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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. ,l Tel.No. 58�f `7'7 7 Alterations
so NORTHAMPTON, MASS. N/ L2 m GEl l O 19J2— Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 15 W i t_L,I A MS S-1 n EE l _ Lot No.
2. Owner's name )�7D W A P,-.D C 8j92K0-TL- Address SArM L-
3. Builder's name , A416- Address S H-M L
Mass.Construction Supervisor's License No. o l L 50 Z Expiration Date
4. Addition ST O"CL�C_ S
5. Alteration
6. New Porch
7. Is existing building to be demolished? ,► n
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines F I26W- 106' - L£F r �' PO cµi Y/ '
E14►2 5'
12. Type of roof Pr,4 tP,f+�_T-
13. Siding house 2oy a f+ -P/Nt
14. Estimated cost:- �Z EO.
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
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Signature of responsible applicant
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Date Filed U 0 0 "' File No.
ZONING PERMIT APPLICATION (§10.2)
1. Name of Applicant: L=DVIY--40 C 1344tZ-7L
Address:- 1,5 lei/t_._c_/Atyj Ji ffpiZ77hfW,,1:�V Telephone: 5,941-7'7O'7
worzK— 77,3 -,36G/
2 . Owner of Property:
Address: �L Telephone:
3 . Status of Applicant: V Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet#2 aC Parcel# n nC ,
Zoning District(s) (include overlays) U RG
Street Address t-; kfl I I I Cum S e =
Required
5. Existin Proposed b Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg.Coverage (Footprint)
Setbacks - front ioo ' too
- side T, 4" L 69 R ill t
- - rear S' + '
Lot size 6 361, 1
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 ' X 8 ' ? -2E4 4/C 4 /Z9 q1 00,0 ,JZWzz 66�
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.
Date: /l- /G , '/-:�, Applicant' s Signature:
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
'' Approved as presented/based on information presented
Denied as presented
R so for D ial:
�,J A 2- .
gnatu Buildi ctor D 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.
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PERMIT APPLICATION CHECK LIST
PAGES PLOT X34 ZONE CC k'C ( J W��-� YES NO DATE
1 , ZONING FORM AEPLIQATION �-
2 . PERMIT APPLICATION
3 . OWNER OCCUPANT STATEMENT- LIC ik I NO
4 . 3 SETS OF PLANS /PLOT PLAN
5 . NEW CONSTRUCTION
CURB CUT
7 . WATER VAIL BI I7 0 MS
8 . REMODELING INTERIOR
9 , ADDITION
0 . ACCESSORY STRUCTURE
11 , SIGN WNING
2 , PERMIT FEE - CHEC ONLY - MONEY ORDER
3 . SPECIAL PE IT BEQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM
] 6 . FILL
COMMENTS :