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Miscellaneous Additions,Re�airs,Alterations,etc. Tel.No. L� q ��J Alterations
a� TOti NORTHAMPTON, MASS. %C! j r 19 Additions
a e
' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location r >/ ✓f /� / Lot No.
2. Owner's name T--= f—� G /< l �� Address 7 , /t M
3. Builder's name Lam' i 1-23 a k-1- T 4E Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition '✓
5. Alteration
6. New Porch
7. Is existing building to be demolished? 6,
8. Repair after the fire
9. Garage 6 _;T —x 1 No.of cars Size
10. Method of heating
1 1. Distance to lot lines G 4om he, / ZG' ! f�/Y? /G f C -
12. Type of roof r c; 0 i'�k f G r -
13. Siding house W t^ C -d
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible applicant
Remarks
PR P
Date F >- •
iled File No,
ZONING PERMIT APPLICATION
Zoning Ordinance section 10 . 2
1 Name of App l.icant : l,- , �✓ ;e�` ll,C � � �
Address : i.f.q I J(Sj rk,411 Telephone :
2 . Owner of Property : WC E A A3 C_
Address : Telephone ;
3 . Status of Applicant : caner Contract Purchaser
Lessee Otmer (explain : )
4 . . Parcel Identification; Zoning 'dap Sheet` Parcelo ,
Zoning Districts) �-- ���
Street Address ua— 'p
5 . Compliance with Zoninu: Existing Proposed
Use of Structure/Property L� oiY c
Size of Structure (sa.ft . )
Building height
Building coverage
Setbacks 7 front
= rear side 7 r� t
Lot. Size
40. Frontage
Floor Area Ratio
Open Space
�4 Parking Spaces
Loading Spaces
Signs
Fill (volume & location)
6 . Narrative Descrintion of Proposed Work/Pro' edt: (Use
addit 'onal sheets if necessary)
7 . Attached Plans : Sketch Plan Site Plan
S . Certification : I hereby certify that the information contained
herein is true and accurate to the best of my knowledge ,
Date : G, Applicant ' s Signature
THIS�SECTION rFOR�OFFICIAL USE ONLY: – ^ _
Approved as presented
Denied as presented
Reason for Denial : `
Signature of BU'llding Inspector
Date -f,. ;
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