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$ 6 }Ti lxssacl�asrtfs
DEPARTMENT OF BUILDING INSPECTIONS ?
212 Main Street ' Municipal Buildinge;M
INSPECTOR Northampton, Mass. 01000
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 HOMEOWNER 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.
Signature & Date
O r,'
C A�
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Zoning ~
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No:{ y S ' Alterations
�oasoti NORTHAMPTON, MASS. ry 17f� 19 f 4 "4- Additions C
e - Repair
' APPLICATION FOR PERMIT TO ALTER
w, Garage
1. Location �' i�V L° G � `' �e f��tk14, —N Lot Ne 0.
2. Owner's name �,)< <)i �� Gt7C Wq S Address / ��
3. Builder's name 31 e' Address _
Mass.Construction Supervisor's License No. Expiration Date ��-
4. Addition N16"
5. Alteration '`k ojJ < < `1 `� { r ) Ls Ir L�,ht,� c Y-I I's I? Jor
b. New Porch C
7. Is existing building to be demolished?
8. Repair after the fire �'
9. Garage wv c V L v tNo.of cars Size
of
10. Method eating �'�()I A V `v- �) a Wj)�f V- e� vv- CK`' c`
11. Distance to lot lines
12. Type of roof '
13. Siding house�` 01 s>
14. Estimated cost:- forG` Q° VV"qk ..
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
� �( `%'.`/sue'�C?�> ( � /��•�J �
Signature of responsible applicant
U
Remarks
PH�IN�T�n±S�HOP
Date Piled� T
G . NO
•. ?,Ot•{xHG p1;1ttQT'P T1�1�I,T01�'!'TOH (a�,0 , ?. ) •
P9
Addr,�sa t �.Sr °/c.';c ., Telgphone I 5 �,
2 Owner of Pxorporty t
Address : , t ' (: pu rf, LIP�`C° elephone l _..._,
3 , . i9tat:us 'of Applicant ; Owner Contract; .Purchaser
Lessee �Otller (explain i
41 Parcel dentificatioll 2onincl 1,1 'Sheet�� ,.
Zonii'ICj Distzict ( �) (include o erl e fir' . T -- _I_
Street Address
51 G�Y,.i.s�� PLo oaad i 1iYcl��i. lo�
Use o�. Structure/Property
(if. pro� oot 'is only intGI:io7 tivo>_•5;, to G
Bui-Idiiig height
kP1c1Cj 1 Coyer age (Floot;pririL,). ^
S,et?;lacks Vront
rear
Loll' s i z e --
,
r P oor, Area Ratio
kOptill Space (Lot; drag 'minus
)nr. ''Yd.ng anc( park.ing) _ .(
FarrAino.( �3paaca,a
'�j ading �.
6 , Narrntive Description- of Proposed Work/l)r, o eat; (U AG addit. II vets
if J 11 r.U o 5 s a x`y``) N1L: /r ry r m< N; ' r, U vmE zi ---
re' • 1 .�C.+c'l.y��' W Y V IY I Z (.� 1
.7 . ; ' Attaohe;d Plans , sketch flan site Plan
8 ,' Certi::ication t 1.1 ' hereby certify that the ilii'ormation obnt;•zt < :°Gin
^ ' i•i t:r%AA anet aeoura;te to the bast of my knowleclge 1
h" _ Applicant '-a signature t � �
'AiB S C'PTOH YOR OTI'1d0f,nL- U132 01•LY I
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NOTit IOUanoo o(a M111Q,pormll dooa not rollw o an applicunN butdon to comply with all zonlno roqui(omom and Own
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