36-225 (6) l
Date Filed File No.
ZONING PERMIT APPLICATION
Zoning ordinance Section 10 . 2
1. Name of Applicant: 2 c
Address : 73 ScsQ� t l` C C -- Telephone:
2 . Owner of Property: � `t SYd V Address : Telephone:0 �t.1�1-i
3 . Status of Applicant: Owner Contract Purchaser
__Lessee Other (explain:
4 . Parcel Identification: Z ning Map Sheet# Parcel#-22� ,
Zoning Districts) S
Street Address
5 . Compliance with Zoning: Existing Proposed
Use of Structure/Property
Size of Structure (sq. ft. )
Building height
% Building Coverage
Setbacks - front
- side
' - rear
Lot Size
Frontage
Floor Area Ratio
% Open Space
0
Parking Spaces
Loading Spaces
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Protect: (Use
additional sheets if necessary) ce�-ULAL:T- C
U S If M-)T—
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:
THIS SECTION FOR OFFICIAL USE ONLY
f'"Approved as presented
Denied as presented
Reason for Denial:
Signature of Building Inspector Date ��
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �� �� 2 y Alterations
a NORTHAMPTON, MASS.. �U 19 g-6 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location LAC-( _ l��TC1� �. i,� Lot No._—?-2
2. Owners name A (I-k 'r'-62-4'4' Address 6 a W(t`i i CC
3. Builder's name � U1,0 Address_
Mass.Construction Supervisor's License No. 9 Expiration Date b U r
4. Addition
5. Alteration (3c- (f L-x) Pr S
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:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible applicant
Remarks
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