35-227 (3) Y o
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CA
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. s y ? �� Alterations
NORTHAMPTON, MASS. �� �� 2 � 192 Additions
a APPLICATION FOR PERMIT TO ALTER Repair
Garage
L-A-0 I PPar� 1_
1. Location �� y S �' Lot No.
2. Owner's name Y" �� � �' [�!� ax/ Address ` qD Su l''PE(Z L �, LLD(,Z-dCF-
3. Builder's name J L 2 `' o Address 57 P Usk 5 T -E f?�fN C
Mass.Construction Supervisor's License No. Expiration Date 1 7) f 9 3
4. Addition
5. Alteration Vk5 ) � v pt L� ,
6. New Porch Li
7. Is existing building to be demolished. 00
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating FI c�� A t f2
11. Distance to lot lines
12. Type of roof
13. Siding house
-y fle 5^4 i W
14. Estimated cost- D ,.
The undersigned certifies that the abov I me I e Wiest of his, her
knowledge and belief.
II' Signature of responsible app,ican[
Remarks
atiw rp
• �r�. ay
0003 j .
Date Filed 9 'al - 9a, � File No. _-95 - a-Z2 '
ZONING PERMIT APPLICATION (510 .2) 5 R
1 . Name of Applicant:
Address : -2,? TIAAA -rte Co 2 j) t P b -Telephone: go 92to
2 . Owner of Property:A,nn ��i°C� b Lam!_
Address : -t (A-r>p! ' �!�t i�/� GZL�),3 Telephone:
3 . Status of Applican�: Owner Contract Purchaser
Lessee 7I Other (explain:_ CA /��—/ 0(- )
4 . „Parcel Identification: Zoning Map Sheet# 35- Parcel#
Zoning District (s) (include overlays)
Street Address
Required
g ,
Exizntincr Pro osed by Zonin
Use of Structure/Property
(if project is only interio York, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side E L R
._ - rear
Lot size -
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking) ZIZ
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Propgsed Work/Project: (Use additional beets
if necessary)
L AAA
xy
.w -C NAat A
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: �! ��`1� Applicant ' s Signature: �` i
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - - -
THIS SECTION FOR OFFICIAL USE Q�
S E P { 8
Approved as presented/based on information presented
D Hied as p rented
n for i l:
ignatur o Buildin pector / "4 Date
NOTE: issuance of a zoning permit does not relieve en applicant's burclun to comply with all zoning requirements and obtWn all required permits
from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities.
7/92 FXAS
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