29-019 (3) T 1F.J. DZIALO, Ph.D. , P.E.
CONSULTING STRUCTURAL ENGINEER
9 PLEASANT VIEW DR., HATFIELD, MASS. 01038 • (413) 247-5740
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Date Filed -1�!Z•L¢1-- File No,
ZONING PERMIT APPLICATION
zoning ordinance Sobtion 10 , 2 /
1 . Name of Anpl i.cant :
Address : �' � �„ �,r Telephone
2 , Owner. of Pr. oiler. t� ,7
Address : 1 - Telephone : -c5gg =,'X4:3
3 , Status of Applicant ; O,rrner. Contra t Purchaser
L e s s c c Other (e::p].a i n ;�p..,.�,-���'�_�-;�cp/ •)�,c,�ry'�j °#�'
q , Parcel Identification : Zoning Map Sh et# P- c_l P'areel# /�1 ,
Zoning District (s l/�, A •
Street Address ,:-�
5 , Compliance* with Zoninu ; Exi Ling Propose
Use of Structure/Property
Size of Structure (sa , ft , ) r,� ^
Building height #_' / !
Building Coverage
Setbacks - front e.�,>
side ZeA� .�.�/
rear / +
Lot Size a 5k1a -r
Frontage %7:y
Floor Area Ratio
Open Space
Parking Spaces
Loading Spaces
signs '
Fill (volume & location)
6.. 'LTarratite Description of Proposed Work/Project : (Use ,
addita final sheets if necessary)
c��1
7 . Attached Plans ; f�Sketch Plan Site Plan
a . Cert•ifica�ion ; I hereby certify that the •information, contained
herein is true and accurate to the best of my knowled e ,
��` .
Date ; " Applicant ' s Signature ; ,t „
AZi
THIS - SECTION OFFICIAL USE ONLY :
i�Approved 'as presented
Denied as presented
Reason for Denial :
,
Signature of Building inspector, /' Date, ��0�
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Zoning ' ✓C
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations / "
2�s"""°TOti NORTHAMPTON, MASS. 19
Additions �G Vii . :
e �
' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location `� „'�e 6r 4! .41"'1 Lot No
2. Owner's name - �� �e�, 1>i� %r,� Address z s,
3. Builder's name t��� S ���,���.C'�° Address l/- -
Mass.Construction Supervisor's License No. 052P5 Yom ^ Expiration Date f �� / /
/ / / v✓n /Ij d�Ei� , ! �� -X /2F, 1 e c 6; le 5 ,u� ><h :r� , t'c/ie�ry fn ki lik-f -
4. Addition l `3� f ' t���
5. Alteration /
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garag No.of cars Z Size
10. Method of heating
11. Distance to lot lines LJ Size j /219171e
12.
12. Type of roof
13. Siding house ^44 s.r'1
14. Estimated cost:- ' 7 00
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible applicant
Remarks
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