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29-453 (6) 0 Cmmn iv `I 1 POOR i ' o b z o arc � /x'�_�� lb o Tip 04 LIN n 1 C D � r r AD to meet 7 Til 4t NI � Z 0 Q a � p y F � t/rN�01� WINpO�p 93 • .� P _ 0 V _ 7c TS z A� p4 �► Siva Ile— ell - _ — i .+ R.4 be /o ox s �(' oN c Rai Q � C b r• a l � � o _ ° a � 4 a y � w _ 50 i 1 O (I✓ wl N p01p 9, 'Iva LA K ri �' � y • � o m� Iv - lln - 1 POOR UN vi. s a c tj 3 UN s t 7 911. 1 1� t \ 1 Ap. 1 S\ �: � ; Al �.4 At/re A"'.` y� i --�---ter--- 4 fv� wT�.�-T =36- M e N T �zfip �Co opp O Z f -z a�" ,. ,�.v CmNC �V• f' s zpy •,� 4:.. ti4)Z oiom [r z 3Nil ONOW(1103 z :E7 r-,`• n r% $ o v rp p o rn t�; ti ry cn b i I71 C --i Z IC a D p Q 0,6 " N xi;L Av r, y mm CJE z p m b > ;= L° C' Z c h F p ^r o m o ah r O z ' m> A v N m < i = J A m ir m m �n A00 N T m ] O D c7 T C. M M m n y n J`t rn O 7C -m� O -< O m ,.., O .. —Z- Ti D S T O Z ! _D7 m -i m Z c ;.�J c Tj n O m cn ITT D O r +r, r T m m ~, m m { m PERMIT APPLICATION CHECK LIST Yes No Date 1 . Zoning Form Application v 2. Permit Application — 3. Homeowner statement if a licable Lic . Vif not 4. 2 sets of plan5 5. Curb cut 6. Water Department. mew 7. Permit fee - check only 8. Special Permit reouired with deed if--a. 9. Under section 127 Form A • gy=m --- , � � o ro � ro � o e � v c om c H O b O Z tn o z tr H � �o Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. ''-2 14, %11`1 Alterations NORTHAMPTON, MASS. ►�t� /oZ 19 Additions e e APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location '�� e!i t"S T G'iE W Sf 40' R 7—HA III P FO Lot No. 2. Owners name yE*R if A9.57-&-d-4119K Address l C R SST/t4/r�y J $T. �✓o R r N l�/►1,a!✓/y1A• 3. Builder's name &4511q LqLjJ1dff?-5 Address CO��k E !� l�� lU — L)A R e M A Mass.Construction Supervisor's License No. 3 9 5'O Expiration Date 4. Addition d BEDROOM' arrc'R 6"hAA6 e- 5. Alteration 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage /-t'J No.of cars Size `� x a b` 10. Method of heating o T 9 rr l� 11. Distance to lot lines X17 jJ 12. Type of roof �J fi M �'- 13. Siding house V1 N L 14. Estimated cost:- a S�© o• a The undersigned certifies that the above statements are true to the best of his, her knowleddee and belief. Signature of responsible applicant Remarks ler jPA :: / a Dat e Filed File No. 'J-'?- 47L �5 3 ZONING PERMIT APPLICATION (510.2) L'( 1. Name of Applicant: e,0111<1 !*-'?v S if Address: ,a Vs"5 Telephone:_ 4 1 J—,Y X- 2 . Owner of Property: f-Av." E�00 S7e-R vet e Address: M . Telephone: +� 3 . Status of Applicant: Owner -` Contract Purchaser Lessee Other (explain.: ) 4 . Parcel Identification: Zoning Map Sheet# ag Parcel# ai:;-- , Zoning District (s) (include overlays) u R A LM� Street Address 4q -esry P z�� F)-y- vP. Required 5. Exis ina Proposed by Zonin Use of Structure/Property /fe a'' r`1d et s °z (if project is only interior work, skip to #6) Building height S,. %B1dg.Coverage (Footprint) Setbacks - front y - side JAY L _ - rear Lot size Frontage °r 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) to x G-.tr�..�G� o r'k� M VT, �r� !af �a? 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: ', . frf df`SS _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ LF _ _ - - - - - - THIS SECTION FOR OFFICIAL US ONLY:` ,/Approved as presented/based on information presented Denied as presented easgn for enial: S gnatur, of Bui ' �c} Inspector Date NOTE: Issuance of a zoning permit does not relieve an applicants burden to comply with all zoning requirements and obtain all required permits from the Board of Heafth, Conservation Commission,Department of Public Works and other applicable permit granting authorities. WOa � � � O •C �^.0 h F .0 s A rw� L V a 4 C a ° •C :r C _ w L Ri o a rA IYi r•1 N M I � .0 Od bD � �� V E E Ali ICI Y�I ICI F•M FBI I�•1 � � � �./ � :..} :. �1 N L V •_ •V] p '� O C_ V O i L b `� L •C V ..r GJ N �2 = C y C a y w w as , L 0 p o v a. c ° ca ._ � ' � •o r r Ono O_ o � .0E A.r V o Q y a _ c c h s� 3 c� d V ea r .—. .W R�r 4-) Sa O y V C ul F., v c E s = L y V v L VU � O y O �n CL V . F .0.� V .s.+ •° O CEC V � rVi � V w C ++ +.' •>} .V {ter E 'O V V ' � O ea L �' •• ar " b � S. W ►~r p x h O •O y •O y y �+ C 0 ,D 0 W L ., ��jj O O V ����• z o H .0 cc 6�rA 4 ¢ eet w y C E Z s. U