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32C-142 (14) v� r, �3 �V �4 Y .L Q E I i t vi Vy k I z b � o G" r• C n t2l � a tz G °z tTj a o r � g ra uvr `+° vii O d a � y � CA I � Zoning Miscellaneous Additions,Repairs,Alterations,etc. / Tel.No. � 7 Alterations NORTHAMPTON, MASS. ° o 19 Additions so APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 7/ 7 f�k4- � '� �C''�(� Lot No. 2. Owner's name —Te�rX� Address 3. Builders name Llf`�Ulli Address f C Mass.Construction Supervisor's License No. Expiration Date 4. Addition _ y 5. Alteration .l7A1,51—XLL ;)Cm9 A 6;>14W,� 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:- U4 The undersigned certifies that the above statements are true to the best of his, her knowledgg, and belief. , S4nature of responsible applicant Remarks Coe, 00069 Date Filed File No. � ZONING PERMIT APPLICATION (§10 . 2 ) G g 1. Name of Applicant: X��,o C`q�d" /_ Address: �/� ��� ��� Sy ����? Telephone: 77 7 2 . Owner of Property: Address : Telephone: 3 . Status of Applicant: Owner y/Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# _-.9 Parcel# IL4�.., Zoning District (s) (include overlays) GB Street Address > ° Required 5 . Exist nq Proposed by Zonin Use of Structure/Property 3 (if project is only interior work, skip to #6) Building height %B1dg. 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/Pro ect : (Use additional sheets if necessari) "��IV5' A7ZZ �l'c�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: pp g THIS SECTION FOR OFFICIAL USE ONLY: Approved as presented/based on information presented FEB 8 Denied as presented--Reason: ecial rmit and/or Site Plan Required: - A igna in quired: Variance Required e of Bui Inspector Date NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with 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. r.• QQ La O ° n Q• O �•� 5 � � � C/1 N � Fes.. w co � N En g � c 0. � 0 F�� D r a . =., � � y o ac w F p' 0,4 �. ° cm 0 PR �4 ° g a' ^o' CA J CrQ eo o p p, M O O cr O � °� " D N N cr Cn y ,r � 5 ° o, b b �'• � �' � E. rr [I] W N Z �7 0• �' S' c jj 9 0 5• �° to y ® RP * � � CD 71 ° 0 5' z I PERMIT APPLICATION CHECK LIST r<2 q Y - C cz -c t-G C' PAGE � �.G� PLOT 114 Z ZONE G l� YES NO DATE 7 1 . ZONING FORM APPLICATION ' j ct.S(-.z-Y'c `T3 2 . PERMIT APPLICATION 3 . OWN ER OCCUPANT STAT EM ENT L I C . # I F NOT # 5 Lf 0 4 . 3 SETS O F PLANS /PLOT PLAN 5 . NEW CONSTRUCTION 6 . CURB CU 7 . WATER VAI B IT FORMS 8 . REMODELING INTERIOR 9 . ADDITIO 10. ACCESSORY STRUCTURE 11 . SIG N / AWNING - 1 2 . PERMIT E - C O - MONEY ORDER C) 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM 16 . FILL COMMENTS : r /°�