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Zoning ( 7/�}%
Miscellaneous Additions,Repairs,Alterations,etc. Tel.Noy 3 �� Alterations
go NORTHAMPTON, MASS. E 19 Additions
Repair
APPLICATION FOR PERMIT TO ALTER
Q � Garage
1. Location? �.� 6�� Lot No.
2. Owner's name zv ` Address
3. Builder's name Address
Mass.Construction Supervisor's License No. /.,2- Expiration Date
4. Addition
5. Alteration 1 AA eee, i-�
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:-,3,6,'QO,
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible applicant
Remarks
PR P
Date Filed File No',
7,01112M PERMIT APPhxC.7aTIO14
Zoning ordinance Sobi;i.on 10 , 2
1 e of AnL�_j i.ca11 ;
-�e�—,
' A cl d r. e s s ; ��---'_�,L'� �C.- �.. `�'e 1.e p h o n e ; �
2 , Owner. of Proper. ty ; /�� ,
Address : �/ '~^C l� �t E-+
� phone
3 , St.atL1S oi` l�pnli cant. ; O;rner Contract Purchaser
I.,essee Other
q , Par. cel :f.cient.i.f cat�a^on 2 n.i,ng 141 p Sheet Parcel%{ I
Zoning District
Street Address
S , Compliance with Zoning : Existing Proposed
Use of Structure/Property ��L42 �1:
Size of Structure (sct ft . )
Building height
Building Coverage
Setbacks - front
`O - rear
Lot Size
Frontage
Floor Area Ratio
Open Space
Parking Spaces
Loading Spaces
. . ,. Signs
Fill (volume & location)
'Kar.rati•Ge Descri.nti.on of Proi:)osed Work,/Pro`iect ; ( Use ,
add.ita'.6nal. sheets if necessary)
7 , Attached Plans ; Sketch Plain Site Plan
8 , Certification ; T hereby certify that the i,nforMn tion, contained
herein is true and accurate to the best of my knowledge ,
Date : Applicant ' s Signature ;
THIS-SECTION�FOR�OFFICIAL USE ONLY : �' _ � _ _ M _ _ _ _
- Approved -as presented
Denied as presented
Reason for Denial ;
Mo� �- qtr
Signature of BLiilda.ng Inspector.-_ _")01 Date.
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