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DEPARTMENT OF BUILDING INSPECTIONS _•
INSPECTOR 212 Main Street ' Municipal Building
N orthampton, 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 & Datk
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. ig Additions,
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location // Q 'vl n Lot No.
2. Owners name / t/S Address
3. Builders name ?�a" k�4.12 Address
Mass.Construction Supervisor's License No. A)1A Expiration Date
4. Addition ✓ -.)LAC
5. Alteration
6. New Porch
7. Is existing building to be demolished? A)O
8. Repair after the fire k)0
9. Garage /)b No.of cars Size
10. Method of heating M6-
11. Distance to lot lines
12. Type of roof Al 6 n'
13. Siding house
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature'ooff responsible applicant
Remarks
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Date Filed File No. 96- »9
ZONING PERMIT APPLICATION (510.2) u F L3
1. Name of Appli ant: s. SZ� JY'
Address: Telephone:
2 . Owner of Property:
Address: 1112 yz�- Telephone: s4-mE
3 . Status of Applicant: Owner Contract Purchaser
Lessee other (explain: )
4 . Parcel Identification: Zoning Map Sheet# Parcel# ir7 ,
Zoning Districts) Qinclude overlays) CSR C�
Street Address � i
Required
5. Existina Proposed by Zoning
Use of Structure/Property .7)E
(if project is only interior work, skip to #6)
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)
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 knowledge.
Date: gae 07 2, Applicant's Signature: I , 1
_ _ _ _ _ _�_
THIS SECTION FOR OFFICIAL USE ONLY:
_L/A as presented/based on information presented
Denied as presented
ea n f -Den i�.l:
-'78igna a of Buildin nspector Dctte`
NOTE: Issuance of a zoning permit does not relieve an applicants burden to comply with all zoning requirements and obtain all required permits
from the Hoard of Health,Conservation Commission, Department of Public Works and other applicable permit granting authorities.