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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. -�� Alterations
NORTHAMPTON, MASS. 1 7 19 17 2- Additions
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APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location 3S' 1 IW A L 6 Lot No. S H#'31,
2. Owner's name LI Ege-P-1il1 A kl Address 3.' MAPLL-; 21 Doe- J27>
3. Builder's name A)E I L H 0 M 5 TL'-A b Address 4t?& V OP,TM F/i ROU KD-
Mass.Construction Supervisor's License No. 0 3 I' 2 4 of Expiration Date &13O,e?-3
4. Addition ' l> OTJa�3✓► - 7�a�1`f
5. Alteration
6. New Porch
7. Is existing building to be demolished? 00
8. Repair after the fire l>v
9. Garage a / No.of cars Size
10. Method of heating EX►5 T IA3 r C ,qT /40-f A I/:
11. Distance to lot lines 1'nvN'- Ufa L S%nom 4�' ' �� '0o
12. Type of roof AS P#&LE
13. Siding house L 5--D U/���
14. Estimated cost:- U a o
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The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
D
Signature of responsible applicant
Remarks
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Date Filed /® 9, Q Q _�-
� File No.
ZO NG PERMIT APPLICATION (510.2)
1. Name of Applicant: ,ULiL f�y�rs rE•4 r]
Address:golly 410,e77y F41p*js kb. 12)'7V ry Telephone:
2 . Owner of Property: K eam
Address:3c&- t14Ap4C /?ItxL g'D. 4j7-v Telephone:
3 . Status of Applicant: Owner contract Purchaser
Lessee Other (explain: C p1U;,QAc 'i°Z>& )
4 . Parcel Identification: Zoning Map Sheet# 3G Parcel# aq ,
Zoning District (s) (include overlays)
Street Address 35? Mct-pi& Rt'dr--&- Rd
5. Required
Existin Pro used by Zonin
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height /Z
%B1dg.Coverage (Footprint)
Setbacks - front tea `
- side 1, R L 4Z ' R
-- - rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
}wilding and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6. Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) Ai-�>D,170A.) ;)p g9y'�f>t?va�i - i-vcc s-/. cq,v
o�_ fix►.S 7-��yr_ �-Iyc.s L= t t I x R
7 . Attached Plans: L'' Sketch Plan L/ 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:J ' L
— — — — — — — — — — — — — — — — — —THIS SECTION FOR OFFICIAL USE ONLY:
pproved as presented/based on information presented
De ied as pr ented
so nzf or D i
igna r f uildi nspectr•.aRV ,..,n..- 4aYe
NOTE: Issuance of as ipri rmit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of f'f�altti,Conservation Commission, Department of Public Works and other applicable permit granting authorities.
7/92 FXAS
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