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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.— "tom Alterations
NORTHAMPTON, MASS. - 1 19 / Additions
Repair
APPLICATION FOR PERMIT TO ALTER
Garage
1. Location Y.3/ .Qor,2 Lot No.
2. Owner's name chi Address '23 12(143 S i i
3. Builder's name j!i///,+C nz a/ c? Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
� r
6. New Porch /, X yea
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:- ��f�
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
�1 Signature of res i6le applicant
Remarks
PBIN, _Tn.SHOP
'y
Date Filed , File No.
ZONING PERMIT APPLICATION (510.2) i
I. Name of Applicant: l 'f
Address: r-5 A, &2 ___Telephone:_.
2 . Owner of Property: /Jim & d 40-
Address 3 0,7 Telephone: S,f(
3 . Status of Applicant: V/-Owner Contract Purchaser
Lessee Other (explain:_ }
4. Parcel Identification: Zoning Map She t# Parcel#Llo ,
Zoning District(s) (include overlays)
Street Address
Required
5. Existing Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg.Coverage (Footprint)
Setbacks - front
' side (o
19 - rear l rr
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 o osed Work/Project: (Use additional sheets
s
7. Attached Plans: 4,�- 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 Is Signatu re:
THIS SECTION FOR OFFICIAL USE ONLY: i
t,- Approved as presented/based on information presented
Denied as presented
ason for nial:
S, gnat Buil 'ng Inspector �. Date
-5
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