32C-137 (6) PERMIT APPLICATION CHECK LIST
PAGE —3-1e— PLOT J3 ;7 ZONE CP
ES NO DATE
ZONING FORM IC IO
2 , PERMIT I ✓
s OWNER OCCUPANT STATEMENT Z LIC. 0 IF NOT
3 SETS OF PLANS /PLOT PLAN
- NEWCON6TRUCTION
6 . - CURB OUT
7 WATER
8 . REMODELING
9 . ADDITION
0 , ACCESSORY STR
11 . SIGN
PERMIT E NLY — MONEY 0 13 ,7
3 , SPECIAL UI D WITH DEED IF APPLICABL
4 . UNDER SECTION- 127 — CMR 780
5 FORM A
6 . FILL
COMMENTS ;
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 527-1360 Alterations
NORTHAMPTON, MASS. October 31, 19 94 Additions
APPLICATION FOR PERMIT TO ALTER Repair x
a
Garage
1. Location 395 Pleasant Street/JPS Elastomerics Lot No.
2. Owners name Jack Fortier, Jr. Address P.O. Box 376. Florence. MA 01060-0376
3. Builder's name The O'Leary Co. , Inc. Address P.O. Box 377, Southampton. MA 01073-0377
Mass.Construction Supervisor's License No. 055791 Expiration Date 8/1/96
4. Addition N/A
5. Alteration Install slope build—up d—up components and new roof :anel.
6. New Porch N/A
7. Is existing building to be demolished? no
8. Repair after the fire N/A
9. Garage N/A No.of cars N/A Size
10. Method of heating
11. Distance to lot lines N/A Repair of existing building roof
12. Type of roof metal
13. Siding house N/A
14. Estimated cost:- $19,187.00
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signat e of responsible app icant
Remarks In general, this work will involve reworking two areas of roof 14' wide x 99' leng
at the west and east end of the building to alter the slo=e of the roof Panels to
permit positive roof drainage Currently, p_onding is occurring and creating ongoing_
roof leaks.
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Date Filed 003540 la 3 7 File No.
ZONING PERMIT APPLICATION (Sib_42)
1. Name of Applicant: T 0 '/-----? (f. ,
Address : Z'.d./3ex 37.7 1-.IA- Telephone: _5�Z-7 - /3
2 . Owner of Property: .,r�-c K �r+��r S►2.
Address : $ Po, Box MA Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain C�•��►� C� � )
4 . Parcel Identification: Zoning Map Sheet# J a C_, Parcel# 3
Zoning District(s) (include o lays)
Street AddressCC✓'�t .`
Required
5 . Existing Proposed by Zoning
Use of Structure/Property bG
(if project is only interior work, skip to #6)
Building height
%Bldg. 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/Project: (Use additional sheets
if necessary) ,,sft•l ew � �� 74,
orrd/rf ��
.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: 16/31 / �y Applicant's Signature: C .
ZApproved THI CT FF S SEION FOR OIC as presented/based on information presented
Denied as presented--Reason:
ecial' Permit and/or Site Plan Required:
ing a ired: Variance Requ rdd�y
i
gna e f Buy Inspector at
NOTE: issuance of a zoning parmft does not reilove an applicant's burden to comply wiut 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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