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32C-145 (7) PERMIT APPLIC�A��TION CHECK LIST PAGE 32--C PLOT 14-5-- ZONE GACr /0 /� ' �� YES NO DATE I . ZONING FORM APPLICATION 2 . PERMIT APPLICATIQN • l 3 . OWN OCCUP E L�c. :o) TF NO �- 3 SETS OF NS /PLQT PLAN 5 . NEW CONSTRUCTION 6 . CURB -CUT 7 . WATER AVAILARILITY FORMS 8 . REMODELING INTERIOR 9 . ADDITION 10 , ACCESSORY STRUCTURE 11 . SIGN / AWNING 12 , PERMIT FEE - CHECK ONLY- - MONEY ORDER C° 13 , SPECIAL PERMIT -REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 , FILL COMMENTS : •9 � 2 z 3 o a rn > v' O Z ,^� Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 51 Alterations a NORTHAMPTON, MASS._��jsN 16 19� Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location ^ Lot No. 2. Owner's name ca>C- Address 3. Builder's name j�1�1 NA L,���� Address BD hog Mass.Construction Supervisor's License No. Old S its Expiration Date 4. Addition 0 8 5. Alteration Zel:'L AC 6 16 VIA rL W I NIQ/.tYS _*N Y L, 6. New Porch a 7. Is existing building to be demolished? a S. Repair after the fire O 9. Garage tj I No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost:- The un igned certifies that the above statements are true to the best of his, her know dg and belief. r ignalure of responsible appicani Remarks ..__�� Date Filed hc) File No. ZONING PERMIT APPLICATION (510. 2) 1 . Name of Ap licant: QUA 04�;s Address : Q Telephone: 2 . Owner of Proper y: . Address: ' Telephone: 3 . Status of Applicant: Owner Contract Purchaser Lessee j Other (explainA14�R 4 . Parcel Identification: Zoning Map Sheet# SIC- Parcel# //j,5 Zoning District(s) (include verlays) Street Address Required 5 . EXiatincr Proposed by Zoning Use of Structure/Property c�� _. (if project is only, interior work, kip o #6) Building height -B1dg. Coverage (Footprint) Setbacks - front - side 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 Descri tion of Pro sed Work/Pro 'ect: (Use additional sh e s if necessary) S 7. Attached Plans: Sketch Plan Site Plan 8 . Certification: Z hereby certify that the inform ion contained herein is true and accurate to the best of my know. ad e. Date: d 5 Applicant's Signature: THIS SECTION FOR OFFICIAL USE ONLY: r !/ A roved as resented based on information resented pP P / . . p Denied as presented--Reason: S ecial.' Permit and/or Site Plan Required: l ding fired: Variance Required: // gnat e =p-ormit Bull nspector � / \N a e NOTE: tssuance t relieve an applicants burden to comply wigs all zoning requirements and obtain all roquirod pormits from the Board of Hoalih,Conservation Commission,Gapattmont of Public Works and otiior applicable permit granting authoritios. Q ~• M it o J) 4 5' , 0 -, � 'R M z EL 0 0 Ln o oM � �i �• g , � °' 00 m x c(Dnr ro� 0a. t° � � o w m G � � 9 n � "� ago°° ^ ID ID r o a"< cr d o IQ* o c� o 98 � 9 �- pP � cm cn a (IQ 0 o � � vo 5 o o ° ►», o as N ., ►ry o :3: (7. W N ^lot R A F. O N b g.0 CD Q d ' o O V� Ul 5 z v � A 4 ry