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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS.
6h2 19L Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 4G tu.[., f `l` C Lot No.
2. Owner's name cr ���,-. sc� kst Addresses lo 1 3�t ���> 1��-
3. Builder's name c— `"c Address —:�L
Mass.Construction Supervisor's License o. Expiration Date
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:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of r onsrble app icam
j
Remarks
. /✓j�y'J1yy�i 4�n f
Y •r►.rrJ_!
004469
Date Filed �� 9�� File No.
ZONING PERMIT APPLICATION (51.0,2)
1 . Name of Applicant,yJ-\,
Address: Telephone:
2 . owner of Property: . -� eL�L 1��
Address: Telephone:
3 . Status of Applicant: Owner contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet ` Parcel#/92
Zoning District(s) (include overlays)
Street Address
Required
5 . Existing Prop osed by Zonin
Use of Structure/Property
if project is only, interior work, skip to #6)
Building height
!'.,Bldg. 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/Pr ject: (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: Applicant's Signature:
� �r O
THIS SECTION FR FF E OICIAL US ONLY:
!/Approved as presented/based on information presented
Denied as_ presented--Reason:
4gnatu cial Permit and/or Site Plan Required:
di Requ ' d: Variance Required:
. o di ng Ins or - rYa te
NOTE: issuance of a zoning permit does not relieve an applicant's burden to comply witit all zoning roquiroments and obtain all required
from the Board of Haalth,Conservation commission, Depattmont of Public Works and other applicable permit granting authorities.
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