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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 9),;5 Alterations
NORTHAMPTON, MASS.
L 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location ��E "�� J u t-4-ha tyl,0k a4C • Lot No.
2. Owner's name ��: i i a k-6 A to r- Address U 9
3. Builders name f1� y Address ei's
Mass.Construction Supervisor's u�pervisor's License No.�^ �?j Expiration Date
4. Addition �t r
5. Alteration �� -� i✓� i
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire ICU
9. Garage t��li No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof ('ci ►" i`�� I �t 1. Ct 11 �((�.�f'i�
13. Siding house �D
14. Estimated cost:- 15 Goo,
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. i
�f c
Signature 41responsible appicant
Remarks
Jei-
0009133
Date Filed LOW � I Y3 File No. � 1 ° 1N01
--`— ZONING PERMIT APPLICATION (§10 . 2) G ti
1. Name of Applicant: yln I kcZ34 a J;�a
Address : r+oq Telephone: 5Sq-/,3(p-2
2 . Owner of P operty: c
Address : PIS cw lgphone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# _3 `Z C Parcel# iI-f l ,
Zoning District (s) (include overlays (-113
Street Address 0?S9 0e_Q .Q X C lef a4• 4 61 . ,
Required
5. ExiStina Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. 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 Wo k/Project: (Use additio al sheets
if necessary) �r.S��rl rLf 4 'le) ;/6-661v WY
Nrl;'SI-CS p7 e,n T n" .
7 . Attached Plans : Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
best of my knowledge.
DE :ant' s Signature:
FOR OFFICIAL USE ONLY:
G on information presented
Plan Required:
Variance Required:
�/>-�AF
te
Nf icant's burden to comply with all zoning requirements and obtain all required permits
fro ent of Public Works and other applicable permit granting authorities.
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