29-106 (5) 'v o
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 0 �v� 19 7' Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location 6-4<) ��/,�.J &y.", $5/0 e o Lot No.
2. Owner's name F2"N G Address S' ®Q Pyd I) X�P' ��0 �� ki
3. Builder's name a t5- Address % � Q� -- K�:e �Q
Mass.Construction Supervisor's License No. Oa/"F Expiration Date q6 rj c7
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 ✓ 4S S' U G
14. Estimated cost-
A
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature responsible app icant
Remarks
i
Date Filed File No.
ZONING PERMIT APPLICATION
I. Name of Applicant: t S16?1x)4 N
Address: / /5,-i Alb(2 r�A r l) Telephone:
2 . Owner of Property:
Address : " S'o A) h'-I -Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain:
4 . Parcel Identification: Zoning Map Sheet# �� Parcel# _
Zoning District(s) (include ovlays
Street Address !`
IL
Required
5. ExistincT Proposed —by Zoning
Use of Structure/Property v&-� w ° ,
(if project is only, interior wor , &kip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: R:
- rear
Lot size
Frontacg"�e"
Floor Area Ratio i
%Open Space (Lot area minus
building and parking) ' f
Parking Spaces
Loading
Signs
Fill (volume & location)
61\ Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary)
'Y- 7 � --
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: Applicant I s Signature:
TH28 8ECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
S cial' Pe mit and/or Site Plan Required:
in .1 1 R qui e: Variance Required
=- =--7
7/�77
S1 gnatu /of Buildfi Spector \ e
NOTE: lssuance of a zoning permit does not teliove an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health,Conservation commission, Dopartmont of Public Works and otlier applicable permit granting aulhorillos.
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