29-180 (5) Q PERMIT APPLICATION
PAGE d-I PLOT SO ZONE aA"%" qL� �'�C . � o-,
S� NO DATE
1. ZONING FORM APPLICATION
2 . PERMIT APPLI
3 . OW NO
3 SETS OF- PLANS
5 . NEW--CONSTRUCTION
6 . CURB CUT
WATER 7 .
8 REMODELINQ INTERIOR
9 . ADDITION
0 . ACCESSORY
11 . SIGN Z AWNING
2 , PERMIT FEE
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
4 . UNDER - CMR 78
15 . FORM A
16 , FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. t�j Tel.No. Alterations
/
NORTHAMPTON, MASS._ — 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
a Garage
1. _1QZ( V16.t t""I o-,e.c-t jM4cS• o to(op Lot No.
2. Owner's name e wQ,+A M6r t42,4i Address I? (46r 0h;6 L C',r-, j'(o r ew C-V /ASS,
A t rr OG+�
3. Builder's name(i.�rt gr;e 05-0j2a..T��a, i..r �t Address Q)&, J -St. JQc�-�(„Qyq./�*ow AGGQ syr. o t(5
Mass.Construction Supervisor's License No D<'91 S y Expiration Date_
4. Addition
5. Alteration r �1 t
6. New Porch 16 X(�g" S Cr to w Po rc-�. *414 e—L L" Two Kea r o(—r rev,,g.sz a ,�F� r�'L (-
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. Estimatedcost:- 1� p� O-L-�
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible app,lcant
Remarks
5q
Date Filed v 02-930 File No.
ZONING PERMIT APPLICATION (510. 2)
1. Name of Applicant: o�,eri &i r ✓'
Address: +v Telephone: - D,3
2 . Owner of Property: .ck
Address : Telephon .
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# c9-c? ' Parcel# /0,
Zoning District(s) (include ove,
Street Address �°-
Required
5. Existin Pro osed b Zo in
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front p `
- side L:_aa _R: L: R: i
- rear Z6,0
Lot size g
Frontage. i
Floor Area Ratio
" %Open Space (Lot area nil nus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6. Narrative Descripti n oef Proposed Work/Project: Use dditional s eets
neeessar
Ov f Z, ,
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: 7—ll ! Applicant's Signature: �
r THIS SECTION FOR OFFICIAL USE ONLY: - - r -
Approved as presented/based on information presented �� 0
Denied as presented--Reason:
ecial.' Pe 't and/or Site Plan Required:
'ping R d: Variance Required:
gna e of Buil -Inspector a
NOTE: issuance of a zoning permit does not relieve an applicant's burden to=ply with all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission,Department of public Works and other applicable pormit granting authorities.
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