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28-011 (5) Q 8 ytlR6fit fl)nurllu a D&PARTMLINT OP BUILDING INSPECTIONS = a INSnECTOR 212 Main Strect ' 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 CI'T'Y OF NORTHAMPTON, BEING A,HOMECOWNER 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. ci I , y Date Filed File No. ZONING PERMIT APPLICATION zoning ordinance Section 10 . 2 1 , Name of Applicant : Address : �"z �� /r�p -rs Telephone : S is' y 2 . Owner of Property : -7- - Address : Sa,,,,. Telephone : 5•d,,j, 3 . Status of Applicant : izOwner. Contract Purchaser Lessee Other (explain : ) ( 4 . Parcel Identification : oning Map Sheet# i)j Parcelo 1 Zoning Districts) Street Address G- ./✓mss��s ,� 5 . ' Compliance with Zoning; Existing Proposed . Use of Structure/Property A/, 4-s C Size of Structure (sq. ft , ) 7:L Building height Building Coverage Setbacks - front - side - rear ` Lot Size / S o sue . 1p ri` . S�aU Frontage Floor Area Ratio Open Space Parking Spaces Loading Spaces Signs Fill (volume & location) 6 . 'Narratite Description of Proposed Work/Project: (Use additidnal sheets ' f necessary) 7 . Attached Plans : Sketch Plan Site Plan S . Certification : I hereby certify that the information, contained herein is true and accurate to the best of my knowledge , Date: , di Applicant ' s Signature : THIS CTION FORrOFFICIAL USE ONLY Approved as presented Denied as presented Reason for Denial : Signature of Building Inspector. o b `0 7� O C7 "'d O tro" to � ° 0 turf '-� O b O ac O z tri W ° y Zoning _ X. Miscellaneous Additions,Repairs,Alterations,etc. /j Alterations Tel.No. a NORTHAMPTON, MASS. � �-1} C, 19 l ( Additions Repair APPLICATION FOR PERMIT TO ALTER Garage 1. Location W4 Lot No. /fit r r d 6AL .L 2. Owners name/Ife'�i oF' S.y st �v �'/i If Ivy- ;Fd-5 Address S%fGr 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration IV' ry,--// Z- 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire d,--6 9. Garage 'A'd No.of cars Size 10. Method of heating L At"K- 11. Distance to lot lines 12. Type of roof - 13. Siding house 14. Estimated cost:- 3 U e`c ��oU� The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible applicant Remarks PPIN, T�SNOP .y City of Northampton ° o� REQUIRED INSPECTIONS $ 1 . Footings and Walls . a BUILDING DEPARTMENT 2 . Structural Components in Place 3 . Complete Building No. 74 Office of the Building Inspector Date FEBRUARY 27 19 91 BUI DING P RMIT THIS MAY CERTIFY THAT NEIL & MICHAEL SAMSON Insp. on Site — Foundations has permission to Remodel xis ing interior of building Insp. of Plumbing — Rough situated on 284 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. 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 PL CE N TIE PREMISES r Certificate of Occupancy Building Inspe K FaiNTnSNOP