENCE 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
P g 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 CONSPICUOUS LA E O T E PREMISES
Certificate of Occupancy
Building Inspe
P120 P