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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tell.No. ~3� 7� Alterations
NORTHAMPTON, MASS. �A.4 f / 19-Ty Additions
Repair
APPLICATION FOR PERMIT TO ALTER
Garage
1. Location x U l� /'/� �c S Ca< 19 �' i/^ C Lot No.
2. Owner's name / 0 -9 Address e 06 r Aa- , e cc I
3. Builder'sname t�t�(411 r do WV/ Address-_ qr 'C
Mass.Construction Supervisor's License No. f Expiration Date
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 /II a L e-
13. Siding house
14. Estimated cost- `f,G c
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
�y Signature of responsible app ican
Remarks P, S /N g 4 e k a,2:f W i h SC o Ald 4.4 V
Date Filed_X Z/�/y �� File No.
ZONING PERMIT APPLICATION (510. 2)
I . Name of Applicant: A y
Address: / xzw_ Telephone: - a
2 . Owner of Property: &rN h;CIA N/0 S
Address : /j�� � � ojrcL Telephone: i
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3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# Parcel# /7� ,
Zoning District(s) (include verlays)
Street Address Cl r
Required
5. Existinq Proposed by Zoning
Use of Structure/Property `_JC_.
(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
%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) �1 P e.�"V:2 (70`-J41
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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 Is Signature: C
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
Special' Permit and/or Site Plan Required:
inding Requir d: Variance Require7/7�
y l
S gnature of Building-Inspector ate,
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply witli all zoning requirements and obtain all required permits
from the Board of Health,Conservation commission, Department of Public Works and otlier applicable permit granting authorities.
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