38B-245 (8) 3 , OWN r NO
4 . 3 SETS OF S PLAN
NEW CONSTRUCTION
6 . CURB CUT
7 WATER
8 . REMODELING
9 . ADDITION
10 , ACCESSORY STRUCTURE
11 , SIGN / AWNING
2 , PERMIT FEE -
13 . SPECIAL PERMIT REQUIRED. WI 6 IF APPLICABL
14 . UNDER SECTION 127 - C R 780
15 , FORM A
16 , FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. ,j!k17-45737 Alterations
NORTHAMPTON, MASS. A! 19—q-y- Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location V26)I AM Lot No.
2. Owner's name Address Ra Q o-n ..m i p naratA i. MA
3. Builder's name Address.331„ _ P r •l�ctTA Il A u
Mass.Construction Supervisor's License No. &AYJ" Expiration Date _1991
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 ..�� ,r6~1 a� �D; &-U.
13. Siding house
14. Estimated cosL-Iq 91.170•oo
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature ojresponsible appican!
Remarks
tS �
ti
Date Filed ' File No.
ZONING PERMIT APPLICATION (§10.2)
1. Name of Applicant:
Address: Telephone: AY7-9947
2 . Owner of Property:
Address: Telephone:
3 . Status of Applicant: Owner ✓ Contract Purchaser
Lessee Other (explain: )
4. Parcel Identification: Zoning Map Sheet# � � pQ ,Parcel# `k��,
Zoning District(s) (include ov ay )
Street Address
Required
5. Existina Proposed by Zoning
Use of Structure/Property -'
(if project is only interior work, skip to #6)
Building height
%B1dg.Coverage (Footprint)
Setbacks - front
- side
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & 1 o Lion)
6. Narrative Description of Proposed Work/Project: (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:�-�c
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:Approved as presented/based on information presented \()Ql\
-46 D 'ed as presented
for De a ':
Signatur Building Inspr �L+ Date
NOTE: Issuance of a zoning permit does not relieve an applicants burden to comply with all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission,Department of Public Works and other applicable permit granting auBwrities.
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