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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Z e 404(7) Alterations R
a NORTHAMPTON, MASS. CT 5 19__-2 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location_ 6 �"�' `'C r-'! �' bw Lot No.
,�, y ,per 4
2. Owner's name /AQQ Address__ -�/°t' ��t �' �1 �'
3. Builder's name / Address?-` t:V
Mass.Construction Supervisor's License No. C-1 7', /ik-G41CC C'5 F cpiration Date
0DR. -iiA`A Al
4. Addition
5. Alteration t
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 ,k f �r Z`�t�
12. Type of roof `- L--a
13. Siding house % c woe_—&-^sa',fD
14. Estimated cost:- i (Y)v
The undersigned certifies that the above statements are true to the best of his, her
k ledge elicf.
v Signature of responsible appican!
Remarks ---
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Date Filed �=' � 1 O
File No.
ZONING PERMIT APPLICATION (§10 . 2)
1 . Name of Applicant: vN_0 �, cv-c—, „
� , �
Address : �-
_� C" ,�-1 =1�� Telephone: 2 C °
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2 . Owner of Property:_h,3Ky 1k W 1�-,_)rNA TT UeVJ
Address :_lit- f_L7, "elephone :
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain; =- y 7— )
4 . Parcel Identification: Zoning Map Sheet# Parcel#
Zoning District(s) (include overlays) �— Cz
Street Address
Required
5. Existinq Proposed by Zonin
Use of Structure/Property
(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) �N` �`tZ- �' � a \. �` ��&1 tc`y\m, f T 624� .
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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 knowl, dge.
Date : �� et C Applicant' s Signature:`---__�
THIS SECTION FOR OFFICIAL USE ONLY:
/Approved as presented/based on information presented
Denied as presented--Reason :
ecial• Permit and/or Site Plan Required :
rf�ing R i ed: Variance Required :
gnat r of Bu ' pector at
1
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 the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities.
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