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32C-218 (6) PERMIT APPLICATIO CHECK LIST PA YES NO DATE 1 _ -- 2 . 3 . OWNER OCCUPANT E NO 4 . 3 SETS OF S PLAN 5 . NEW CONSTRUCTION 6 . CURB CUT 7 . WATER V S 8 . 9 . ADDITIO 10 . ACCESSORY STRUCTURE 11 , SIGN G 1 2 . PERMIT FE - CHECK O P`S �3S�s jw 13 . SPECIAL PERMIT REQUI D I EED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 . FILL COMMENTS: > z > j Z :n rn > 3 Z A Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations zl� NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair a l Garage 1. Location / 110A) Lot fNo. 2. Owner's name 1"' e- Address 3. Builder's name 00-4 Address 7ec Mass.Construction pe isor's License No. e4/ z-/O / W/l-` , -Y0xpiration Date 4. Addition 5. Alteration � � m 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- 3 Q(Jd, The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. tl,Aal&� fWSi Lure of responsible app,icant Remarks Date Filed File No. _ ZONING PERMIT APPLICATION (§10. 2) I . Name of Applicant: Address: IV7 Telephone: �5- 2 . Owner of Property: Address :_* �?� �ta�� S Telephone: S� 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# �`3� �.�-,Parcel# Zoning Districts) (include v 11 ..L- Street Address (a ' Required 5. Existincr . Proposed by Zoning Use of Structure/Property (if project is only, interior work, ip 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 ZZ Loading Signs Fill (volume & location) 6. Narrative Descript'on of Proposed Work/Project: (Use additional sheets if necessary) 1--.v b �P�,ra2 �,r' �r��� ru m ZZ1411 �A-)rV /AA P L, Z*= cc�.4- '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:-44�1) --- Applicant's Signature: T C FF L HIS SETION FOR OICIA USE LP Approved as presented/based on information presented Denied as presented--Reason: Spe,q,ial' Permit and/or Site Plan Required: irg Req Variance Required: gnat e f gull pector �` � D e NOTE: tssuwm of a zoning permit does not tellove an applicant's burden to comply with all zoning re uiroments and obtain all required permits from the Board of Health,Conservation Commission,Departmont of Public Works and othor applicabld portrait granting authorillos. tell- .b co �. � op M ° M CA FV r cd. o. c w moo, 05 CA w N Et CA j 'Cy o 0 N 7a s � ' " � � g o'q° 1-1 ID 0 ° C 0 x rn (D Q C17 ' C-) s� C' ° g d so cr, -ft CI CI 4 ° `� 0 y �. 0 0 oo qQ GQ 1 .d o CI V)OQ( f" 0 W�� I �• N �Q o y O. O. s ti CIQ (IQ ® IQ (D ti'