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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. q Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location / �A� � /ur' Lot No. l
2. Owner's name )U04- A t4 �'� �/l e Address i 5�/ ./Lu^ � .2 i V.-
3. Builder's name,-7�,02c.?g- a Ex F- Address J4 It Il��cly �� m��
Mass.Construction Supervisor's License No. C3,26 (-:2 Expiration Date g�
4. Addition �1
5. Alteration Wcv-, IJJAV4 6p,
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 statements are true to the best of his, her
knowledge and belief.
Signs re of responsible app,icant
Remarks
' . 004 ?
Date Filed, C,� �U j �pG 5 v File No.
ZONING PERMIT APPLICATION
I . Name of Applicant:
Address: _yq Q Zy _Telephone:
2 . Owner of Property:_ Al,
Address: r� ��,g,�,, lc �r� Telephone: - y
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explai.n )
4 . Parcel Identification: Zoning Map Sheet#_ P reel# al`j r
Zoi'tzng District(s) (include ov w,
M=�AJ\Y)Street Address oL ,
Required
5 . Existing Pro osed —bv Zonin
Use of Structure/Property
(if project is only interior work, skip to f#6)
Building height
oBldg. Coverage (Footprint)
Setbacks - front
- side L: R: L:
- 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)
ivr 1 6 �
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: -A/ 117 IC, Applicant's Signature;
a THIS SECTION FOR OFFICIAL USE ONLY: – –
li Approved as presented/based on information presented
Denied as presented--Reason:
Special* Permit and/or Site Plan Required:
n 'ng Re fired: Variance Required:
gnat Ijildin 57t e
NOTE: lssuarm o(a zoning permit does not rellave an applicant's burden to comply with all zoning roqulroments and obtain all roqulrod pormits
from the Board of Hoalth,Conservation Commission, Npartmont of Public Works and other appticabto pormit granting authoritios.
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PERMIT APPLICATION CHECK LIST
` `-
'AG � .., �. � E ES N DATE
i
2
3 OWNER
3 SETS OF PLAN� /PLOT -PLAN 1�
NEW S
6 CURB CUT
- WATER
8 , REMODELTNG
9 , ADDITION
0 , ACCESSORY
11 , SIGN / AWNING
G"'
2 , PERMIT FEE - CHECK ONLY - MONEY 0 DERh'�Z& 3�T
13 , SPECIAL I IF APP IC B
4 , UNDER E - CMR 780
5 , FORM A
6 , FILL
COMMENTS ;-