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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. ju 19 i 5 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 30'1 Yp F�Of'cs tit C. Lot No.
2. Owner's name 5.7,4 k) e,/ / cIi5 Address 3 !� %� � N�'� 1
3. Builder's name ",f' Si!���J U �` c- Address 7�`' � � All. TAB �'tj
Mass.Construction Supervisor's License No. Expiration Date 41,41J 4
4, Addition
5. Alteration
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 TAG n
.�
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of r sponsible app icant
Remarks
Date Filed File No.
ZONING PERMIT APPLICATION (§10. 2)
1. Name of Applicant: g¢. - S,o,NI> ���, .mow. a G • � �,��
Address: Pf /3`z, R, _ >nr ►� )„.4Telephone: , - 16_J'
2 . Owner of Property: . S--4lil p�l`s
Address: 3V',' -A AO RV Wog? c' h4-- Telephone: sli6-1657
3 . Status of Applicant: Owner t Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet# Parcelf 13�,
Zoning District(s) (include ove )ays)
Street Address 321 gLW,,_ ,
Required
5 .
Exist Proposed by Zoning
Use of Structure/Property
(if project is only interior wor)V, s p to {{(5)
Building height
5.-'B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L• R:
- rear
Lot size
Frontage .
Floor Area Ratio
oopen Space (Lot area minus
building and parking)
Parking Spaces
Loading
signs
Fill (volume & location)
6. Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary)
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: �y
cs,- "� Applicant's Signature:,�.s•.u--���uz/�---�
_ r r — — —THIS SECTION FOR OFFICIAL 158E ONLY: r — r Y — — + —
Approved as presented/based on information presented
Denied as presented--Reason:
Special'* Permit and/or Site Plan Required:
q 'red: Variance Required:
gn of Buy nspector �'� ate
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply Wdh all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission, Dopaltmont of Public Works and other applicablo permit granting authotitlos•
r-•
ERMIT APPLICATION CHECK LIST
G � I ' ES DATE
1 . Z O I ,.-, I I .. _'
3 O
3 SETS OF PLANS LELOT PLAN
NEW S
6 CURB OUT
7 WATER
8 , REMODELING
9 , DDITION
I
0 , ACCESSORY
11 , SIGN / AWNING
2 , PERMIT FEE - CHECK ONLY - MONEY ORDE
13 . SpECIAL pEgMIT gEQUIRED IF APP IC B
4 , UNDER E - -CMR 780
5 , FORM A
6 , FILL
COMMENTS :
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