25C-026 K,
Date Filed ! File No.
ZONING PERMIT APPLICATION
Zoning ordinance section 10 . 2
1 , Name of A licant:
Address : Telephone: - 3
2 , Owner of Pro er
Address : 'elephone :.-, X-
3 . Status -of Agplicant : Owner Co et Purchaser
Lessee
4 , Parcel Identification : Zoning Map Sheet# Parcel# 1` ,
Zoning Districts) i
Street Address to
5 . Compliance with Zoning: Exist'.ng Proposed .
Use of Structure/Property -t Y
Size of Structure (sq. ft, )
Building height
Building Coverage
Setbacks - front
t - side {
- rear
Lot Size
Frontage
Floor Area Ratio
% Open Space
0
Parking Spaces
Loading Spaces
signs
Fill (volume & location)
6.. Narrative Description of Proposed Work/Project: (Use
additionalsheetsif necessary)
7 . Attached Plans : Sketch Plate Site Plan
8 . Certification: I hereby certify that the information. contained
herein is true and accurate to the best o my knowl d .
Date: S Applicant ' s Signature : " ' F
THIS SECTION FOR OFFICIAL USE ONLY _
Approved as presented
Denied as presented
Reason for Denial:
Signature of Building Inspector
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. -6-,V V Alterations
so NORTHAMPTON, MASS. 1— 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location � Lot No.
2. Owners name Addr ss
3. Builder's name Address -fm
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration - -
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;
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible applicant
Remarks
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