36-185 (11) PE(R�M' IT APPLICATION CH CK LdST
PA GE �S6 PLOT 6')'' ZONE `S ew YES NO DATE-
I . ZONI FORM APPLICATION
2 . PERMIT I TI
3 . OWNER OCCUPANT E 0
4 . 3 SETS OF S /PLOT PLAN
NEW CONSTRUCTION
6 . CURB CUT
7 . WATER S
8 . REMODELING INTERIO _
I
9 . ADDITIO
0 . ACCESSORY C
11 . SIGN / AWNING
2 . PERMIT E - C - MONEY ORDER ,
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13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - C R 780
15 . FORM A
16 . FILL
COMMENTS : ���"
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. � Alterations
NORTHAMPTON, MASS. ������ 19 Additions
R If'ar-1f'
APPLICATION FOR PERMIT TO ALTER
Garage
1. Location 5�-�m Zvi�� -1-0 Lot No.
2. Owner's name J/'�'y �r'; �Ar�ra Address el;--Y 60/7-/ r R 0
3. Builder's name kl c)7'1-I(' , 't�rr r�°i`lva Address l Sl% S)re- 5 Sf'� �7//t-10
Mass.Construction Supery isor's ljcense No. O's Al � Expiration Date x 2 t lye
<'IICC 2�s rSnx>+�s..�r.� or r-V"re�^,arfn•% -rt/1�
4. Addition
5. Alteration
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 ��/n 2S V12 /f'c'n> ,2 d+✓ � �� /�G�ro,J
13. Siding house
14. Estimated cost:- �4U
The undersigned certifies that the above statements are true to the best of his, her
P�ql knowledge and belief.
Signature of responsible app,icanl
Remarks
002'75(-)
Date Filed File No.
ZONING PERMIT APPLICATION (510. 2)
1 . Name of Applicant:
Address: 2 �? 6°,�f> < ,e,- Telephone:
2 . Owner of Property: �"2,� - r __ ter ✓
Address: x?b Telephone: ., �,��>
kC
3 . Status of Applicant:_) Owner /Contract Purchaser
Lessee Other (explain: �'.�r✓ roC ��— )
4 . Parcel Identification: Zoning Map Sheet# 3G Parcel#
Zoning District(s) (include over�lay
Street Address
Required
5 • Existinq Proposed by Zo,ninq
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprin
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)
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:
Approved as presented/based on information presented
Denied as presented--Reason:
special' Perm nd/or Site Plan Required:
i g Re 1 d• variance Required:
V 408
gnatu f aflildi r Oa te
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning roquiroments and obtain all required permits
from the Board of Hoallh,Conservation Commission, Department of Public Works and othor applicable permit granting authorities.
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