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36-022 PERMIT APPLICATION CHECK LIST PAGE PLOT L t .. ZONE I�(IZ. .... l E / #" x_' t ES N0 DAT 1 . ZONING FORM APPLICATION 2 . PERMIT I r 3 . Ow NOT t-- 4 . 3 S T LAN NEW CONSTRUCTION 6 . CURB CUT 7 WATER 8 . REMODELING 9 . ADDITION 0 , ACC QRY STRUCTURE 11 , SIGN / AWNING 12 , PERMIT FEE - CHECK ONLY MONEY ORD R 13 , SPECIAL I D WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - C R 780 15 , FORM A 16 , FILL COMMENTS : ,9 > ? 70 a Z CA Z > _ � o m Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair a 1 Garage 1. Location /f/� gu✓�/S �f f?� Lot No. 2. Owner's name /Et in Zori mier, Address 3. Builder's name Ad-gel jVlQfi4 Address 16' 000 e41,4D, 6f,1C'4FS104'ti' Mass.Construction Supervisor's License No. o3Z73 Y . &*/Voao� Expiration Date 4. Addition 1 5. Alteration /.✓�f/� J/lx 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- /7-570- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. l $ig atur responsible app icant Remarks �S ► 4 IN 003510 Date Filed o x,;I q't File No. ZONING PERMIT APPLICATION (510.2) 1 Name of Applicant: Address: Telephone: :L-j3 Owner of Property: Address: i I I A Qa."%r-'s 0 y— 1A Telephone: (3.l) Status of Applicant: Owner Contract Purchaser Lessee Other (explain: ) 4. Parcel Identification: Zoning Map Sheet# J Parcel# Zoning District(s) (include overlays) Street Address Address //f r r F.- r o Required 5. Existing Proposed b ' Zoning Use of Structure/Property (if project is only interior work, skip to #6) Building height %B1dg.Coverage (Footprint) Setbacks - front - side - rear f Lot size Frontage Floor Area Ratio ,fi' %Open Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume &cation) 6. Narrative Description of Proposed Work/Project: (Use additional sheets if necessary) ,n„.AZMAA 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 , - - - - - - - - - ` - - - - - - - - - THIS SECTION FOR OFFICIAL USE ONLY: ZApproved as presented/based on information presented Den' d as p sented S or 1: �t F h � l 5 gnat o Bung---Inspector D to NOTE: Issuance of a zoning permit does not relieve an appOcant s burden to comply with all zoning requirements and obtain all required permits from the Board of Health.Conserwation Commission,Department of Public Works and other applicable permit granting authorities. I � o, N z W U on cd ° .4 004302 °� .0w t5 A ¢ o �" � � o w a xo w ° onoo � oilll � r a c a a o c S Ob S 0 0 0 0 0 S an o ° O o � U z � U) o o 'u a0 � 0 o O Q v V o r. a4 m .a � .5 e��e ano •� O u yo8000v Aw o Q w'� .8 � � W H r-I O ° � MIA � o rp O Ln N C/� C•4 s � £ pp T I-i M $ O er. cd 3 U ° w " i S.r 0410 y V a O �• w a, ^� w W•W• ° N N O H C0 H V Z M G R. O � O `a• o0 �•m.,w•� z Q a