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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building „
Northampton, Mass, 01060
AS A HOMEOWNER I UNDERSTAND THAT I MAY APPLY FOR AND RECEIVE
A BUILDING PERMIT FOR A HOME OR ADDITION I INTEND TO LIVE IN.
I ALSO UNDERSTAND THAT I AM-RESPONSIBLE FOR KNOWING THE STATE
BUILDING CODE AND ZONING ORDINANCE OF THE CITY OF NORTHAMPTON.
BEING A.HOKOWNER 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.
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Zoning _
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. y" `, Alterations f
Additions
NORTHAMPTON, MASS. 19 - ti
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APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location l `� e ', t-:I L j ; Yvl - Lot No.
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2. Owner's name-
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition ±/!�-
5. Alteration
6. New Porch
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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:-
i
_ The undersigned certifies that the Above statements are true to the best of his, her
knowledge and,belief.
Signature,bf re ponsible applicant
Remarks
R
PflIN, TaSHOP
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Date Filed
ZONING PERMIT APPLICATION
Zoning/' ordinance Section 10.2
1. Name of App 7l
licant: Vl L, i
Address: ,(P Telephone
2 . Owner of Property: _ ; 1\E_
A5 L&L r
Address: Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
0 4 . Parcel Identification: Zoning Map Sheet#1 Parcel# Y��,
Zoning District (s) l ''
Street Address j� 0�, a ,
5. Compliance with Zoninc: Existing Proposed
Use of Structure/Property 9,11i o- 10 `;,,��}� -
Size of Structure (sq.ft. ) eel*
Building height y ' c -
% Building Coverage
Setbacks - front
- side
- rear
ry Lot Size
Frontage
Floor Area Ratio
Open Space
Parking Spaces ,j r
Loading Spaces
Signs -- ?
Fill (volume & location)
o 6 . Narrative Description of Proposed Work/Project: (Use .
additional sheets if necessary)
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 k wl ge.
Date: ��. , -fC Applicant' s Signature: R '
THIS SECTION FOR OFFICIAL USE ONLY _ —
Approved as presented
Denied as presented
Reason for Denial:
Signature of Building Inspector
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x T City U� Northampton REQUIRED INSPECTIONS ��
1 Footings an-MWail
UILDING , DEPARTMENT 2 Structural Component in
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0 .6so Rn Office of the Building Inspector
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Date October 24 *;i 199°�•
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' THIS MAY$CERTIFY.THATj Charles Tyer Insp. on Site — Foundations '
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Mill a ,, ray se`doormers °for studio s ale for h
p Insp. of Plumbing Rough� � `
ion $
}thas pe use ; 7 b
" �$ .
' �= Insp. of Plumbing Finish °
p y, jated,M66- S`traw= Avenue
erson acce tin this permit shall in ever re- .
4c nform p g p y Insp. of Wiring Rough.. s .
provided that the y
�spect o q the terms of the application on file in thisoffice, J
a � � >.<
;�- w Insp. of Wiring Frn�sh`
and to the provisions of the Statutes and the Ordinances relating �� � ,
# �
tefo the onstruct�on;Maintenance and Inspection of Buildings m Insp. of Health (Septic Tanks , µ
a 'the ity of{Northampton. Any violation of any of the terms abovet
,. nf . Buildin Ins Rou h
. oted'_is�a ,immediate "revocation of this permit. Expires six , g p� . g � 3
. monthsfrom`dater Building Insp: Finish ' s '
{
o certificate of occupancy will be issued by this office upon
et rn o this'carrd signed by the Plumbing,Wiring and Building s
(Fire.Dept.'s
Smoke Detectors Fi e
k
Inspectors F4 Gas Inspection
ME,r a � 's' imsd:�y � i _, ,
THISCARD MUST BE DISPLAYED IN'A CONSPICUO S P AC .ON .THE PREMISESY ,x *
s x c
Certificate of Occupancy
' Building In or