35-077 (6) Y
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
Location /l 0—, `/�1 Lot No. p /n
Owner's name Address_
3. Builder's name Address
Mass.Construction Supervisor's License No. _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
13. Siding house
64. Estimated cost:
The undersigned certifies that the above statements are true to the best of his, her
g
kno e ge and belief.
Signal responsible appicant
Remarks
KIN
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Date Filed File No.
ZONING PERMIT APPLI TION (§10 . 2)
1. Name of Applic n I /
Address : A,d Telephone: - S7
Owner of Prop rty:
Address : J9 ephone :
r
3 . Status of Applicant: owner Contract Purchaser
Lessee Other (explain : )
4 . Parcel Identification: Zoning Map Sheet// a`� L' Parcel#
Zoning District (s) (inclu o firla )
Street Address ,
Required
5 . Existing Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6) ,
Building height
%B1dg. Coverage (Footprint
Setbacks - front
- side 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)
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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 knowle e.
Date: Wdq3 Applicant's Signatur
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as THIS
on information presented
Denied as presented--Reason:
S cial' Permit and/or Site Plan Required :
�n n i ed: Variance Required:
gnat _ o D�uilding—Inspector D to
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, Department of Public Works and other applicable permit granting authorities.
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