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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 80- 1113 / Alterations
�sro� NORTHAMPTON, MASS. �) Lr fT19_�C1 Additions
- i Repair
APPLICATION FOR PERMIT TO ALTER
' ,[ J� ,.-� Garage
1. Location /;!1�i l `7 6��-9- �) � F-� f-Z-0"- C65 Lot No. r�
2. Owners name -. 0 / V, 2C--1 '--L-y° Addresses / C 915 1 !'r
3. Builder's name ., [ s --P// �Y k/ Z=/?- Address 44"-l�6/� L.`
Mass.Construction Supervisor's License No. Q / / `� Expiration Date .�0 .�
4. Addition Y,\ " 4:AA6e5- —
5. Alteration���TT� d
6. New Porch N c
7. Is existing building to be demolished?
8. Repair after the fire A)Q
9. Garage � � No.of cars Size.
10. Method of heating
11. Distance to lot lines / �' � / c� r 7
12. Type of roof L
13. Siding house
14. Estimated cost:- a /D aO 00
J_
The undersigned certifies that the abov statements are true to the best of his, her
knowledge and ief.
Signature of responsibl a plicant
Remarks
PNINT?.SNOP
Date Filed File No .
ZONING PERMIT APPLICATION (510 . 2 )
1 - Name of Applicant: , C"V/O '0-
Address , 41
C:�-Ale4�rf e 1 e p h o n e
2 . 0 w n c-.,r o.r propcnrty:
Addy es , Teiephone
3 . Status of Applicant: Owner Contract Purchasc"r
--Lessee other.
4 . Parcel. Identification : Zoning Map a r Cn
Zoning District-. (s) (include overlays)
Street. Address
Req:ii'red
5 . Existing Proposed by 7joninq
Use of Structure/Property
(if Project only interior
_ work, skit to
J
Building height 1)JZ Y )17��
`Bldg. Coverage (Footprint). J;04
Setbacks front
side
rear
Lot size 00
Frontage
Floor Area Ratio
-%,Open Space (Lot area minus
building and pa.rking)
Parking Spaces
Loading
Signs
Fill (vOlulllr, & location) --------
6 . Narrative Description of Proposed Work/proj C-4- - (Use additional sheets
ssay) -
lf,nece r
Sketch Plan Site Plan
7 . Attached .Plans :.Plans : "S
B . Certif ication: I hereby certify that the inforination contained herein
is true and a(.-,-curatc to the best of my knowl dge.
a
Date: Applicant Is Signature:
- - - - - -- - - - -- - - - - - - - - - - - - - -
THIS SECTION Folt OprilciAli us
Approved as presented/based on information presented
Denied as presented
Reason for. Denial:
I 'n-i ure c:c
gn EI Building inspector Date .
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