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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 1q Additions
Repair ,- r ✓'�v 7L.
APPLICATION FOR PERMIT TO ALTER
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7 Garage
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1. Location y� it 'cxt u't - /-�r�'%1� C Lot No.
2. Owner's name I��,� /Li�Sr° r- Address C/ �, '� ° �"�✓�"`,� e ''• ;
3. Builder's name / AP r 5 G r- tlq,A.4 ! Address 32
Mass.Construction Supervisor's License No. nzo R'cl Expiration Date
4. Addition G J
5. Alteration Roo i .�;1 - e�/ Re Noon
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 4''"l
13. Siding house
14. Estimated cost-- f Oct
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signal re of responsible app,icani
Remarks
a 0034042
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*Date Filed File No.
ZONING PPERMIT APPLICATION (510.2)
1. Name of Applicant: e
Address: 3 7 ,, elephone: 7
2 . Owner of Property: jr
Address: r'r,c,rr dti'v( mot=/� >�-ht 'Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet#__D4 Parcel#�,
Zoning District(s) (include ove ays) �-
Street Address
Required
5. Existin Pro osed b Zonin
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 m ' us
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6. Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) =LZft rl / Zr /-C.� � le 4�1
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:
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
y Approved as presented/based on information presented
De ' d as se teld
s or n' •%
Signs a of Bui�,].eY1"di4 I ctor
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 authorities.
s� ERMIT APPLICATION/-CHECK HEC L
I k�PAGE- d-� PLOT Y-�a ZONE `� 7 T' YES NO DATE
ZONING FQRM APPLICATION
2 . PERMIT I
3 . OWNER OCCUPANT # IF NO
4 . 3 SETS OF S PLAN
5 , NEW CONSTRUCTION
6 , CURB CUT
7 WATER S
8 . REMODELING
9 . ADDITION
10 . ACCESSORY STRUCIURE
11 , SIGN / AWNING
2 . PERMIT FEE - C - MONEY ORDER
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - C R 780
15 . FORM
16 , FILL
COMMENTS
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