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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Teel..No. t'� �y-�3��/ Alterations
NORTHAMPTON, MASS. Additions
' APPLICATION FOR PERMIT TO ALTER Repair
pt1 / Garage
1. Location / /n 1^r o k -Q/ Jt? 11 /r G' l e Lot No.
2. Owner's name o W/a n d 44 n r,d V Address !?V S'40(e C r L
3. Builder's name a A—�_ Address/ -r 4 TN U T g7-, . FLa r �i✓c�
Mass.Construction Supervisor's License No. �`/��/ Expiration Date IV/ /,P 9'S-
4. Addition
5. Alteration
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 S /IV c L P s
13. Siding house �c
14. Estimated cost:- 0 p CI ,�-
J -
The undersigned certifies that the above statements are true to the best of his, her
�( knowledge and belief.
Signature of responsible app icon!
Remarks 0 0 ��,( �' e� C o/1/d L A 0 Y DT
_ 44
Date Filed r
File No.
ZONING PERMIT APPLICATION (Sid . 2)
I . Name of Applicant:
Address : 5 F Telephone:
2 . Owner of Property: y W o r
Address :_ 1 q ro o ���r L '--Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain; )
4 . Parcel Identification: Zoning Map Sheet# / arcel# /8(�
Zoning District(s) (include overla
Street Address
Required
5. Existin Prop9sed bv Zonin
Use of Structure/Property
(if project is only interior work, kip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage.
Floor Area Ratio
aOpen 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) /P� ,� , Q4 E! ���o
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: 4/// q'y Applicant's Signature:
HIS SECIO F
TN FOR OFICIAL USE ONLY: $
T
Approved as presented/based on information presented
Denied as presented--Reason:
Special" Permit and/or Site Plan Required:
nd 'ng Re Tired: variance Required:
gnature Buildsl— pector 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, Dopaitmont of Public Works and other applicable permit granting authorities.
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