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28-005 (2) . .,:� r _ , « � .�' f r .. f.. � 3°►N Sy L-VES rG R R D. REPe,ACE WINDOW Q�oo�l PoRCV4 8, RaoF FUF CARPORT b A owMau3 ia 2 a cvvr+ of ego O'A -Ao Ro-I.t New n,►n .Q � �t �-TAA;IA O �• tz a z° m O Cz CD do Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.N Alterations a NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location X_ Lot No. 2. Owner's name)�_c�u�-, �l �� ��` l\ _\^ Address 3. Builder's name \�,L t1 .Ci. (`\(1 Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration �h[1, �[1� S�C � 1����i C Q QC'e �C V7i`�� 6. New Porch 7. Is existing building to be demolished? H v 8. Repair after the fire 'CA 0 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:- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. C, Signature of responsible applicant qA Remarks PRIN, T�SHOP .y VLAM O Gxf� of Nort4amptnn DEPARTMENT OF BUILDIAjG INSPECTIONS a 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 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. C Signature & Da e 1 ! r Aq I t PT . . C-tte filed_ C Pile. No ,' ONING PERMIT APPLICATION (910 . 2 ) �~ ,. 1 , Name ;of Appliea ip Address., Telophona - 2 . - Owner of Property i � Address . ? Teldphone : 3 . . - Status of Applicant; Owner contract Purchaser Lessee 6IT) er. (explaT : ) 4 , Parcel Identification : Zoning Map Sh et Parcel;/ Zoning District (s) 1110 td oyerla��)� & Street Address 5 g&j stincr Proposed ))y ,o rt i na Use of Structure/Property _ (if. project 'is only into for work, skip to G) Building height • kpldg , Coverage (Footprint) --" • S.etktacks - front - s idd --' rear Lot size Vrpntage F-lour, Area Ratio %Ope:n Space (Lot Brea 'minus " J:vtl:ding and parking) Parkinci .Space,s ._. _..... _. • •�Qad.ing ._.__. Fil.1 (vol.w,mQ a Zocatibt)) 6 , Narrative Descri ion• of Proposed Work/PTOJe,ct (Use addi�ti na' _��lzeats i� riegessaxy�) h ��le. , 7', ' Attached Plans : Sketch Plan Site Plan 8 :' Certification. .I ' hereby certify that the information cantaihed herein ^ is true and accurate to the best of my knowledge, Date , �° � �- L - �� 1• Applicant t•s Signature THIS SECTION POR OPPICIAL USE ONLYt _ i �' _Approve-d as 'presented/based on DiforMation' presented Denied as presented, Rpt so or Denia' S nature o ding pat NOTE; Issuanoo of a zonin , frorn the Board.of i•lonlilt, Conant aU n Comml ali n, Dopalmont of Pu Iofttkarand otl or aippiioablooponnit�gra ung m iii uiyr`cfuirt-J pormhj City of Northampton REQUIRED INSPECTIONS s 1 . Footings and Walls BUILDING DEPARTMENT 2 . Structural Components in Place 3 . Complete Building No. 692 Office of the Building Inspector Date December 18, 1991 19 B U1 DING P RMIT \,ter THIS MAY CERTIFY THAT Louis & Susan Routhier Insp. on Site — Foundations Re-roof back porch, add new roof over has permission to back stairs, replace window Insp. of Plumbing — Rough situated on 394 Sylvester Road Insp. of Plumbing — Finish provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough spect conform to the terms of the application on file in this office, and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish to the Construction,Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks) the City of Northampton. Any violation of any of the terms above noted is an immediate revocation of this permit. Expires six Building Insp. — Rough months from date of issuance, if not started. Building Insp. — Finish Note:A certificate of occupancy will be issued by this office upon return of this card signed by the Plumbing,Wiring and Building Smoke Detectors (Fire Dept.) Inspectors. Gas Inspection THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES Certificate of Occupancy Building pector JM PERMIT APPLICATION CHECK LIST Page & Plot �y -- Address : ;,q4 ce�C � �— �"��/ ✓� Yes No Date 1 . Zoning Form Application lam' ' 2. Permit Application Ll 3. Homeowner statement if a licable Lic. # if not V 4. 2 sets of plans 5. Curb cut 6 Water Department memn 7. Permit fee - check only -, it $. Special Permit required with deed if applic e 9 Under section 127 - CMR 780 1Q Form A City of Northampton REQUIRED INSPECTIONS s 1 . Footings and Walls BUILDING DEPARTMENT 2 . Structural Components in Place 3 . Complete Building No. 692 (:office of the Building Inspector Date December 18, 1991 19 BUILDING P RMIT µ l THIS MAY CERTIFY THAT_. Louis & Susan Routh ier Insp. on Site — Foundations Re-roof back porch, add new roof over has permission to back stairs, replace window Insp. of Plumbing — Rough situated on 394 Sylvester Road Insp. of Plumbing — Finish provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough spect conform to the terms of the application on file in this office, and to the provisions of the Stal.utes and the Ordinances relating Insp. off' Wiring — Finish to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks) the City of Northampton. Any violation of any of the terms above noted is an immediate revocation of this permit. Expires six Building Insp. — Ro 9� ') l months from date of issuance, if not started. Building Insp. — FiYirs Note: A certificate of occupancy will be issued by this office upon return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.) Inspectors. Gas Inspection THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES Certificate of Occupancy _ Building 11r9pector r rf' . r