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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. -�<� —1912 Additions
APPLICATION FOR PERMIT TO ALTER Repair
a
/� Garage
1. Location e � ) 6 c�< f� k(lg Lot No.
2. Owner's name &!"iFl-►iI Cla7`-4 fir,440l Address (-7C'/Act, l I�� IG`y r ✓, f11�<.Il-
3. Builder's name Seo-(7 a&- oc o'c Address Agi C',/I
Mass.Construction Supervisor's License No. Ita')jk Expiration Date
4. Addition
5. Alteration /e S Al yl 'I-e /r i C�� AC),i,S*P
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
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cos ''/0 a
oq- The undersigned certifies that the above statements are true to the best of his, her
JiK knowledge and belief. Z.1--�Zle
Signatifte of responsible appucant
Remarks J �1� � n �r r e- .
/ �,1 � r • '
Date Filed 00 `'8(� ��"l t File No.
ZONING PERMIT APPLICATION
1 . Name of Applicant: 5, l/e
Address: 74,,� Y" tnra Telephone:
2 . Owner of Property: f�-�f,,�/ ,�cr� if-
Address . /��i✓+ iy� R -`rvh� 1s_ _Telephone:,Ly�Z- .5-.s� 5/77 7
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# 956- Parcel#
Zoning District(s) ( nclud overl s)
Street Address ,'
Required
5 . Existinq Proposed by Z�o in
Use of Structure/Property -_ZV O(
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R:_ 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) _ 5 C', r i S
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: �1 �� Applicant's Signature:
THIS SECTION FOR OFFICIAL USE ONLY:
,/' Approved as presented/based on information presented
Denied as presented--Reason:
IS,p ecial' Permit and/or Site Plan Required:
i7ng RV d: Var 'ance Requ red
i
�A
gn re-'o Building ector to
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from tho Board of Health,Conservation commission,Dopattmont of Public Works and other applicable permit granting authorities.
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/ PERMIT APPLICATION CH Lj,�,T
PAGE PLOT ZONE ZgO 9T , � `®` '�"` ES NO D AT-
1 . ZONING FORM APPLICATION !/ �d
2 . PERMIT APPLI I `-�
3 OWNER OCCUPANT STATEMENT IF NOT �--'
4 . 3 SETS OF PLANS /PLOT PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 WATER S
8 . REMODELING
9 . ADDITION
10 . ACCESSORY C
11 . SIGN / AWNING
2 . PERMIT FEE - CHECK ONLY - E R ✓
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABL
4 . UNDER 0 7 - C R 780
5 . FORM A
6 , FILL
COMMENTS :
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