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AS A HOMEOWNER < UNDERSTAND THAT | MAY APPLY FOR AND RICE /YE '
� A 8U[[D|QG PERMIT FOR A HOME OR 8DD / T /0/1 f !MT[NO 7O LIVE [N .
I ALSO UNDERSTAND THAT [ 8N RESPONSIBLE FOR KNON[N8 TIN STATE
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OODE' AND y0N[NO O8U (MANC[ OF TN[ CITY OF NDRTH8NPTON.
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8[iNG A]dO(dU0RNS88ND NOT A PROFESSIONAL CONTRACTOR IN NO WAY
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AOSOLYES ME OF ANY RESPONSIBILITY T0 INSURE THAT ALL FACFTS` '
OF THE RULES AND REGULATIONS ARE C0NPi ( [D WITH , '
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.5- LA -4 �q�O Alterations
a NORTHAMPTON, MASS. scpr q o 19 -{i Additions Re air
APPLICATION FOR PERMIT TO ALTER p
Garage CAR in3 L PCTIJ
I. Location 1�� �'�(��— Lot No. 3
2. Owners name C "2 L E S -U— Address t, 6 1 k C ff Y«-L K�
3. Builder's name S A v-1 c=— Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition -
5. Alteration
6. New Porch
7. Is existing building to be demolished? t i b
8. Repair after the fire ,t _
Y No.of cars r Size
9. Garage
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 4nd belief.
Ile
I 7
ignature of r nsible applicolt
Remarks
PNINT,SNOP
•Y7
9•
r
Date FiledT File No,
ZONING PERMIT APPLICATION (§10 .2) '--- -
I . Name of Applicant: ` i-4ARl.L: �s 6z-ILA tLZ
Address Qi2S(4 (� ��` �— Telephone:— y� _C{O
2 . Owner of Property: S A ►'ti s= _
Address : Telephone: -~—
3 . Status of Applicant:Owner contract Purchaser
' Lessee Other. (explain: )
1
4 , Parcel Identification: Zoning Map Sheet# ParcL,1,/ 23 r
Zoning District (s) (include overlays) u K A
Street Address �` B IW4 4
ileg2 aired
5 . Existing Proposed by :_art in
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height i(o t -_
%B1dg . Coverage (Footprint)
Setr)acks - front -30
side a.2
rear
Lot.' size _J 3'90 64 Fr- Y -----'-
Frontage
Floor, Area Ratio
%open Space (Lot area minus -
hu'ilding and parking)
Par};ing Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additionZA1 ��l c- is
if ne-cessary) 14 ?J-b i-r7 o0 FF _ _G A Q AG C-
7 _
. Attached Plans ✓ Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained .-ierein
is true and accurate to the best of my knowledge.
Date: Ad d,f yJ Applicant ' s Signature:
-'rHIB BEOTION FOR of FZCIAL U8 ONLY:
l/Approved as presented/based on information presented
Denied as presented
eas xi for $nial.:
S gnature/ ui di n s p e c t o r Date -�
NOTE: Issuanao of a z6 19 P-parmlt doos not relieve an applicant's burden to comply witti all zoning roquiramonts and obtain alt r,quirrd ponriks
from tho Board,of hlonilh, Consorvndon Commission, Dopartmont of Public Works and other applicable ponnit granting authoritios.
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