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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
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1. Location Lot No.
2. Owner's name q, kA'� j'nI �h y Address
3. Builders name L)C>cs�C fy�- Z Address I
Mass.Construction Supervisor's License No. o58gS� Expiration Date R5
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. ��)
J
Signature* esponsibfe app icant
Remarks 1"����'1t1t� (� 'Cl i✓ CAA ��1J al
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Date Filed °' 00318.E
File No.
ZONING PERMIT APPLICATION (910 . 2)
1 . Name of Applican ,ic Ncj,,q
Address : s Telephone:
2 . Owner of Proper vC c, kk Q- i'e
Address L Telephone :
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3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# 36 Parcel#
Zoning District(s) (include ove la s)
Street Address
Required
5. Existinq Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size D"
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Descript ' n of Proposed Work/Project: (Us g,additional sheets
if necessary) a - ,, �f Q,t,d necr`�,
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 knowle
Date: Applicant's Signature:
ZApproved THIS SECI O TN FOR A E OFFICIL US ONLY:as presented/based on information presented
Denied as presented--Reason:
Special Permit and/or Site Plan Required:
nd 'ng Re r Variance Required:
� c
gnat re Bui spector D e
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning roquiroments and obtain all required permits
from the Board of Health, Conservation commission, Dopartmont of Public Works and other applicable permit granting authorities.
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