31A-078 O
"0 ics
C 1:1
r•
C n
to
tri
V
� w V o 0 in
t;: y O z t
00 XI o ' cz
7 Z '
C r• t
y
H.1 � O I�1
J
Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. 7 e y _ 4 -- Alterations
NORTHAMPTON, MASS. -r - . 14 "- - 19 `j 3 Additions
��µ, Repair
�y; r APPLICATION FOR PERMIT TO ALTER 1
4 Y.:'
� Garage
1. Location ol -�!1 iL Si • MI Y7 ,2 71.1 / 4 \ A C9 ( iv 0 Lot No.
#
2. Owner's name QoL S . 1e4 t (1:31- l�. o" i Ai' 414) A
Address 3' C' s f 1 t_ 111/
eft 10_3
3. Builder's name Address
Mass. Construction Supervisor's License No. Expiration Date
4. Addition 6044 Ctepircta 1_, 5. Alteration r �OV V. h of - 14 c&i k, lo q„`tl.roa rr,.t , up3 ic. V*Aec takt (ca. (S .
6. New Porch V\O'} app p i / C4_, id It
7. Is existing building to be demolished? \ A
8. Repair after the fire LA A Gc pe t i c a 4 l
9. Garage vv Or a () it C ct 6 t ' No. of cars Size
10. Method of heating !AAA Uta (t 4 - ' 0 -y -
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:- 4 3,9 J o L 0 , `
The undersigned certifies that th statements are true to the best of his, her
knowledge an lief.
Signature of responsible .ppsicanl
Remarks
v 000 '716
Date Filed - c79 ` File No. 3/ A - `7
, ZONING PERMIT APPLICATION ( §10.2) u E' 13
1. Name of Applicant: I� 4., e 6,-
Neu Te `'1 5 � 3 tf
Address: 3 - 4,, tr tv.. „cf.. 4', tetc.. Telephone: 5 5 ;y' `!.>- ./=,2
2. Owner of Property: iot>t =se E 4 �r_ite �ciSc,
A- ..cit ErS
Address: 3 '4 - C In stiAL:t sf s "f r r' {e(1 Telephone: 437,1 rfc
Nl ik Dti63
3. Status of Applicant: Owner Contract Purchaser
Lessee X Other (explain: c )
n(v\i e 6s i ccc �?
4. Parcel Identification: Zoning'Map Sheet# JA P arcel# '7 r
Zoning District(s) (include overlays) (,( (�
Street Address O.•i 6 £1y%
Required
5. Existing Proposed by Zoning
Use of Structure /Property
(if project is only interior work, skip to #6)
Building height
%Bldg.Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage
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) All i 0 ( likw.loikc, j 1 _ '� ecchm.c, iebeciTi4r)
a_ fe k,�t0Vc`l. A01.1, .
7. Attached Plans: Sketch Plan Site Plan
8. Certification: I hereby certify that the information con 'ned herein
is true and accurate to the best of my knowledge. f
Date: 41aj i"› Applicant's Signature: �i1 + )
THIS SECTION FOR OFFICIAL USE ONLY: 4, `�— - � � -= { '.
' E
.Approved as presented /based on information presented .u MA 8
.�
',Denied as presented -- Reason:
Special Permit and /or Site Plan Required:
,Fi..ing • q ired: Variance Required: (
'igna •r- .f ' nspector a te
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.
it' '7" )
PERMIT APPLICATION CHECK LIST
PAGE A PLOT r7 g ZONE (/P/3 �-\ c��- '
YES NO DATE
�-��� ���
- 9��
. '� 57 -
1. ZONING FORM APPLICATION ~ '
2. PERMIT APPLICATION
3. OWNER OCCUPANT STATEMENT / LIC.0 IF NOT
k
-� — � e c3
4. 3 SETS OF PLANS /PLOT PLAN '/ ``-''
5. NEW CONSTRUCTION
G. CURB CUT
7. WATER AVAILABILITY FORMS
8. REMODELING INTERIOR �~~^
S. ADDITION
10. ACCESSORY STRUCTURE
11. SIGN / ANNINQ
- CLlt. 0 D.-
12. PERMIT FEE - CHECK ONLY - MONEY ORDER 0 /��0 0
13. SPECIAL PERMIT REQUIRED WITH DEED I|
14. UNDER SECTION 127 - CMR 780
/ -
15. FORM A -
. /"�
jp 4 1S. FILL
COMMENTS:
T —
| cr- I c]
cit`■x't^