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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. 1 q Additions
APPLICA ON FOR PERMIT TO ALTER Repair
/ Garage
1. Location ?/ d . 1S- Lot No.
2. Owners name Address_
3. Builder's name deg�` o� Address
Mass.Construction Supervisor's License No. —Expiration Date
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
r 4
12. Type of roof a
13. Siding house
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and
./ Signature of responsible app,ican!
Remarks
4b
Date Filed -;
File No.
ZONING PEPbKT APP TION (§10 . 2 )
Name of Applicant:
Address: Telephone:
Owner of Property:
Address : elephone
Status of Applicant: Owner "Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# ,O-q Parcel#
Zoning District (s) (include over Ys)
Street Address
Required
5 . Existinq Proposed —by Zoning
Use of Structure/Property
(if project is only interior work,Uski§ o #6
Building height _
%B1dg. Coverage (Footprin
Setbacks - front
- side L: R: L: rte.
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus �f
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project : (Use additional sheets
if necessary)
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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 knowled '
f,
Date: Applicant' s Signatur ? �.
THIS SECTION FOR OFFICIAL USE ONLY:
pproved as presented/based on information presented
Denied as presented--Reason :
Special' Permit and/or Site Plan Required:
indi g Re ire : Variance Required :
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5 17gn aur of Suildin ect(ir a
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health, Conservation Commission, Depaittnont of Public Works and other applicable permit granting authorities.
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