29-432 (4) -` Y
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. G� Alterations
'/
NORTHAMPTON, MASS. r 19 ( Z Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location // ' 0—(,( ' Lot No.
2. Owner's name VLGCy t` 4�tZ�`/��Z Address �� /=F L L. /z rLo�G�/c�
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition /L
5. Alterations r' 'F
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:-, 4
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The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. y
Signature of responsible applicant
Remarks
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-, DEPARTMENT OF BUILDING INSPECTIONS = ?
212 11Tain Street ° Municipal Building
INSPECTOR Northampton, Mass. 01000
AS A HOMEOWNER I UNDERSTAND THAT I MAY APPLY FOR AND RECEIVE
A BUILDING PERMIT FOR A HOME OR ADDITION I INTEND TO LIVE IN.
I ALSO UNDERSTAND THAT I AM RESPONSIBLE FOR KNOWING THE STATE
BUILDING CODE AND ZONING ORDINANCE OF THE CITY OF NORTHAMPTON.
BEING A HOMEOWNER AND NOT A PROFESSIONAL CONTRACTOR IN NO WAY
ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE THAT ALL FACETS
OF THE RULES AND REGULATIONS ARE COMPLIED WITH.
�Sinature & Date
9
as Pr
Date Filed `J v File No. — 4-3a
ZONING PERMIT APPLICATION (§10 .2)
1 . Name of Applicant; � 1L -
Address : ( Telephone:
2 . Owner of Property:
Address: C Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Shee Parcel# "T e-�
Zoning District(s) (include overlays) u- e;221
Street Address a � — - -
Required
5 . Existinq Pro osed bv Zonin
Use of Structure/Property
(if project is only interior work, skip to #6) `
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side 16
- rear 1
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)
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.
i
Date: 421") Applicant ' s Signatur ��t�
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
ZApproved THIS SECTION FOR OFFICIAL USE ONLY:
as presented/based on information presented
De led as presented
ason for D nial:
Signatu of Buil ' g Inspector Date
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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