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Zoning id
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. `� Alterations
GO NORTHAMPTON, MASS.� & 19 Additions
Repair
APPLICATION FOR PERMIT TO ALTER
Garage
1. Location b Lot No.
2. Owner's name Address &_#?�?
3. Builder's name jD�,M S -I 4 9 t"15 t� Address 1 5:!�- 64F;1,2_'
Mass.Construction Supervisor's License No. G 7 Expiration Date
4. Addition _
5. Alterationl�'IcJ _ � �}(;�
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire C2
9. Garage 4/r No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:- ��6?0 0
The undersigned certifies that the abo statements are true to the best of his, her
knowledge and belief.
S�` ure of onsible applicant
Remarks
PRIN, TaSHOP
•Y
Date Filed File. No,.
ONINGPERMIT APPLICA'T'ION (910, 2) --
1, Name -of Applie nt; wln� t S
Address ; Telephonei =77
2 , ' Owner of Property: _..__.
Address ; ce Telephones
3 . . . Status of Applicant: owner co
: ntract Purchaser
( p
Lessee Other ex lain �
4 . Parcel. Identification : Zoning Map Sh et#
Zoning Districts) (include overla
Street Address
12equirad ,
5 , Existing Proposed y
Use of Structure/Property
(if. project 'is, only interior work, sk p to G)
Building height •
kpldg . Coverage (Footprlht)
Setbacks - front
r — sick .
- rear
Lot-'size
Frpntage
F'.loor, Area Ratio
%Open Space (Lot area minus
• hu.i.7.dinq And parking) _...:._...
• Parkincl 'space.s
Loading
Signs .^.
Fill (volu,nie & location) '•- '
6 , Narrative Descrion of Propo ed Work/Pro ,e (Uset�.onal 4jheets
if nagessary)
7 , ' Attached Plans : Sketch Plan Site Plan
8 ; Certification: ,I ' hereby certify that the information 4aihed herein
i*a true and accurate to the best of my knowledge
-Date: Applicant ' s Signature: , .,_.
'T'NI8 SECTION OR OFF'TCxAL ITS O Ys i
�Approved as 'preserited/based on information' presented
D .nied as presented .
asorl-for Denial : . _
grnatd o fd ih c Ins e.c t or Date
NOTE: luuanoo of a zoning pormit door not roilovo on applicant's burdon to comply wiUt all zoning roqulromonts and obtalrt all rvquirrd portrits
from lho Board.of Honhh, Conaorvation commiaslon, Dopartmont of Publlo Wotka and oUior applicablo ponnit gronUng authorltion,
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