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29-144 (3) PERMIT APPLICATION CHECK LIST .� PAGE PLOT ZONE S NO DATE ZONING FORM APPLICATION 2 . PERMIT I 3 . OWN O 4 . 3 SETS OF PLAU ZELOT PLAN 5 . NEW CONSTRUCTION 6 CURB CUT 7 WATER S 8 . REMODELING 9 . ADDITION 0 , ACCESSORY 1 . SIGN / AWNING 2 . P ERMIT FEE - CHECK ONLY - 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 4 . UNDER 7 - C R 780 5 . FORM A 6 , FUL COMMENTS: - .,. r +� , a , .; � , . r a > 2 70 � z 3 v O Z - x o � r° Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 1(( 19 Additions APPLICATION FOR PERMIT TO ALTER Repair // e �1,� Garage 1. Location C0 4t c7`P r v C-& t 1 t 1 /�(� (d r"e"v� 0414S 4S 52• nt6 G&ot No. 2. Owner's name i ��a {�- Cd►^^VV t� Address S rw ,/`r l l Ac. 3. Builder's name�rr was�Gr r.r.��! +. L y�Q�4 I Address C (o �rr r 1 94, 50r, Mass.Construction Supervisor's License No.o,ArI Expiration Date / 4. Addition 1-t j I t 5. Alteration ( l'�.t-e.t� ��e.,n. /�a n y� w U&ts a0y Ao:7 e C oas > e.v 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 nd T t.JR44tr 13e2 Ir7©a.�� 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost- $y The undersigned certifies that the above statements are true to the best of his, her knowledge an belief. V \� Signature of responsible app,icanl Remarks 1.�••.••,• r••%^�° I f w ." k' ron<<...st�S . R l rely�e �i�+�i 4 �r S0 1V r"oOk t �T SL.- vu.� + i. �D6a1�d pg• y1 q rt . Saw/b.., fK d.r-6 6c- 4 A� f�ci..1 ri ere✓/�Aht/Cyas'M .��fy f�4 C� �� 19 exyn Q w,/41uC ' err lyr �ADCo+u$Gt^G..u� . I�R�eOsre /CJb�t�t N F� l�c'fCJ,ew Survr��.•, lots ,TW &AS(k G'arI& ej we s i u k as use C) 41`5 Q�ti i4l, , 8 dr�,...�(( j w s(� •�rtl( o(��rANte Wit ��R N+C� 'EA o ° SU C s5�j/'aoN, t7u�itlS-f- `� 1 Date Filed 00 42 931 i File No. ZONING PERMIT APPLICATION 1. Name of Applicant: `� ,� Address : µ Telephone: •p 2 . Owner of Property: k*C.Q 0-V Address :_(n'q �P��cQ �LV Floµcan.e.e Telephone: 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# 2-01 arcel# Zoning District(s) (include ov rlays) (,L l Street Address Required 5' Existing Proposed by Zo in Use of Structure/Property (if project is only interior work, skip to #6) Building height %B1dg. Coverage (Footprint) Setbacks - front - side L: - rear Lot size Frontage . Floor Area Ratio Open Space (Lot area minus building and parking) Parking Spaces Loading Signs \ Fill (volume & location) 6. % Narrative Desc iption f PV osed WorkVProje t: (Use add'tio al sheets if necessary) �X 6.- ✓Lew w 0, 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: ��j�'9 4-1 Applicant's Signature: ZAP' proved THIS SECTION FOR OFFICIAL USE ONLY: as presented/based on information presented Denied as presented--Reason: Special" Permit and/or Site Plan Required: ind'ng Requi d: Variance Required: 5 gnature o ui.ldin ate NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health,Conservation Commission, Department of Public Works and other applicable permit granting authorities. PERMIT APPLICATION HEC LI T 5 PAGE `;,,, i�i. T° � ONE' r 1S D TE 1 ZQN 4,UQj--aRtj.AP2LjCAT ION 2 , , 3 . OWNER OCCUPANT STATEMENT �`� I NOT 4 . 3 SETS OF PLAN 5 . NEW CONSTRUCTION 6 . CURB CUT 7 . WATER FORMS 8 . REMODELING INTERIOR 9 . ADDITIO 10 . ACCESSORY STRUCTURE 11 . SIGN / AWNING 2 . PERMIT E -golijaNLY - MONEY ORDER i 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 1 7 - CMR 780 15 . FORM A 16 . FILL COMMENTS : M CD �. aQ z Ap ►•gyp �' � � � � � � l0 0 3 Ln �--� ►-• g A �• a ' z � '� O O p � �, (� G *a A A D co A p O �p '+ N Cp FAD `C a' y Co O W I--� � o 5 v� l ►- o rn ° k• co o' ' ° 10 0 co 0 n m y CDb 0 x riq bd Ro c 52, 0 ImoD W ~ n n o o h N n s� g, co 0 5 C; 5 ' CD ER nay cll 0 n Ono rt ti ��1. � � o. og• � o � y p p O p Q N \ EL tz m: g � cr 5 w to O op UQ OQ 'A p �6 A CD p h d no y O bq CIQ 5S 1 Q ro � ti: A cu ti'