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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
1
I
APPLICATION FOR PERMIT TO ALTER Repair
Garage
n �
1. Location ;Z(( Ac c.C r:L w g k Lot No.
2. Owner's name r-,_Ae21Z1s, 4A F e.,q Address__ �/c, .
Builder's name L')Ac�i.0 F�t i i tL,,,,2 Address_'' OL ��/� i i2 L l. �-�v� 7,(,&,4n/;Vk:d
Mass.Construction Supervisor's License No. C:U L —Expiration Date
4. Addition •� iV.1t v -,fa __
5. Alteration
6. New Porch v _
7. Is existing building to be demolished? ^_
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating FC')a2< tome) '61c, t[i T r,
11. Distance to lot lines
12. Type of roof A 4,4,4 C T F-13>a2_ S(Y/-16,L K S
13. Siding house_ /U `/�
14. Estimated cost:- fVL1 G G cc,
C�
The undersigned certifies that the above statements are true to the best of his, her
knowledr and belief.
Signature of responsible app,icant
Wifarks
00101
Date Filed ��
File Na.
ZONING PERMIT APPLICATION (910 . 2 )
1 . Name of Applicant: OP U ,_ r,.T
Address :_ ; LAL)"Zi[ t Telephone:
2 . Owner of Property: K /ZdA ,C', F�=A
Address : 2(f, /�c,� >f�� op_- , Telephone :
3 . Status of Applicant: Owner AContract Purchaser
Lessee Other (explain: C70A, r2Acr&,L )
4 . Parcel Identification: Zoning Map Sheet# �
Zoning District(s) (include over ys)
Street Address 2— A
Required
5. Existinq 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 Work/Project: (Use additional sheets
if necessary) 10 ADO F 19 j Lo /-/-C vZi,
r
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 knowledg .
Date: / 4 Applicant' s Signature :
THIS SECTION FOR OFFICIAL USE ONLY'-
ZApproved as presented/based on information presented
Denied as presented--Reason:
pecial• P rmit and/or Site Plan Required :
F ' ing q red: Variance Required: -
,.
gnatu Nec Buildin ns or a
NOTE: Issuance of a zoning not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health, Con rvation Commission, Departmortt of Public Works and other applicable permit granting authorities.
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