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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. I Alterations
so NORTHAMPTON, MASS._� �,Q � 19 iV Additions
I
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location �°j {` l�} L.� Lot No.
2. Owner's name , ; ,c a Address SA^,k F-
3. Builder's name ILA Address A M
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
Garage r No.of cars �, Size ° 2
10. Method of heating 6–(a Al
11. Distance to lot lines rlJ 1 t L ,J t t / /� 0,d
12. Type of roof A,r P# IL
13. Siding house P/ H
14. Estimated cost:- ,7 o ..
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of respo sible applicant
Remarks
z
PH�IyNUSSHHOP
Date Filed File No.
ZONING PERMIT APPLICATION
Zoning Ordinance Section 10 . 2
1 . Name of Applicant :
Address : -tr1/,,> ,." ,, — 1 4- Telephone:
2 . Owner of Property: s Al)
Address : Telephone:
3 . Status of Applicant: X Owner Contract Purchaser
Lessee Ot:ier (explain: )5 .
4 . Parcel Identification: ing Map Sheet, Parceli _,�p °"
Zoning District(s)
Street Address P
5 . Compliance with Zoning: Existing Proposed
Use of Structure/Property 4.� '� ryC� _
Size of Structure (sa.ft. )
Building height
Building Coverage
Setbacks - front
- side
- rear
Lot Size cj/ i
i, Frontage
Floor Area Ratio
% open Space fy`
Parking Spaces _
Loading Spaces
F
Signs
I Fill (volume & location)
6. Narrative Description of Pro osed Work Pro 'ect: (Use
additional/sheet j f necessary) Gtr /41 C- -
Q3 X _.
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.
,s
Date: '` Applicant ' s Signature: 1 1 ��` �-,I"
THIS SECTION�FOR^OFFICIAL IISE ONLyi
Approved as presented
Denied as presented
Reason for Denial:
Signature of Building Inspector
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