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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. ))q Tel.No. 1�"2Y Alterations
a NORTHAMPTON, MASS. y z o 19�y Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location Z I `BA'S S Sr' Lot No.
2. Owners name VA" 7� C"t l f-J 0 t G R.9 Sly- Address
3. Builder's name (DL) y tj?- 'L r -j Address -?#a SC-1Z--c-0 GTyt. (?-a - 1N)"""r .
Mass.Construction Supervisor's License No. Expiration Dater�S
4. Addition
5. Alteration JA-D,IV-61°X ►24 V-A0 0 Gj_' C- &ej
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 cost:- ze
The undersi n ifies that the above statements are true to the best of his, her
know e and b
Signature of responsible applicant
Remarks E K r�Z t} ✓1-c N w/Ft''/J
PR YN P
00 ?8._ J
Date Filed File No.
ZONING PERMIT APPLICATION (gib . !)
1. Name of Applicant: Vf...- Ise%,
Address: ?6 Telephone: rgy
2 . Owner of Property: . crr�j Axel
Address:_ Z� f��'sLS I T► N J� 9»�r. lephone: S T6- z 7)c)
3 . Status of Applicant: Owner ✓ Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# a6P Parcel# /a
Zoning District(s) (include ove lays) '
Street Address 2-1
Required
5. Existing Proposed by Z�o in
Use of Structure/Property r:Stbgerc$ �.....
(if project is only interior work, skip to #6)
Building height
%Bldg. Coverage (Footprint)
Setbacks - front
- side L: 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 Pro osed Work/Project: (Use additional sheets
if necessary)
-r
7 . Attached Plans: tI�Sketch Plan site Plan
8 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowled
Date: 6 5 y Appl icant's S ignature:
THIS SECTION FOR OFFICIAL USE ONLY:
�Approved as presented/based on information presented
Denied as presented--Reason:
special' Permit and/or Site Plan Required:
4 ' d g Requ' Variance Required:
ganatu-d-OT n Ins r
p y ate
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 flrantinfl authorities.
PERMIT -APPLICATION CHEC LIST
PAGE �`� " PLOT )-Qd ZONE ! S NO DATE
1 . ZONING FORM APPLICATION
2 . PERMIT �-
3 OWNER OCCUPANT STATEMENT LICA IF NOT-
4 .
3 SETS OF S PLAN
5 . NEW CONSTRUCTION -
6 . CURB CUT
7 . WATER
8 . REMODELING INTERIOR
9 .
ADDITION-
0 . ACCESSORY
1 . SIGN / AWNING
2 , PERMIT FEE - CHECK ONLY - MONEY OR ER
13 . SPECIAL - PERMIT REQUIRED- ED IF APPLICABLE
4 . UNDER E 7 - CMR 780
15 . FORM A
16 . FILL
COMMENTS:
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