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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
• APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location /Yo O TO,4,/ /l'.,rb,P—'7' Lot No.
2. Owner's name 9Ic-,yoq ',7L> ( -wo7z Address a��
3. Builder's name -XAm E'S , •42/eACIA Address j 9 4!�;L-6W AP4 I-E cgT Lci4 s7�/y/4Jr!/ �
Mass.Construction Supervisor's License No. 04393 Expiration Date 3 3l _
4. Addition Rt0 1lGT!/ 6'S
5. Alteration V4jqj& ..x�K.
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- OA.) r FX0 rf 7-
The undersigned certifies that the above s emcnts are true to the best of his, her
knowleclLe and belief.
St azure of responsible app,icant
Remarks
FV 725 )*A �oN GeSSS/dil/ S
____
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Date Filed 002(IG File No.
ZONING PERMIT APPLICATION (510.2)
I . Name of Applicant: p Td JD �y
Address: Pv t3nx 3 > 2)7-,, �� W,4 D/�fo0 Telephone: SZ7-15 d
2 . Owner of Property: t C:tT)}k_Z> tuST
Address: die Telephone: S4 3
3 . Status of Applicant: Owner Contract Purchaser /
Lessee Other (explain 40A)5 e-Lv,g I2EP. U,4me-5 4-4�A�C1l�
4 . Parcel Identification: Zoning Map Sheet# Parcel# V
Zoning District(s) (inc ude verlays 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 0000
Frontage.
Floor Area Ratio
• %Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & loca on)
6. Narrative Description of Proposed Work/Project: Use additional sheets
if necessary) 9 -Ze
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Y
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:
THIS SECTION FOR OFFICIAL U1 ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
Special' Permit and/or Site Plan Required:
'nd Req Ze . Variance. equ red'_
S natur of -Building or -"x ` a
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zonin roc(uiroments and obtain all required permits
from the Board of Health,Conservation Commission,Department of Public Works and other applicable permit granting authorities.
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