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32C-213 (7) PERMIT APPLICATION CHECK LIST PAGE PLOT �Z/d ZONE L,'A' - YES NO DATE 1 . ZONING FORM APPLICATION may, 2 . PERMIT APPLICATION 3 . OWNER OCCUPANT E IF NO 3 SETS OF S PLAW 5 , NEW CONSTRUCTION 6 , CURB CUT. 7 , WATER VAI A I T 0 MS 8 , REMODELING INTERIOR 9 , ADDITION — 10 . ACCESSORY STRUCTURE 11 , SIGN AWNING 12 . PERMIT FEE - CHECK ONLY - MONEY ORDER d <` 13 , SPECIAL PERMIT REQUIRED- WITH DEED IF APPLICABLE 14 , UNDER SECTIO 127 - CMR 780 15 , FORM 16 . -F.ILL COMMENTS : z b 'C •° C n z a M O r, �o // Zoning Miscellaneous Additions,Repairs,Alterations,etc. ( � Tel.No. I ' Alterations a NORTHAMPTON, MASS. f 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location LY K E N oT H AM PTo N Lot No. 2. Owner's name H D k0`A f T-L / p-R i 6 c,M A rl Address y H 01-Y a K E 3. Builder's name SAN I l;L {-1GVViN5 Address -71 40CkANyM RD 14A LEY Mass.Construction Supervisor's License No. 0411 14L Expiration Date Z ► 9 4. Addition %--- 5. Alteration ATNRooM REMoDSL 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 J 14. Estimated cost:- The undersigns c ifies that the above statements are true to the best of his, her knowledge and lief. Signature of responsible app,icant Remarks ' nW4_�w_,l!Date Filed 5 ��� - &-4 File No. ZONING PERMIT APPLICATION (510 . 2) 1 . Name of Applicant: �ANILL H�-VV1745 Address : 11 H ©c!<ANVM pp � ADI_�y Telephone: � gy - W6 2 . Owner of Property: . oriko N)TZ I RI Drn,A Address : 3`I H0t-Y.P, KE Telephone : T 6- M6 3 . Status of Applicant : Owner ✓ Contract Purchaser Lessee Other (explain : ) 4 . Parcel Identification : Zoning Map Sheet# ,U(`', Parcel# , Zoning District (s) (include overlays) Street Address 3 q r Required 5 , Existing Proposed by Zoning Use of Structure/Property (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/Project : (Use additional sheets if necessary) A7N kr.rr0DEL ' N E w Tvi� 1, 6); i-j K VAr�i-'-� <AT3r 'T 01 L9 , L,N<i1-,rvM PLoo K MF_p1 (1r4e eAD LrG�}T v PANT . -- 7 . Attached Plans : Sketch Plan Site Plan 8 . Certification : I hereby certify L-hat the information contained herein is true and accurate to the best of my knowledg 6 � � � Date : � � ` � Applicant' s Signature . � � THIS SECTION FOR OFFICIAL USE ONLY: r J// Approved as presented/based on information presented Denied as presented--Reason : S ecial' Permit and/or Site Plan Required : in e wired: _ Variance Required : S gna e of BuiJ,ds" ector ate NOTE: issuance of a zoning permit does not relieve an appiicnnl's burden to comply with nil zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Dopartrnonl of Public Works and ocher applicable permit S7ranting aulhorilios. /6­71- p .. (IQ r. w ro c a � o• o o a ° a �; N c9 t7• > w g' o d MS " Fv o o < g•s z o TO cn v� rt `LLn CY En y �I Cif q w . r0 51 T . � Cn co o r� D .� v1