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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. aA- 19 `�/ Additions
APPLICATION FOR P MIT TO ALTER Repair
r - Garage
1. Location 9/-/ C ; a'?�i-s � �( �� �= Lot N
2. Owner's name I- Address > Y . 4
3. Builder's name M -`( 0 0 Address De. { f 4 W
Mass.Construction Supervisor's License No. C7C)�v2s�z'( Expiration Date
4. Addition
5. Alteration
6. New Porch "W: j,
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:-
<;00.
The undersigned certifies that the above statements are true to the best of his, her
kno edge belie
Signatur of responsible appucant
Remarks
'
Date Filed 003463 File No.
ZONING PERMIT A(P��PLIC ION (510.2)
1. Name of Applica t: ,)J V, 6L_ fJ,1 �2 S - C-(� . -
Address• 16 L { Tvv- Telephone:,
2 . Owner of Property: �°-
Address: t Telephoner 7�/S
3 . Status of Applicant: Owner C'o trac� Purchaser
Lessee Other (explain:_ ;,`, ems-- )
4. Parcel Identification: Zoning Map Shee 30 Parcel#
Zoning District(s) (include over, ays)
Street Address h
Required
5. Existina Proposed by Zonin
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg.Coverage (Footprint)
Setbacks - front
- side
- 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/Project: (Use additional sheets
if,ne e ssary) -� C'�_ - P-,AAok tc,P� c t s mod'
a Q 4-
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:
- - - - - - r- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
/ THIS SECTION FOR OFFICIAL USE ONLY:
t/ Approved as presented/based on information presented
Denied as presented
so f o niak.:
gnat of Building zns ctor ate
NOTE: Issuance of a zo,' Permit does not relieve an applicfs burden to comply with all zoning requirements;and obtain all required permits
from the Board of Flealtii,Conservation Commission,Department of Public Works and other applicable permit granting authorities.
ERMIT APPLICATION CHECK IS
PAGE 30 PLOT 03 ZONE Uh-tk- 17�` ES NO DATE
1 . ZONING FORM APPLICATION
2 . PERMIT APPLICATI ON (�-
3 , OWNER OCCUPANT � I NO
4 . 3 SETS OF PLANS /PLOT PLAN
5 , NEW CONSTRUCTION
6 , CURB CUT
7 WATER AVAILABILITY FORMS
8 , REMODELING INTERIOR
9 . ADDITION
10 . ACCESSORY STRUCTURE
11 , SIGN / AWNING
2 , PERMIT FEE - C - MONEY OR DE1J�t C/
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM A
16 , FILL
COMMENTS : Y �-
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