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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. ,/Tel.No. �' ` If 71 Alterations
;oas "roti NORTHAMPTON, MASS. 7 191L Additions
a _ e
y APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location � l �% T/ bra Kul�'�S /fib FtC', G jt.t" lYJ��. Lot No.
2. Owners name ('-L jfA),i) G 5f9A-W .3 73 T// f/��'/1'IS 1t�1� At C,&A)e iC j*M.
3. Builder's name 6,Ci lw/ C4k',+f11A)PIL Address 3 7 3 NO.6111- ,CAkms
Mass.Construction Supervisor's License No. Expiration Date
4. Addition '7`a 1F1t 1 S,`1,4-)X 6114 67C
5. Alteration A)O
6. New Porch A0
7. Is existing building to be demolished? Nb
8. Repair after the fire +)O
9. Garage No.of cars Size
10. Method of heating )1101U16
11. Distance to lot lines 3,5'
12. Type of roof 4 610"t r sN//U66 6
13. Siding house AVOilrt TV 10 1A/f
14. Estimated cost:- 9:5-0
sp
�t
The undersigned certifies that the above statements are true to the best of his, her
�(t� know edge and belief.
Signature of responsible applicant
Remarks "/ 7ti it E' ,t �1 «Z..
t
PRINT-,SHOP
Dalt e Filed �r Q File No',
{ 1 Zoning OSdijim)CO Snc;tion 10 . 2
Address , 3`73,Ve _ Telephone :f'
2 , Owner of P roDertv : 5/am
Address : __. - Telephone;
3 , 5 3tus of :)plica nt: ; wOwnet; Contract Purchaser
I4eSs0e
q ,
Pia r. ceI Icient.i.f .i.catLgn �on.i,ng 14ap Sheet,
zoning District (s _
Street Address
5 , Cont lia1)ce wit: l!xi.sti.ng Proposed
Use of Structure/Property - J
Size of Structure (sq , ft .
Building height
Building Coverage
'Setbacks - front
3vr
{t. - rear /�$r
Lot Size
Frontage
Floor Area Ratio
k Open Space
Parking Spaces
Loadiiz,g Spaces
Signs '
Fill (volume & location)
6., tars t ' �e
DescriDtion ofProt?oscd Work Pro ect ; ( Use
additi<dnal sheets if necessary) aA4 17-
Attached Plans t Sketch Plan Plan
8 , Certyif ica�ion t x hereby certi>?y that the iht prmat.ion, oontained
herein is true and accurate to the bes of my k wledge ,
1
' DataApplicant ' s Signature ; ,r
THIS - SECTION FOR OPPICIAL USE Olgrj1
"Approved as presented ►;
Denied as presented '
Reason for Denial :
y �
.
signature of t3t.ia.ld.jng inspector. ,•