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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.6135-:--0:35"3 Alterations
.`= 't. NORTHAMPTON, MASS. W'k.I 2. 2- 19 < 2- Additions
et k" At Repair
Vie&I?' APPLICATION FOR PERMIT TO ALTER
Garage
1. Location 3 'y i `- Lot No.
2. Owner's name S C rcv t'c-f •P2c9 P(R i\1 ...ts ►UL, Address j g U x 5'5 Z- n o,
3. Builder's name C L O T Gc- 8,)a 1 2 S #� Address 1 2,3 /414 w/4 v 6*
Mass.Construction Supervisor's License No. d r'I N / 7 I Expiration Date 4130/ S.
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? �^
8. Repair after the fire I e p(�c f (oc+ RA--C-1-ti-R._S
9. Garage No.of cars Size
10. Method of heating GA-3 got � i 2
11. Distance to lot lines
12. Type of roof r 1141-
13. Siding house
14. Estimated cost:- 5-0 Q ) , CC)
The undersigned certifies that the above state ' • - true to the best of his, her
knowledge and b i f. •
, c( tiV ,
Signature of responsible applicant
Remarks
PtaIN ky,/
ifi'
;•,•"ter •
•
Date Piled� //b, 9 rile , No ,' _ _
• ZONING PMI MIT APPLICATION (B10 . 2 )� •
1 , Na,mQ ;of Applicant t C /IO,C�. ' ut � '
Addx.ess t 3 �' Telephone ! �, . e 7A-f-1---
2 . ner of
R operty ! Se2 rc pizep ..tre--i') C .S17----
Address ! la • 'X ,s C- .
1C) Telephone • _____
3 Status of Applicant : Owner contract Purchaser ,
Lessee Other. (expla ! eni.c-' ►2w-C-1-ci? .�� ' .)
4 . ,'Parcel Identification : Zoning Map Sheet# 5, • • Parcol,% /O9 r
/ Zoning District (s) . ��i.,�,�,s.tde�verlay:) ��' • ._..._._......._._..._
�,` Street Address (�¢y��2 ._._
J
)lequii'od ,
5 . I;xistin. X Proposed )) .1.9.Dina
• Use of Structure/Property ,�
(ii. project is only intoriorwork, skip to #6 ) ,. ,• ' , „ .
Building height ' • - _
,. kEildg . Cove�:age (Footprint) .
Setbacks front ,
- side •
'• - rear
• •
Lo.t size _
PrOntage -
• F.loar, Area Ratio .-.._.._ ___._.
%Opt:n space (Los; area 'minus __.,._ _.-_
1:1.1.0.ding 4nc1 parking) . .
Parkin _.. .
ci •Space,s ._,
Xagading
Signs
h'i.0 (volume & 1 oca ti n) . ,
.
6 . Narrative Description' of Proposed Wor. Pro t dditiont\i $Jheets
it nwuassary) 1.M:� : sue 1 s�..r `t. ( c •
' .7 . Attached Plans : Sketch Plan Site Plan ' ' '
8 ,' Certifioationt •,I ' hereby certify .that the information contain- ht::.rein
i'E tru,-- and ao•ura,te to the best of my knowled e , . .
Dater Applicants Signature :
THIS SECTION i'Oti OFL'ICIAL. UDR ONLY !
tApprove�d as •presented/based on information' presented •
Denied as presented. .
ii-7---y7i' / .
'3 crna . . = Bu ld --Xispe.ctor Date '
NU.I b( lotwonou of a zoning,pormil dooa not tollovo an appilounilo bunfun to cornpty with all zoning roqulromonta and ottnln all rvquirt'd l;ow h.
(torn iho Board,of Honitt, ConoarvaUon Commlaoton, Qopnrlmont of Public)Worko and otior appfloablo ponnll granting authnrlUud, •
--H- ii6 .
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PERMIT APPLICATION CHECK LIST •�a, ,. /09 s'
7" `'y3 Ykeit- Yes No Date
1 . Zoning Form Application �-,. //cc/Csc
2. Permit Application •
3. Homeowner statement if applicable ic. # not v
4. 2 sets of plans
5. . Curb cut — _--— -
6. Water Detmen_t memo 7. Permit fee - check only46,c2=1 4 U
•
p. Special Permit required with deed if applicable _ _
9. Under section 127 - CMR 780
O. Form A
0 ' _____—1
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