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THRU TOTAL PRICE:
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FINISH BACK WALL
COLUMNS 14,RAILING
■ �i� TRANSOM LITE �■.�
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PHONE LINES I I ELECT.METER[I
WEATHER LOCK 11
WA EWA
WE PROPOSE hereby to furnish material and labor complete in accordance with above specifications. for the sum of:
THE FOLLOWING WORK SHALL BE DONE BY PARTIES OTHER THAN TEMO AND IS NOT A PART OF THIS CONTRACT.
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations x
so NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location `3 2 t �l f �o� , Lot No.
2. Owner's name � /Gi' D / b U l�qkj Q Sh im► Address �I 3 4 2ju a2t P,,
3. Builder`s name OyA1` '4/0 r»te ?e rn d ol le rC S Address s7` 9: S t 5,W
Mass.Construction Supervisor's License No. QS(C �f 1_. Expiration Date I
4. Addition-
5. Sect�onr
5. Alteration 41.mQ0£ £X's tr�% 'se lee r n 5-e'G Len +e f e e W/e' A 41ST 7► Lveoe ern �
6. New Porch N A
7. Is existing building to be demolished?
8. Repair after the fire_N
9. Garage No.of cars Size
10. Method of heating 7
11. Distance to lot lines 0 Lr Ag r 30o to f? 90 r3 e ,e
12. Type of roof y�A'/
13. Siding house_!uTr1
14. Estimated cost:- r17 00 d
J
The undersigned certifies that the above statements are true to the best of his, her
knowl ge an belief.
/3 Signature of responsible applicant
Remarks S S -Y C Qee ty S c "; 'V e ��� S ►2 t u CC k S
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'1011ING PERMIT API)TjTCATION (§10 . 2 )
1. Name OJ' A I..)p-1. ca I t
AJ,Mt , A�
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Tel-ephonc.,
�A
2 Ownex- or Pruperty : YX
Add.i.:nss : le 1Z1_45-77
3 Stratus of Applicant : 0%,11103: -A-contract PurchLa,_',c-r
L c s s e c -0ther
zt , Parcel. Identification - zon.ing Map ::)'heet// ' (c2 ParcnIJ 70
Zoning District (s) (in c.1 ud ovo. 1.ca Y S
lIzec i"l).red
S . x i o t onin
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Use of St.'r.-Ucture/Proporty
(if project i_,i only interior work, skip to #6)
Building height
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`,Bldg . Coverage (Footprint)
S e t ha c),,s Tront
2_1
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side .20 070 3 a•I
rear
L a t s j.,!,o
Fron t-ago
Floor Area Ratic
-Open Space (Lot area minus
bui1ding and pa.rking)
Parking Spaces
---
Loading
Sign s
Fi1.1 (vo_Zume & location)___
arra L
6 N tivo Desci.:ip lon of Proposed Work/Project• (U se additional sheets
li:r Y i6*4v, dAeC." S Seal ".04
v3
day
AAA A;P -
,X 7 . Attached Plans : -Sketch Plan ✓ Site Fl.a-n
8 . Certification : I hereby certify -that the information contained herein
is truc, and accurate to the best- of my know
Date : E3 S!cjna-t�ura.;?7LL
T I I 18 E I I�'RC T-1 0-11 F0-1Z -0 1,_r, -.I-C EA I_j TS 1 0 H-f.1 Y
Approved as presented/bElSed on infomiiation presented
Denied as presented
—Reason for D -13
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