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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. 19 APPLICATION FOR PERMIT TO ALTER
Garage
1. Locationf7,L'�'�� 1�' r'/�%'41��/ �✓ �`z�l�, �j Lot No.
2. Owner's name ��-VV seo /�J*/tr Address
3. Builder's name -jr Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. New Porch r - L C <- i 1''L.H
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:- 10-H
i
The undersigned certifies that the above statements are true to the best of his, her
�1 knowledge] d belief.
Signature of responsible applicant
Remarks
PHIN. T�SHOP
s '
o4��"pro
Crlf� of Xort4amptan z s
a
DEPARTMENT OF BUILDING INSPECTIONS
f t
INSPECTOR 212 Main Street ' Municipal Building '
Northampton, Mass. 01060
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.
` Signature & Date
Date Filed ` File No .
ZONING PERMIT APPLICATION (§10 . 2) �— -
1 . Name of Applicant: �� u; .
Address : ��i' « �� ( Telephone: ., &
2 . Owner of Property:
Address : 1 >, _Telephone: —_-,--
3 . Status of Applicant: ✓Owner Contract Purchaser
Lessee other. (explain:—
A , Parcel Identification : Zoning Map Sheet# VC Parcels-3CJ r
Zoning District (s) (include overlays) G
Street Address
12a 7l::il r:d
5 , �Existing _ Proposed zoiiincr
Use of Structure/Property ,7/f _
(if project is only interioi work, skip to #6)
Building height
%Bldg . Coverage (Footprint) --
Sethiacks _ front _
side
- rear •-- ------------
Lot size -
Frontage _~
Flocs. Area Ratio _
%Open Space (Lot area minus
bui).ding and parking)Parking Spaces
spaces
Loading - --
Signs
Fill (volume & location) _
G , Narrat:ive Descrip ,ion Qf Proposed Work/Project:: (Use additional. ;beets
if necessary) f�� .( i
7 . . Attached Plans : Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained r.elein
is true and accurate to the best of my knowledge.
Date: � �,� �7 Applicant ' s Signature: '�!_AZIA
.-.-f
TTHIS SECTION FOR OFFICIAL USE ONLY:
tApprove-d as presented/based on information presented
De 3a.ed as presented
`aso , for De ilal:
3 --
ignature of Build � Ix ctor - Date
NOTE: issuance of a zoning permit does not relieve an applicant's burden to comply wide all zoning requirements and obtain fit r:quit rd j:oarhs
from the Board.of Health, Conservation Commission, Department of Public Works and other applicable permit granting mMoriUas.
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