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pate F`i.leci File No --
• - T_. roux>rc �x,�i�'rx'x n��z�r�xc.�axoir .
Zoning Orclinttnao Bobtion 10 Y 2
1 , Name of A n cant
Address : Telephone ;
• 2 , q%11 n e r. o f• p r. n e r. �. -- -- '------�
Address . Lq' O ,rws Telephone ; 3 Y -y1CO
3 , St,2tUs of.." A p l l Cant : h<_Olelner c'on'tract Purchaser
I,essaG Ot er (expla n, )
q , Parcel :Cdent.i, f.icatLgn ; 2on.1.ny Mzip Sheet,` A parcel# 9 ,5
Zoning Districts) Q 6
Street Adclr. ess q rP
5 , Con�nli.at�ce' with Zoni.ncr ; •l"'xi.sting Prop.oseci
Use of Structure/Property
_ ` • 1
Size of Structure (sq . ft • ) _? _` S ao �q6R X I ;, 7. &1 f
Building height
Building Coverage
'Setbacks - front d
l' -- ,.side �S o
{i - rear
Lot Size
Frontage
Floor Area Ratio
k Open Space
Parking Spaces
Loadi)jy Spaces
Signs
Fill (volume & Location)
6„ Nar.rati'�/e Description of 'Pr osed work pro ect. ; ( Use
addita�dnal. sheet if necessary) �� '
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7 Attached Plans : L//" Sketch Plan Site a
8 , Certi f ication ; x hereby certify that the `ih�prmation, eonti:.ined
herein is true and accurate to the best of my .knowledge ,
�1 r
Date : �U _ Applicant ' s signature ;
THIp. SECTIONrFOR�OYF'TCIAL USE ONLY : _ � _ � � � �'
V/1. 'Approved as presented
Dana ed as presented
Reason for Den" al ,
Y
Signature of Building Inspector,.
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. .Y1 b Alterations
Go NORTHAMPTON, MASS. ::7 191 (!Additions
Repair
APPLICATION FOR PERMIT TO ALTER
^ D /)M Garage
1. Location � -411,—T '+,cucl i�O Y1�, Lot No.
Ll
2. Owners name d xc Address t. r-L-
3. Builder's name Address ti t ? P 6L` e
Mass.Construction Supervisor's License No. Expiration Date q /
4. Addition j � ,�- .r
5. Alteration ih
6. New Porch Ir-
7. Is existing building to be demolished? rn 6
8. Repair after the fire x
9. Garage &A No.of cars Size
10. Method of heating / ff A
11. Distance to lot lines q o& 6U F 7313
12. Type of roof ,
13. Siding baue Al 01QUitF riB
14. Estimated cost:- �-2 -00,
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Oq e�
Signature of res onsible applicant
Remarks n 4 wn:w 1 j —
Pfl YN, .TnSNOP
amity of Northampton REQUIRED INSPECTIONS
!-
$ � 1 . Footings and Walls
BUILDING DEPARTMENT 2 . Structural Components in
Place
3 . Complete Building
No. 293 Office of the Building Inspector
Date JUNE 13 19._9.1_
BUI DING P RM_ _1T
i
THIS MAY CERTIFY THAT EDWIN H. EVEREIT Insp. on Site — Foundations
has permission to ADD 6'X12' to kitchen & bay window Insp. of Plumbing — Rough
situated on 19 CAROLYN STREET (FLO.) 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
t
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLA E O T E PREMISES
Certificate of Occupancy
Building Inspe
P I"S P