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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Z-48"% ! Alterations
a NORTHAMPTON, MASS. ��� _1% 19 3 Additions
APPLICATION FOR PERMIT TO ALTER Re p air
Garage
1. Location 5:5— &1 r_rW t7 cad Of,- Lot No.
2. Owners name � ,, o,�r « Address___ //Xn ,r
3. Builder's name �.�/_�� Address_g2_- -, e. �'���
Mass.Construction Supervisor's License No. !� 3 :2 4 `Expiration Date— �•j
4. Addition
5. Alteration M eci tel� a r /�j` `P ,a -7 gn
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:-
The undersigned certifies that the above st menu are true to the best of his, her
knowledge belief.
Signature of responsible app,icant
Remarks
`f"O �
• F u
sity� l
Date Filed r
File No.
ZONING PERMIT APPLICATION (910 . 2)
. 1
Name of Applicant: r
j '
Address :
0 -Telephone: p—3rs7
Owner of Pro erty: (,U~e
Address : r��r w auk p� s r Ifle, Telephone :
Status of A licant: Owner pp �- Contract Purchaser
Lessee Other (explain : )
4 . Parcel Identification: Zoning Map Sheet# _ parcel# �5 ,
Zoning District (s) (include verlays) „ �(
Street Address 5 , ,
Required
5. Existing Proposed b Zonin
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 r
%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)
G'
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 : 7J Applicant' s Signatur .
THIS SECTION FOR OFFICIAL USE ONLY:
Y Approved as presented/based on information p resented
Denied as presented--Reason :
Special' Permit and/or Site Plan Required:
I
n ng Re irerl: variance Required : -
e
gnat e Building Inspector a e
NOTE: Issuance of a z mtfi g 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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