31B-064 PERMIT APPLICATI N CHECK LIST
3 joivu
PAGE PLOT 7 ZONE --' YES NO DATE
1, ZONIN FOR APPLICATION
2. PERMIT APPLICATION c_
3. OWNER OCCUPANT E #J IF NO
4. 3 SETS OF PLANS /PLOT PL
5. NEW CONSTRUCTION
6. CURB CUT
7. WATER AVAILABILITY FORMS
8. REMODELING INT RIO
9, ADDITION
10, ACCESSORY STRUCTURE
11. SIGN AWNING
12. PERMIT FEE — CHECK ONLY — MONEY ORDER
13. SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14. UNDER SECTION 127 — CMR 780
15, FORM A
16. FILL
COMMENTS:
U �
U
1UU Uo
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Si If responsible app,icani
Remarks
Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. Alterations
NORTHAMPTON, MASS. 1 Z5 19 S- Additions
APPLICATION FOR PERMIT TO ALTER Repair Garage
1. Location If Aikw 1y1 h5 Lot No.
2. Owner's name C-6 't Address 3 c vn., t -S+ nA
V
3. Ri-ii1der's name q Address '70
0
ass. Construction Supervisor's License No. Expiration Date
4. Addition
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
11. Distance to lot lines
12. Type of roof ✓"\
13. Siding house
14. Estimated cost 70
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Si bf responsible appicani
Remarks
Ap
00
�2
pt,j
PA-S-s
Date Filed J �' File No.
ZONING PERMIT APPLICATION
1. Name of Applicant: jz, (1 . _
Address: - 70 or'0 e 5� � j� �� A4 Telephone: L 113 3b
2. Owner of Property:, S o n C
Address: - 30 �� 5-} . �L.,U,6f/ h. Telephone: q - SH S-
3. Status of Applicant: Owner "'Contract Purchaser
Lessee Other (explain )
4. Parcel Identification: Zoning Map Sheet# Parcel# ,
Zoning District(s) (include overlays) (L�tC�
Street Address 7 yn TeZ L
Required
5. Existing Proposed by Zonin
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 Descrt' n of Proposed Work /Project: (Use additional sheets
if necessary)
7. Attached Plans: - / Sketch Plane Site Plan
8. Certification: I hereby certify that the information contained herein
is tr e a d accurate to the best of my knowled
Date: /J Applicant IsSignature:
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented /based on information presented
Denied as presented -- Reason:
Special'Permit and /or Site Plan Required:
Finding Required: Variance Required:
Signature of Building Inspector Date
NOTE Issuance of a zoning permit does not rcilove an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of HooRN Conservation commission, Department of Public Works and other applicable permit uranting authorities.. r7
PERMIT APPLICATION CHECK LIST
a
PAGE - 311b C1b PLOT AP 7 ZONE � `� ' ' YES _ DATE
1. ZONING � J` {-
2. PERMIT I
3. OWNER OCCUPANT E IF NO
4. 3 SETS S PL
NEW CO NSTRUCTIO N
6. CURB C
7 WATE
8. REMODELI
9. ADDITI
10, ACCESSORY C
11. SIGN / AWNING
2, PERMIT FEE - MON RDE
13, SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABL
14. UNDER SECTION 127 - C R 780
15. FORM
16 FILL
COMMENTS:
T fy
� v
3 a
w( o
•• ., Z
>
x z
CC
xn C
v °
Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. Alterations
NORTHAMPTON, MASS. -S4t5 'j /V ' 19� Additions
APPLICATION FOR PERMIT TO ALTER Repair
a
Garage
1. Location .SG /9 Z-4 J' S V i j /= _;q_— Lot No.
2. Owner's name SA-t l 77!'/ (f U G e Address
3. Builder's name )?AYA- wA1 ., ,fC 0C Addresses
Mass. Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration GiLf. it�GiE" �3 T,+,�TL'�y' 7`U !f d -7 S T ;L L
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
14. Estimated cost:- Z S"(�
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of r sponsible applcant
Remarks
00333'
r
Date Filed Ste% /� / File No.
ZONING PERMIT APPLICATION ( 910.2)
1. Name of Applicant: J- J ✓s'���7�dr� - -__
Address : - Telephone : 5 33, Sri v
2.'
owner of Property: _ S4 � 7 - , c' c3 c - cruel E"
Address: A 7- Telephone: ;�'
3. Status of Applicant: Owner contract Purchaser
Lessee Other (explain
4. Parcel Identification: Zoning Map Sheet# Parcel# 16 ,
Zoning District(s) (include overlays)
Street Address l 7 I
Required
5. Exis Proposed by Zonin
Use of Structure /Property O A /;F
(if project is only inte work, skip to #6)
Building height
oB1dg.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) ,* 6 l�Ti�JT�/Ls' J �' �S v �c� , /� STs�GL_
t
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 `� _ Signature : c 4"
— — THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented /based on information presented
hQeni as presen ted -- Reason:
a1 *Per and /or Site Plan Required:
ng Re e Variance Required:
77 LVV
gnat of ui.ldi.ng Inspector Dat
NOTE: issuartco o1 zoning permit does not refiove an applicant's burden to comply witii all zoning requirements and obtain all required permits
from the Board of Health, conservation commission, Dopartmont of Public Works and other applicable permit granting authorities.
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