35-265 Date Filed / File No,
ZONING PERMIT APPLICATION
Zoning ordinance Section 10 , 2
1 , Name of Applicant :
Address : Telephone ;
2 , Owner of Property ;~ '
Address : Telephone :
3 . Status of Applicant ; Owner. Contract Purchaser
Lessee Other (explain :
4 , Parcel Identification : Zoning Map Sheet# Parcel#
Zoning Districts)
Street Address a /L �Joirjz .
5 , Compliance with Zoning: Existing Proposed
Use of Structure/Property +
Size of Structure (sq. ft . ) V
Building height
% Building coverage —
Setbacks - front 1 "
- side
- rear '
Lot Size J,f
Frontage
Floor Area Ratio
% Open space _ 4t 7
--
Parking Spaces _4
Loading Spaces j 1A
Signs
Fill (volume & location) G
6., Narratite Description of Proposed Work/Protect : (Use
additidnal 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 ;
THISrSECTION FOR OFFICIAL USE ONLY: - - - _
Approved as presented
Denied as presented
Reason for Denial ; ;
'y
Signature of Building Inspector., _.._---`Date °' �'` -77
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Zoning
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Miscellaneous Additions,Repairs,Alterations,etc. Tel.N� S r J Alterations c/
a NORTHAMPTON, MASS. / '� 19 Additions
Repair
APPLICATION FOR PERMIT TO ALTER Garage
1. Location Lot No.
2. Owners name Address ,� T
3. Builder's name l Address A-C-1
Mass.Construction Supervisor's License No/ Expiration Expiration Date d ZY,Z
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage r�t .+�� No.of cars Size
10. Method of heating tt��
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:-
�C✓d �
The undersigned certifies that the above statements are true to the best of his, her
know dge and belief.
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Signature of responsible applicant
Remarks
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