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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER
Repair
� /� Garage
1. Location CdcpGL( Lot No.
2. Owners name ki- Address . mot• . j1��z1 ?�`r�CJ
3. Builder's name. zk e. .z e'j"Li , ,�% r�rrF � Address
Mass.Construction Supervisor's License No. 0 i7 VZi Expiration Date
4. Addition
5. Alteration .� , Z ' ' l�y 7 z" r e !e%
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:-
(f ` 7e The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible app,icant
Remarks
• i ;
Date Filed 1 �J
File No.
ZONING PERMIT APPLICATION (510. 2)
1 . Name of Applicant: ,�GG /` i��2
Address : 3 - Telephone: Sd7y SYd' L
2 . Owner of Property:
Address : Telephone:
3 . Status of Applicant: Owner 4---68ntract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# 32-6- Parcel#ZS ,
Zoning District(s) (includ overly s)
Street Address
Required
5. Existing Proposed by Zonin
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%Bldg. 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 & locat ' n)
6 . Narrative Descrip on of Proposed Work/Project: (Use addition sheets
if neces ary)
•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 knowledge.
Date: Applicant's Signature:
/ THIS BECTION FOR OFFICIAL USE ONLY:
v
Approved as presented/based on information presented
Denied as presented--Reason:
Spec' l.• Permi nd/or Site Plan Required:
ai,7 Requ Vd,•oe Variance Required
S natur o&-,B i.lding In C -Dates
NOTE: Issuance of a zoning permit does not reliove an applicant's burden to comply with all zoning roquiroments and obtain all required permits
from the Board of Health,Conservation commission, Dopartmont of Public Works and other applicable permit uranting authorities.
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