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DEPARTMENT OF BUILDING 1NSPGCCIONS
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.HO( 50WNERAND 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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Date Filed File No.
ZONING PERMIT APPLICATION
Zoning ordinance section 10 , 2
1 . Name of A lican : 41"
Address : ' Telephone :
2 . Owner of Property : yt _
Address : Telephone :
3 . Status of Applicant : Y Owner Contract Purchaser
Lessee Other (explain : )
4 , Parcel Identification : Zoning Map Sheet# Parcel# ,
Zoning District (s)
Street Address
5 . Compliance with Zoning: ,IV-(; Existing Proposed .
Use of Structure/Property 400 [2=Zj /i k(t IK- 4
Size of Structure (sq. ft. ) t
Building height
Building coverage
Setbacks - front
- side
- rear
Lot Size
Frontage
Floor Area Ratio
% Open Space
Parking Spaces
Loading Spaces
Signs
Fill (volume & location)
6 , 'Narratite Description of Proposed Work/Project: (Use
additional sheets if necessary) _ ,,�- $;? �1 JT
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 :/,Q - /�j - 2o, Applicant ' s Signature :
THISrSECTIONrFOR OFFICIAL USE ONLY-: _ - - -
Approved as presented
Denied as presented
Reason for Denial:
Signature of Building Inspecto r' +� Date
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Zoning LlJ
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �) ' J� Alterations _
NORTHAMPTON, MASS. Cl T-19� Additions
ti
a ' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 1!q T S T a Lot No.
2. Owner s name 7V l`I 1� a t Yt a Address iiQ'/�__ ` . I a k te �4
3. Builder's name U-D c4 Address
Mass.Construction Supervisor's License No. / Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? /V,7
8. Repair after the fire
9. Garage _R a a -P u i�� I No.of cars Size A U 2
10. Method of heating
11. Distance to lot lines
12. Type of roof�, Vl E G,Q P,4 s +E'_ x JV W 4 i4/S d 71 e S
13. Siding house `�T
14. Estimated cos V.-
The undersigned certifies that the above statements are we to the best of his, her
knowledge and belief.
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Signature of Tponsibl plicant
Remarks
PA
City of Northampton REQUIRED INSPECTIONS
$ I . Footings and Walls
.
,. BUILDING DEPARTMENT 2 - Placetural Components in
3 . Complete Building
No. 8 Office of the Building Inspector
Date January 3 , 19 91
BUI DING P RMIT
THIS MAY CERTIFY THAT Ann Dunning Insp. on Site — Foundations
has permission to re-roof garage and raise roof Insp. of Plumbing — Rough
situated on 8 High Street 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 CONSPICU
W t
PACE N THE PREMISES
Certificate of Occupancy
Building, ector
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