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U(.MATURNT Oil UUILUITIO INSPID7NONS
INSPECTOR 212 Main Sh-oot nduniofpnl 13ullding
Novthninpton, Mails. 01060
AS A HOMEOWNCR 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 TIME CI'T'Y OF NORTHAMPTON,
BEING A,HOhiMINER AND NOT A PROFESSIONAL CONTRACTOR IN NO WAY
ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE THAT ALL FACFTS
OF THE RULES AND REGULATIONS ARE COMPLIED WITH ,
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. M - 1.gyA p d2 Alterations
GO NORTHAMPTON, MASS. �� 19( Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location (O a Aos Tl/y L-,b//y(,.4C Lot No.
2. Owner'sname��H�Qf�L£S ���fyl�. Address
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration K i T..N Co 4'& c>yo — �
6. New Porchl--- �4
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:W/ 4�
0
The undersigned certifies that the above statements are true to the best of his, her
(�! knowledge and belief.
Signature&f1responsible applicant
Remarks
PRINUSNOP
•Y7w
Da.t;e Filed Fila No, --
. r ZO?r:L?ZG c FJIt!dI:`1' APP7�xC.A'.P:CO27 ,
Zoning Ordinance sebtion 10 . 2
] Name of And a.cant: . /iyF-�
Address : /US FG RjFAI l - Telephone : ,SQ6_7
2 , Owner. of Proper. y ; _D _ _
Address : ,-- _ ----- -- Telephone :
3 . 1 St a t u s oi: Annuli c,->»t: ; ZO,in0r _Contract Purchaser
e e
Lsse Other (e::p1.ain }
ti Parcel :f.cient.i.f.icatl�on ; Zon.i.ng Map Sheet,� 1�- I P'arcel�f
Zoning Districts) u,�q
Street Address
5 , Compliance' with Gon.i.nu , . .Existing Proposed
Use of Structure/Property
Size of Structure (scq . ft , )
Building height
Building Coverage
Setbacks - front
- ,.side
{a. - rear ,
Lot Size
Frontage
Floor Area Ratio
% Open Space �-
. .Parking spaces
Loadin'g Spaces
Signs
Fill (volume & location)
6.. 1\1arrati'Ge Description of P r o n o s 0 d Wor Protect ; Use
addita final sheets if necessary)
P.arL
7 . Attached P1.ans r Sketch Plan Site Plan
8 , eert'i ication ; x hereby certify that theih�prmation, oontained
herein is true and accurate to the best of my knowledge ,
Date ; Applicant ' s Signature ;
a",
THIS7SECT13N�F3R OPPTCIAL USE ON
L`1
✓Approved 'as presented
Denied as presented
Reason for Qenial ;
Signature of Building ,cnspectcr. Dada
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