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n" UGPAA'rk(PN'I' OP UUILLUINO INSPPGTIONS
INSP6C1'Of: 212 Main Stroct ' h1unio1pnl IN11dhng -
Nonhnmpton, TWO 01000
AS A HOMEOWNER I UNDERSTAND THAT 1 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 CI'T'Y OF NORTHAMPTON,
BEING A,HOME"OWNER 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. S� 8 Alterations
NORTHAMPTON, MASS. P -X 2,� 19 Additions
' APPLICATION FOR PERMIT TO ALTER Repair
� Garage
1. Location
�f V,.—) na T L p � (Z t�,N -- Lot No.
2. Owner's name I ell( H f 0v'�i Address `f 4 l.w ✓1 f e J h r✓�y Arl
3. Builder's name S k*, > Address C S� =
Mass.Construction Supervisor's License No. Expiration Date
4. Addition h 0 0 r I ON ��. 15 ` '� ` l't 1 �v 44 t e_ J n'iFe% y fy2
5. Alteration
Ei. New Porch
i'. 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:-
3 New ,cQ h
The uIrsigned r ' ' t the above statements to the best of his, her
knowled b 'ef.
Signature of responsible applicant
Remarks VV& Ov>7-0#i vt Q A- v3 1 X a•
PBINTaSHOP
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At4k�
Date Filed � File No. _
BONING PERMIT APPLICATION (§10 .2)
1. Name of Applicant: /,-rry J Ail;0,71r�
Address: Telephone: /-9 fi, 7
2 . Owner of Property: Saw
Address: Telephone•
3 . Status of Applicant: X Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# Parcel.# r} ,
Zoning District(s) (include overlays)
Street Address ����' �f)L,yihAJ,,P_,,
�41
Required
5. Existing Pro osed by onin
Use of Structure/Property tes;�l ,rc,� r s rl
(if project is only interior work, skip to #6)
Building height 13.� ' 3C
%Bldg.Coverage (Footprint) 2,e .4 :2 . I %/,
Setbacks - front -7 S
side 3C c
- rear 4 f a
Lot size qcoacc 9L C"
Frontage 0 15-0
Floor Area Ratio i
%Open Space (Lot area minus
building and parking) 9 7
Parking Spaces z a
Loading N '� N f` -
Signs -- n0-1e nc,�
Fill (volume & location) her ,1c,.r
6 Narrative Description of Proposed Work/Project: (Use additional sheets
7. Attached Plans: _Sketch Plan Site Plan
8 . Certification: I hereby certify that the inform contained rein
is true and accurate to the best of my knowled
Date: -2 4 -9 1 Applicant's Signature:
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
f--�pproved as presented/based on information presented
Denied as presented
Re on or Den'aI:
Si ature 1lding I37§pardtor Date
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