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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. / Tel.No. � 7 Alterations
NORTHAMPTON, MASS. ° o 19 Additions
so APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 7/ 7 f�k4- � '� �C''�(� Lot No.
2. Owner's name —Te�rX� Address
3. Builders name Llf`�Ulli Address f C
Mass.Construction Supervisor's License No. Expiration Date
4. Addition _ y
5. Alteration .l7A1,51—XLL ;)Cm9 A 6;>14W,�
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:- U4
The undersigned certifies that the above statements are true to the best of his, her
knowledgg, and belief. ,
S4nature of responsible applicant
Remarks
Coe, 00069
Date Filed File No. �
ZONING PERMIT APPLICATION (§10 . 2 ) G g
1. Name of Applicant: X��,o C`q�d" /_
Address: �/� ��� ��� Sy ����? Telephone: 77 7
2 . Owner of Property:
Address : Telephone:
3 . Status of Applicant: Owner y/Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# _-.9 Parcel# IL4�..,
Zoning District (s) (include overlays) GB
Street Address > °
Required
5 . Exist nq Proposed by Zonin
Use of Structure/Property 3
(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 necessari) "��IV5' A7ZZ �l'c�r(�'
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:
Applicant's Signature:
pp g
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented FEB
8
Denied as presented--Reason:
ecial rmit and/or Site Plan Required:
-
A igna in quired: Variance Required e of Bui Inspector Date
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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PERMIT APPLICATION CHECK LIST
r<2 q Y - C cz -c t-G C'
PAGE � �.G� PLOT 114 Z ZONE G l� YES NO DATE
7
1 . ZONING FORM APPLICATION ' j ct.S(-.z-Y'c `T3
2 . PERMIT APPLICATION
3 . OWN ER OCCUPANT STAT EM ENT L I C . # I F NOT # 5 Lf 0
4 . 3 SETS O F PLANS /PLOT PLAN
5 . NEW CONSTRUCTION
6 . CURB CU
7 . WATER VAI B IT FORMS
8 . REMODELING INTERIOR
9 . ADDITIO
10. ACCESSORY STRUCTURE
11 . SIG N / AWNING
-
1 2 . PERMIT E - C O - MONEY ORDER C)
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM
16 . FILL
COMMENTS : r /°�