35-168 (2) . .
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211 hdnln SUM 33"H0 1)["
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INSPGCTCQPs ltortlinmpton, ?r[na ;, 01000
AS A HOMEOWNER I UNDERS'T'AND THAT I MAY !1!'00 I'OR AND RL:CEIYr
A BUILDING PERMIT FOR A HOME: OR ADDITION ! INTEND TO LIVE IN ,
I ALSO UNDERSTAND THAT I AM RESPONSIBLE FOR 01OWING I:IE; STATE:
BUILDING CODE AND ZONING ORDINANCE OF 'fill: CITY OF NORTHAMPTON ,
BEING APON50WNGRAND NOT A PROFESSIONAL. CONTRACTOR IN NO WAY
ABSOLVES ME OF ANY RE5PONSI014ITY TO !NSURE THAT ALL FACFTV
OF THE RULES AND REGULATIONS ARE COMWED WITH ,
Date Filed File No.
ZONING PERMIT APPLICATION ($10 .2)
1 . Name , of Applicant: ply KAr � �2__
Address : 1� � `� � � Telephone: Sg'� 331
2 . owner of Property: 1-1
Address : i ck 4, t� �- Cr- Telephone:
3 . . Status of Applicant: Owner Contract Purchaser
Lessee other (explain: �)
4 . Parcel Identification: Zoning Map Sheet# Parce1,1,071' 1
Zoning District (s) (include overla s) _
Street Address ,� 321' Was t '{� ,�? t ltl CAA ---_- -_
P.ec;-Li 7.red
5 . Existing Proposed _ zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%Bldg. coverage (Footprint)
Setbacks - front c.3
- side a,0`e no- a - ----
- rear 4W /
Lot size e e)
Frontage bU `-
Flocr, Area Ratio
%open Space (Lot area minus
kuiJ ding and parking)
Parking Spaces - ---
Loading -
signs _
Fill (volu,me & location) -
6. Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary)
7 . Attached Plans: ;r' 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: 9'- 2Z-q;,( Applicant ' s Signature: q 0(�
- - - _ THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as p esen d
Rea 'or �a "
Signature of Builain ector Date
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all ruu:ra% pormits
from tho Board.of Health, Conservation Commission, Dopartmert of Public Works and other applicable permit granting auftritios.
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.s�'--9 Y `13 3 Alterations
rlit,q �sa NORTHAMPTON, MASS. 19 `
APPLICATION FOR PER IT TO ALTER Repair
^� Garage
1. Location 13-M Qv n;tS �t jc' t plc Lot No.
2. Owner s name ley C'A4,v M Address i 3� �e CL
3. Builder's name S L3L, -, C�lkZV r,rl�- Address 3 `L Q u .z1 S `t
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? _
8. Repair after the fire
9. Gazage No.of cars _ Size
10. Method of heating
11. Distance to lot lines � rs y 'La L] C.6`� 3�C e S ��eu� 2d ,
12. Type of roof _
13. Siding house _
14. Estimated cosC- 17 C v
The undersigned certifies that the above statements are true to the best of his, her
,f knowledge and belief.
Signature of responsible applicant
Remarks
PNIyNpTaS�N�OP
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