35-169 (11) Date Filecb7 / File No.
ZONING PER141T APPLICATION
Zoning ordinance Sebtion 10 . 2
1 , Name c A P P 1 i c a n t
Address : , Telephone ;
2 , Owner of Property
Address : Telephone :
3 . Status of Applicant : _X-Otrmer. Contract Purchaser
Lessee Other (e:!pl.ain )
4 . Parcel Identification : Zoning Map Sheet# _3r Parcel#
Zoning Districts)
Street Address zC
5 , ' Compliance with Zoning; 'Existing Proposed .
Use of Structure/Property
Size of Structure (sq. ft , )
Building height
Building Coverage
Setbacks - front
- ,side
w
� - rear � . . .
Lot Size .
Frontage !
Floor Area Ratio ,
% Open Space
Parking Spaces
Loading Spaces
Signs `
Fill (volume & location)
6.. NarratiZe Description of Proposed WorkfPro ect: (Use
addit ' final sheets if necessary) S,-e�,1f4�;
7 . Attached Plans : Sketch Plan Site Plan '
a . Cert'if,ication : I hereby certify that the 'information, contained
herein is true and accurate to the best o� my knowledge ,
Date :�,2? ,,i ,l Applicant ' s Signature :
TH2S SECTION FOR OFFIC A E US ONL`1 _ �'
Approved as presented
Denied as presented
Reason for Denial :
Signature of Building Inspector,—.N _ Date. - —�-�/.
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. S��. Alterations
NORTHAMPTON, MASS. ="'� r's✓c" 19 Additions
g e air
APPLICATION FOR PERMIT TO ALTER Repair
/ Garage
1. Location Z. Lot No. ,
2. Owners name n/e u>_'14 r� ��' Address /3�S / - �—� i
3. Builder's name „�/-F Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration "'o �J�i`' j</ _ S7r�.��1�-- ? a�r � e
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.
Signature of responsible applicant
Remarks
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