25A-107 (33) a
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
go NORTHAMPTON, MASS. 3 1 19 s — Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location foo 4A N M Lot No.
2. Owner's name ° irV Address C/o--a G
k � ��c tI���w Ft l S
ff M 3. Builder's name 0OAu►e VC1c . a Ca e.,, z Address 1 qV FA t
O I a 3 X
Mass.Construction Supervisor's License No. 04%L5(o Expiration Date i 7 3
4. Addition
5. Alteration +eay &LA:n S se D 1((o `�1�. r�iti OV
6. New Porch
7. Is existing building to be demolished? nC
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating 1
11. Distance to lot lines�A s i c�t 3&I _ Le-PI S t�C `i S, Fro, L� �S� C e-
12. Type of roof
13. Siding house
14. Estimated cost:- ��
The undersigned certifies that the above statements are true to the best of his, her
knQwleds*,-' and belief_
�— Signature f responsible applicant
Remarks
SH
PRINTaSHOP
w4 .
4tNµrT
dL"aY+ Y
0001
Date Filed �30qZ File No. :
— ZONING PERMIT APPLICATION (§10 . 2)
1 . Name of Applicant : —Address : �_ cw NPi
►tif � elephone: y'7-q,V9
2 . owner of Propert
Address : 3� i ,,� nl� Telephone: 913 SKC '7371
C/O T W C 17 nieu 2 Sou. , Nr•. c-„p ,! M/7
3 . Status of Applicant: Owner Contract Purchaser
Lessee ,":her (explain: )
4 . Parcel Identification: Zoning Map Sheet# �2S O Parcel# /0 Z,
Zoning District (s) (include ove ays) G[
Street Address S� N r N k
Required
g , Existincr 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
- rear
Lot size
Frontage
Floor Area Ratio
oOpen 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) �c�n ��;h� Peca��,� il � h� ,5 +�irc rPa 9Ca
�v►-�1� .now cam_ . -
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 knowled .e
Date: 31 I ci'L Applicant ' s Signature
I L d
-' THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented
Reason for Denial :
Signature of Building Inspector 610" Date
NOTE: Issuance of a zoning pormit 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.
7/92 FXAS
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