35-113 (4) MIT APPLICATION CHECK LIST
PAGE ,-g t:) PLOT ,�I 3 ZONE 6k ES NO /DATE
ZONING APPLICATION 3 l 3
2 . PERMIT I
3 . OWNER
3 SETS OF PLANS /PLOT PLAN
NEW S
6 , CURB OUT
7 WATER
8 . REMODELING
9 . ADDITION
K
0 , ACCESSORY
11 . SIGN
2 , PERMIT FEE - CHECK ONLY - /S OVE
13 , SPECIAL I D WITH DEED IF APPLICABLE
4 , UNDER S - CMR 780
5 FORM A
16 . FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. $Z � Alterations
i'
NORTHAMPTON, MASS. r,r 7-g19y!�' Additions
e
APPLICATION FOR PERMIT TO ALTER Repair
�r Garage
1. Location C,F.� t N.r� 1-�'y'Irr Lot N—o.�-
2. Owner's name �(v '� tNn Address_ �_ CFn I��i,.P_�T"rm`
3. Builder's name ktck Address Z loll
Mass.Construction Supervisor's Li se No. cs57 H1G*103 Expiration Date C)1LV'L
4. Addition _r! � .�SS
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 *,/,,1
11. Distance to lot lines �o�;�{�,. — �g( " 'A t(1T6t1 ) No-,PA, 66 '6 c GCY ) W 85-f 3`T t (rear)
12. Type of roof
13. Siding house
14. Estimated cost:- �1 .
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Sig to of responsible app,icant
Remarks 6AC14C V
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Date Filed Fi e f dUlLD,fdG 1rl,.
NING `ERM(IT APPLICATION (510, 2)
1. Name of Applicant: /� (.c`
Address,., V 2441. Telephone: Z y
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2 . Owner of Property: of c.J M
Address: Cc, z Ua,re a act —Telephone: ,gS�8L8U
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain b,,jJd,.3.�- "Jrocfoy- )
4 . Parcel Identification: Zoning Map Sheet# '3'5- Parcel# LI •_,
Zoning District(s) (include ov r a s) (L
Street Address
Required
5 .
Exis-tinq Proposed by Zoning
Use of Structure/Property e a( Ce5idg-- -6k
(if project is only' interior work, skip to #6)
B ilding height 11 ,
%B1dg.Coverage (Footprint) / '
Setbacks - front 30'
- side L: /fir R: Z4' L: I? R: 3+D'
- rear
of size bpa
Frontage.
Floor Area Ratio
. %Open Space (Lot area minus
building and parking) � 1
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative .Descri tion of Proposed Work/Project: (Use additional sheets
if necessary) 4 ��
sidQ
uN el
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: y'� Applicant Signature:
—
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
vDrenied as presented--Reason:
Special• Permit and/or Site Plan Required:
i ing iced: .3 `Nariance Required•
gna Build ctor /45 at
NOTE: issuance of a zoning permit does not reilave an applicant's burden to comply Witit all zoning roquiraments and obtain all required permits
from the Eloard of Hoaitk Conservation Commission, Dopartmont of Public Works and other applicabla permit granting authorities.