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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. "C 74[ Alterations
NORTHAMPTON, MASS. ,Z 19.y Additions
APPLICATION FOR PERMIT TO ALTER Repair
a
Garage
1. Location /./0EaLAj�d P'Tr'I't Lot No.
2. Owner's name Address
3. Builder's name' VII C 4;L1 �- Address /3 JAL /N �� E STH�/s'I 7�'/`/
Mass.Construction Supervisor's License No. 0S '/(P Expiration Date9�{y
4. Addition
5. Alteration I M 5TA LL�- 5LjU6t 1s- p, Ajvp emu/i IIAI-T -J6 a'f; l,uf}L.:[,Lt r-ai P ocM
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:- 15, 381
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
,v C
Signature of responsible app,lcanl
Remarks
Date Filed 003441
' File No.
ZONING PERMIT APPLICATION (510.2)
1. Name of Applicant: X�Ayt D & R-'D^/C2
Address: /23 2- ,Z / :j-, ToA/ Telephone: 50 9 - 07y/
2. Owner of Property: S
Address• Telephone: -5Z7 - a 709
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: C 0N-r21�-GT02-- )
4 . Parcel Identification: Zoning Map Sheet# 9a C- Parcel# 010 ,
Zoning District(s) (include overlays)
Street Address-
Required
5. Existin Pro osed by Zoning
Use of Structure/Property WJ&-2
(if project is only interior work, '001p to #6)
Building height
%B1dg.Coverage (Footprint)
Setbacks - front
- side
- 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) 6 ° 6 9
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.
r
Date: Applicant's Signature: O Qp �_f
- - - - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Den' d as prese d
R on Deni
ignatirr4K--e-f'Btrilding Ins pe - \ �J �Df e
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,Department of Public Works and other applicable permit granting authorities.
C PERMIT APPLICATION CHECK LIST
PAGE :-3-)-C- PLOTOV r ZONE Gbh e- � e4y ES NO DATE
ZONING FORM APPLICATION
2 . PERMIT APPLICATION-
3 . OWNER OCCUEANT STATEMENT I F NOT
3 SETS OF S PLAN
b . NEW CONSTRUCTION
6 . CURB CUT
7 WATER
8 . REMODELING
9 , ADDITION
10 , ACCESSORY U
11 . SIGN / AWNING
12 . PERMIT FEE - C - MONEY ORDE
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 27 - C R 780
15 . FORM A
16 . FILL
COMMENTS:
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
X Repair
OAPPLICATION FOR PERMIT TO ALTER
Garage
1. Location/� /�'�'/�?� Lot No.
2. Owner's name 466 /d� L ?7`f /�` �G,� Address / `ir f J.°/ ST'. 64SrAW
3. Builder's name ]%M ! l Ar—> Address f 3 i-jZ41,V -rV-, �
/ i
Mass.Construction Supervisor's .3 / 9&s License No.��9�r(t Expiration Date -T-
4. Addition
5. Alteration / /�rFGLE ,EX/ �jG Sf'tJGTt/l/ �,1 Cfl�ilfn ? r rsFfL1n1 xE�
,
6. New Porch
7. Is existing building to be demolished? _}=tgF 0//1-Y
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
g
13. Siding house
1 14. Estimated cost-
a
The undersigned certifies that the above statements are we to the best of his, her
knowledge and lief.
ignature or responsible app,ican! 1
Remarks-
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