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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.a 9 6- y 3a Alterations
go NORTHAMPTON, MASS. o2-7 195-1 Additionsa h Repair —
APPLICATION FOR PERMIT TO ALTER
/ 11 Garage
1. Location �3 �� O�� W CIO d 01c t os v- ViO r Q A c--*, -MA Lot No.
2. Owner's name 3 e. -r u, CT ,-\ Address 8rQCI .le �no j UIZ nSj"h c,-,Q4.
3. Builder's name . �.t Y t %z- Address �.3�1 � 1�`tr,"%AVL k h-A
Mass.Construction Supervisor's License No. n') 72 72 ,5- /3 Expiration Date �f —
qq
4. Addition of h loo f-- —
5. Alteration <-- a,►r w,\ " to Y\. -
6. New Porch C� —
7. Is existing building to be demolished? �j o
8. Repair after the fire O
9. Garage W U No.of cars Size
10. Method of heating 'Q c t r —
11. Distance to lot lines '1-rot 3 7 r Re c r 6 L r4 f 2- R l�kt 'n
12. Type of roof e r r A.Vpkr 14 -
13. Siding house
14. Estimated cost:$ t 1 �� J d
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belieL
/ Signature of responsible applicant
Remarks
r
PR IN�P
C., 1;''j.I e No
PERMIT ATIVItICATION (�io 2
Nalllul C)f A I.i.ca 11 t LOMLJ-
Addi. ess : Te I ep h OT_ci--
2 0 w n o.7- c)C P.1, 12 1., SI,v e-
Add.r.ra E-,s : 641,
Phone :
3 Stc-ItUS 01. Applicant : Owner Coiitract PurchEl':cr
4 . Parcel Identification : Zoning Map, Sheet-// P a r
zon.ing Distrli.ct s) ( include ovn.rlay •)
S t:1:c e-(-- A d d r s s-16--&
Lis.s t i P roposed
I q by 7,onin
Use of S tz-uc-turo/Property .I we l(if project i-,r only interior Work Aip to #6)
Building heiglit _:w �
.,Bldg , Coverage (Footprint)_ RL. 44
Setbacks front — ?7 /
side. k+ 2
F r o n Lago.
Floor Area Ratio 'S
Open Space (Lot ax-ea minus
buildinq and pa.rking)
Parking Spaces
Loading
Signs
(vo.Zujjjca
6 Narrat..Lve Descxj tion of p
-p rc osed Work/Project: (Use additional sheets
,Y)
..necessal.
f
- h " �"� ii [ar3yy ' r � '1_ A ��,,_ _—
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 :- Applicant I s Slgnatule :
T]ffTj –Eji,.,–cf:.7r(5TT --c)l,,-Ij
/Approved as presented/]used on information presentecl
Denied as presented.
Reason for Denial ,
7 -31 -71
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