36-026 (4) o
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 7 3 1 ' Alterations
NORTHAMPTON, MASS. ' � 192 Additions
so APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 2-10 �'�` Lot No.
2. Owner's name'/i// -r �, a. ,t Address _-
3. Builder's name uZ bf-A Address
Mass.Construction Supervisor's License No. y �� Expiration Date -�
4. Addition
5. Alteration sQ Seen e o,;� t %/.�a ,e' j try a- E'x°_r ,� �,e A�! ✓+
E
6. New Porch
7. Is existing building to be demolished? w°�
8. Repair after the fire i'- U
9. Garage ,»^-'d fir` P0 No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof �'�fic.(t '
13. Siding house A ✓^'�
14. Estimated cost: ���
The undersig,ped certifies that the ove statements are true to the best of his, her
knowledg andpelief.
Sign t e of responsible app,ican!
Remarks /�� %r �� SJ S c°P f l�r j�� i! �e� fix.sr 1�n F°
T
000'75 '
Date Filed �-Z Z`�2 q.3 File No.
ZONING PERMIT APPLICATION (510 .2)
1. Name of Applicant:
Address : Telephone:
� oriog
2 . Owner of Propert : Q `� �;;• :"
Address: Telephone:
3 . Status of Applicant: Owner '---contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# -24 Parcel# ,
Zoning District (s) (include overlays
Street Address 2 " " ` J
Required
5. Existing Pro nosed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint
Setbacks - front
- side L: 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)
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 knowledge.
Date: 2 �' "� Applicant's Signatu
THIS SECTION FOR OFFICIAL USE ONLY: / ^
`Approved as presented/based on information presented
Denied as presented--Reason:
Special Permit and/or Site Plan Required:
i'nding Required: Variance required:
c
gnat rya- o Buildipq�_.. nspector Date
NOTE: issuance of a zoning pe 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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