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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No._ Alterations
a NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 72 GbLI 0 ) !-'�ft– Lot No.
2. Owners name d –Ff-4o m rs,& Address
3. Builder's name �. Y� ✓� Address "� �` i
Mass.Construction Supervisor's License No. 00 g ( � j Expiration Date 3c'
4. Addition �)
5. Alteration l�� 1ZC�1 lu v) –'C�-
6. New 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 cost:- 1,92) .�
The undersigned c,7t#ies that the above statements are true to the best of his, her
knowledg f.
nature of responsible applicant
Remarks
PRINUSHOP
•
Date Filed File No.
ZONING PERMIT APPLICATION
Zoning Ordinance Section 10 .2
1. Name of Applicant: AtAtj t U
Address: Telephone:
Owner of Property:
Address: '/-<? Telephone
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: �/l�r� .+. )
4 . Parcel Identification: Zoning Map Sheet# Parcel# ' ,
Zoning District (s) (,J Io
Street Address
5 . Compliance with Zoning: Existing Proposed
Use of Structure/Property ` �.� .
Size of Structure (sq. ft. )
Building height
% Building Coverage
, "�etbacks - front L4 0,
- side 2,5 -c--
" - rear
Lot Size
Frontage
Floor Area Ratio
% Open Space
Parking Spaces
Loading Spaces
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Protect: (Use
additional sheets if necessary) _
7 . Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the mat ' o ntained
herein is true and accurate to the be /my, o ge.
Date. , -%! Applicant' s Signature: -
e->
_ _ _ _ - -
THIS_SECTION FOR OFFICIAL USE ONLy `
Approved as presented
Denied as presented
Reason for Denial:
r
Signature of Building Inspector D to
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