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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. 19� Additions
Repair
APPLICATION FOR PERMIT TO ALTER Garage
1. / Lot No.
2. Owners name / Address r� � ��C ! ,
3. Builder's name 1 Address i
Mass.Construction Supervisor's License No._(1/ti�G i G-� Expiration Date
4. Addition
5. Alteration
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
I i
11. Distance to lot lines L .I 1
12. Type of roof
13. Siding house
14. Estimated cost:- l Ike, �.
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible applicant
Remarks
PR P
•Y'I'
c
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Data Filed File No,
L ONS 3lG PERMIT APPLICATION
Zoning Ordinance Section 10 . 2
1 Name of Applicant : ' ��
Address : Te.1 ephone ; "C-
2 Owner of Property;
Address • � j � ' ° - —,Telephone :
3 . Status of Applicant : Owner Contract Purchaser
Lessee Other (explain : )
4 , • Parcel Identification: Zoning Map Sheet, 'Parceld //G? ,
Zoning Districts) 4
Street Address
S
5 . Compliance with Zoning: Existing Proposed
Use of Structure/Property
Size of Structure (sa.ft , )
Building height
Building Coverage
Setbacks 7 front
- side -4- 5#1 C�
- rear &7r
`e Lot Size
,•' Frontage
Floor Area Ratio
Open Space
Parking Spaces
Loading Spaces
Signs
Fill (volume & location)
6.• arrative Descrintion of Pro osed Wor ra ec : (Use
additional sheets if necessary) C1411 a)V,_4
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 : /-_ Applicant ' s Signature :,
THIS-SECTI3N-FOR-OFF I C IAL USE ONLY :
Approved as presented
Denied as presented
Reason for Denial :
------ Signature o.r
Building Inspector ° j ,� Date
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