35-048 (2) PERMIT APPLICATION CHECK LISA
� .....z wr.,.... .b r Y E S NO DA T
EQBM LIC h,
2 .
3 . OWNER OCCUPAUT STAT EMENT MIRWINkIF NOT
3 SETS OF PLANS - /PLOT PLAN
NEW S
6 CURB OUT
7 . WATER
8 REMODELING
9 . ADDITION
0 . ACCESSORY
11 , SI N
2 PERMIT E — �
3 . SPECIAL PERMIT REQUIRED IF —APPLICABLE
4 . UNDER SE — —QMR 780
i
5 FO
6 , FILL
COMMENTS :
�o 'v
o
Z
> O
-s
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location Lot No.
2. Owner's name tYA o� 0� ddress 222= 4veo�
3. Builder's name �I Address
Mass.Construction Supery is License No. Expiration Date !L'Z — is
4. Addition
►Iteration
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
4.--4timated cost- "�,00
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible app icant
Remarks
'v
Date Filed File No.
ZONING PERMIT APPLICATION
1 Name of Applicant:
Address: z Z w Telephone:
C2) Owner of Property: A K o.. 01 J
Address: ' Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# �Parcelf I
Zoning District(s) (include o rl )
Street Address
Required
5,
Exis-ting Proposed by Zonin
Use of Structure/Property
(if project is only interior wo k, skip o #6)
Building height
tBldg. Coverage (Footprint)
Setbacks - front
- side L: R:
- rear OF N
Lot size 00"00
Frontage.
Floor Area Ratio
open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
( 6 . /I Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary)
7. Attached Plans: ketch Plan Site Plan
8 . Certification: I hereby certify that the inf rmation contained herein
= is true and accurate to the best of my knowl' dge.
f
Date: Applicant's Signatu
THIS SECTION FOR OFFICIA USE ONL .
t/Approved as presented/based on information presented
Denied as presented--Reason:
S cial" Permit and/or Site Plan Required:
n ng Re V71
: Variance equi.rdd:
--
S. gnat of Bu ldi or X/ Date
NOTE: tssuwwa of a zoning perm$does not rellove an appiiconrs burden to comply Witt all zoning roquiroments and obtain all required permits
from the Board of Hoaith,Conservation Commission, DopcArnord of Public Wocks and other appiicabta pormh granting authorltos.
w
• °•�►
�• ° '+ O p
w
00 0
OD
M
j C�� C� N
CJQ I
ll, °<p O'OQ Q
f
a0 � 6 = p CA In 0 C�
0.y y
CD ri 0 n
co CA
'!Z rjQ (D �° , O
ac z n CD �94
8 cD rt �D
5 DQ rFy�D O p (D C :3,
��+ O
y �
E ems► < � � � •� k
rt
z
cn
lot
DID
CD a
n
0 0
5 5
o y
CrQ fir+ M ►Oh Es � �~j \
5 y o" o cn
►b ro
N
..•
tz
�• � C) �. Ln
5' g, ! �r *V
100 IQ
CA w 8 , �r E AQ tv
tz
OQ ° : El : b
CD