29-398 (2) o �•
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Zoning Lt- ' 105P
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
so NORTHAMPTON, MASS. �' 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location Lot No.
2. Owners name Address
Builder's nam L0 jl
'M/5- Address)W c o0:!4�fG V p/�i rn52
t
ass.Construction Supervisor's License No. Expiration Date
4. Addition
Alteration
6. Jew Porch
7. 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 coo"/'A-Z)�l
V The undersigned certifies that the above statements are true to the best of his, her
knowledge an,belief.Wt�,
.i Signature of responsible applicant
Remarks
PRINTaSNOP
6Llf„
Data Piled— v File. No ,.
ZoN7NG PERMIT APPLICATION (910 . 2 )
Name ;of Applicant ; Cf �C QVIf (M ci-e'I^�G r, sa,r
Address; (.9 '1'el4phono t Sa - �k(____�
2 , • owner of Pro ert '
Address ,, Telephone:
3 Status 'of Applicant : owner Contract Purehasex
Lessee other. (explaTnt
Q , Parcel Identification : Zoning Map Sheet
Zonincj Districts) (inblu overl ys) '8 1 05
Str eel: Address
llLcYuirod
5 , Lx.iain� Proposed )oy_'?:oJ_ia 2
Use of. Structure/Property
(if. project 'is only intoi skip to IM
Building height •
tPlclg , Coverage (Footpriht)
S,etY.►acks - front
- sidd
. - rear
Lot-'size
Yr.ontage
Floor, Area Ratio
k0p�en Space (Lot Area 'minus �.
2:u1•.7.d1ng And parking) ^. _...:..�
Par.}tincj -Spaces .•_�.
Signs _._....
h`ilA (Vol wnle A J oca tl6n) ,
6 , Narrative Desor tion• of Proposed Work/Proje tt ( additionnl .Fllteets
.� rtFG s y) r -�
_.;
.7 , : ' Attached Plans : Sketch Plan Site P1'an
8 Certification ., ,I ' hereby certify .that the information contained he.l ein
1*6 true and acourate to the best of my knowledge ,
r
Date t Applicant I•s Signatur
.VHXs SECTION Pon OPPICIAL UBB oNl,yi i
'Approve-d as 'presented/based on informat'ion' presented
Denied as presented .
asc l;L'or ell all
S 41 viAt, cam; of Bu 1d1nc Inspector A to
NOTE: Wuanov of 4 zonlnp.pormlt d000 not rollwo an applloant'a burdon to comply wlul all zoolno roqulromonts and oUWII all r.qutrad ponrit
from the Board.o(Honllh, conoorvaUon Commioolon, Dopnrlmanl of Publlo Nftka and oUior oppllcablo ponnll praliUnp nulhaltlud,