36-018 (4) .a+
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 1 9 Additions
APPLICATION FO PER IT TO ALTER Repair
Garage
1. Location !t "- Lot No.
2. Owner's name Address �--.,
3. Builder's name ri
Mdress
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 ALV Z11,1410"
13. Siding house
14. Estimated cost-
The undersi ifies that the abov sw nts are true to the best of his, her
knowl e and, tef.
.•fir
/ Signature of responsible applcan!
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Remarks
v
Date Filed � /� _ File No.
Z02ING P IT CATION (§1 2)
1. Name of Applicant: -
Address : l Tele one:
2 . owner of Property:
Address: ' Telephone:
3 . Status of Applicant: Owner Contract Purchaser
�.
Lessee Other (explan: )
4 . Parcel Identification: Zoning Map Sheet# U11A Parcel# ,
Zoning District(s) (include over )
Street Address
equired
5 . Existinq Proposed- by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
kB1dg. 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 Pr o rk/P o 'e t: Use additional sheets
if necessary)
6'CY 7 . Attached Plans: Sketch Plan Site Plan
S . Certification: I hereby certify that the informat ' ontained herein
is tr nd accurate to the best of my knowled
Date: Applicant's Signature:
THIS SECTION FOR OFFICIAL USE ONLY: r r
(/Approved as presented/based on information presented
Denied as presented--Reason:
Sp ial'' Per ' Site Plan Required:
d' g Re =nd/qr
Variance Required:
EYZ
gnatu o Build Spector v to
NOTE: Issuance o(a zoning permit does not reftove an applicant's burden to comply Witli all zoning requiroments and obtain all required permits
from tho Board of Health,Conservation Commission, Department of Public Works and other applicable permit granting authoriaos.
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