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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No-5-3 Alterations
NORTHAMPTON, MASS. 31—:20,7— -2-2- 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location SA 4 l T!`� �' a i= F Lot No.
2. Owner's name Address
3. Builder's name.jelIZZ ke)AII'a 4l/ J't Ar /-/UY Address/o oz-x ddb
Mass.Construction Supervisor's License No. �1 ��J Expiration Date
4. Addition
5. Alteratione r C, i J1d9–r–/fTJe TJ Syt U 41-rlV/L
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: a u ,ey
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
loe Signature of responsible app icant
Remarks
003370
Y ,
Date Filed ,S,��f ZZ %,9 t'�/ File No.
ZONING PERMIT APPLICATION (810.2)
1. Name of Applicant: A,#X fz'
Address: / o f�4Xa*telephone:
2 . Owner of Property: ,S`�(�c r r-14 C r G iT
Address : * Telephone: 5-" 5 ya
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain
4 . Parcel Identification: Zoning Map Sheet# ��� /� Parcel#
Zoning District(s) (include overlays) J .,
Street Address .`
Required
5.
Existing Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%Bldg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage.
Floor Area Ratio
. Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) (.1eV I--d bllt- 7-V
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:� - 2 �-^F 4� — Applicant' s Signature: �✓ _
THIS SECTION FOR OFFICIAL USE ONLY r
:
/Approved as presented/based on information presented
Denied as presented--Reason:
S ecial' Pe 't and/or Site Plan Required:
g R .r Variance Required:
-Slignatuk:o-o tzoninh ing Ins a Dat
NOTE: issuance of a does not rcilove an applicant's burden to comply with all zoning roq tome and obtain all required permits
from the Board of Health,Conservation Commission, Depaftmord of Public Works and other applicablo ISormit r.ntinfl authorities.
icTL
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