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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. � e-c- "t4 19 Additions
APPLICso ATION FOR PERMIT TO ALTER Repair
Garage
1. Location tai f%' ►hs4 S Lot No.
O 0 e i' m iG L A S,♦ *i`V b Stt i '
2. Owner's name —Ole L EA S j rR� 1�e t( +^cn� 6,k e Address P y, *,)&? A100&, ��a b a•�a. Hit >. �1 t i z r
3. Builder's name PC L Address i2- M V% -'` s 1�v err�G I►�1�4S;P O 2i+��3
Mass.Construction Supervisor's License No. C V 1 Z Expiration Date 0 4� 3 3
4. Addition
5. Alteration k b"9 g cyok4�; i�i e- ,4 4-i A Pee
6. New Porch
7. Is existing building to be demolished? 14 o
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating FA I S
11. Distance to lot lines
12. Type of roof rla
13. Siding house
14. Estimated cost / ;�, 00 0
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Sign- re of responsi gle app,icanl
Remarks
0005.4
Date Filed File No.
ZONING PERMIT APPLICATION (510. 2)
1. Name of Applica t: ,*0 9 V11_A ,J
Address :le yt2 f,4 ,��/- � u iy„kss r Telephone: &;7 ,3 p 7. ;z r
2 . Owner of Property:
Address: Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet#_�_L46 Parcel#
Zoning District (s) (include ov lad
Street Address Q a
Required
5. Existing Proposed by Zoning
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/Pro ect: (Use additional sheets
if necessary) Iii id✓L1d0 _,veC� a� �cc9u �' sier�rteyetus !- 2 iu 1� +�-u'
7 . Attached Plans : �S_�J 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: f Z- 7- `3L Applicant's Signature: Z" �
THIS SECTION FOR OFFICIAL USE LY:
//Approved as presented/based on information presented
Denied as presented--Reason:
Special Permit and/or Site Plan Required:
OS'ignatui�e' din equired: Variance Required:
of Bu ' Ins ectt,,��r Dat�g X��G�:-
NOTE: Issuance of a zoning permit does not relieve an applicant's bardenlu-c mply 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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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. J Tel.No. Alterations
NORTHAMPTON, MASS. r� Q 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location Lot No.
2. Owner's name Address
3. Builder's name Address - �
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration J1 v nS a&CAA.4 JA Lt,t o� nn
Ll ^ L Q l
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:- � e
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
V Signature of responsible applicant
Remarks
1 � 1
Date Filed v U 0 U J r ''
File No.
ZONING PERMIT APPLICATION (§10. 2)
1. Name of Applicant: 'J
Address : _Telephone: _5-W6 ?/ 2_9
2 . Owner of Property:
Address: !Z �I> _ ephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# aSG Parcel# )Z ,
Zoning District (s) (include overlay p)
Street Address tQ ,
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/Prof ct: (Use additional sheets
if necessary) k
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: oil, /�g� Applicant's Signature:
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
Special Permit and/or Site Plan Required:
g ding quired: Variance Required:
re of Build ' nspector
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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