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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. S4? 73Q r7 Alterations
so NORTHAMPTON, MASS. `"� v� S 19 ' Additions
Repair
APPLICATION FOR PERMIT TO ALTER
tt (� Garage
1. Location 1 a H S �v � T � (� _ c�-�� t r] Lot No.
2. Owners name Address
3. Builder's name \t rv-\ ta��� ��q Address -;�--�W
Mass.Construction Supervisor's License No. ��G1�1�7 Expiration Date__L/_� `Y_
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
S. 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 b ief.
Sign ure o respo ibl applicant
Remarksv�
PNIN, _T�SNOP
.y
{ j
Date Filed �s File No.
ZONING PERMIT APPLICATION (510. 2)
1. Name of Applicant: �N �
Address: H \1 - Tele hone
_ P �Sa "7 a'�
2 . Owner of Property:,,
�3�,�
Address: 1� i-{ IS � Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: ,,,,� ,
4 . Parcel Identification: Zoning Map Sheet# � Parcel#
Zoning District(s) (include overlays),
Street Address — , o
P,
" Required
5. Existing Pro nosed 1by Zoning
Use of Structure/Property VL it S
(if project is only interior work, skip to #6)
Building height
%Bldg. Coverage (Footprint)
Setbacks - front
side
rear
Lot size
Frontage
Floor Area Ratio
10pen Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 Narrative De 1 tioI of Proposed Work/Pro ect: (Use additional sheets
n�ecessary �
All
iv—ko% l l VI 1.�] a 1 `4v L l Z 1J
7. ttached 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's Signature:
_ - - - -THIS SECTION FOR OFFICIAL USE ONLY: - - - - - -
LApproved as presented/based on information presented
Denied as presented
'son„for Den' 1:
G'
Sirjnature -6fe Brdilding InspTltor Date
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