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29-302 (2) PERMIT APPLICATION CHECK LI T PAGE 2 PLOT - - ZONE Ct `� YES NO DATE 1 . ZONING FORM APPLICATION 2 . PERMIT APPLICATION 3 . OWNER OCCUPANT I F NOT 3 SETS OF S PLAN 5 , NEW CONSTRUCTION 6 . CURB CUT 7 , WATER S 8 , REMODELING 9 , ADDITIO 10 . ACCESSORY STRUCTURE 11 , SIGN ` 12 , PERMIT FEE - - MONEY 0 DE )- ! ` 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 , FORM 16 , FILL COMMENTS ; �l 'L7 � `C3 v b O r � D m � a M Z z �• OO ^� m ° a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations a NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location �/'2,gj AG,Ce,<Jp 6,C, D ie,a f ��� ^�C E 1't'1 Lot No. 2. Owner's name F 5�� . .*" s: /o 6 Address_ Ac)zwe-0 6)c 3. Builder's name T"a S'i�inJ>`% S --�-4 - �� (7— Address i' i'i .2 09 A) kf Mass.Construction Supervisor's License No. oa g c � _Expiration Date 061,'6/2 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 0 14. Estimated cost:- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signatu of responsible app�icant Remarks l7 / L � /©'��� 'e- — ♦ � 4 u 1 � Date Filed R 9�3 r 001 f (' ' File No. ZONING PERMIT APPLICATION (510 . 2) 1. Name of Applicant: Yy2 E;pi,d6- 3,osrc,rla� Address : ;>F,, �s�, 0 7' U0,,0_r Telephone : 5 F6 1�1t6 7 2 . Owner of Property: � ,���i�canl� Address : y,-;z cl ,3 flox,f�L -4-Telephone : 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain : ) 4 , Parcel Identification: Zoning Map Sheet# Parcel# J� ', Zoning District (s) (include overlays) ll ' Street Address Required 5 . Existing Proposed by Zonin Use of Structure/Property (if project is only interior work, skip to #6) Building height %B1dg. 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) Y 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 : a7 '3 Applicant's Signature :_ �2 — — — — —X — — — — — — — — — — —THIS SECTION FOR OFFICIAL USE ONLY: 1/Approved as presented/based on information presented Denied as presented--Reason: Special' rmit and/or Site Plan Required : F;' d in e fired: Variance Required:gna e o Bu ' pec or _ `0^" ate 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. %t''71- (IQ O Ln LO 0 'C1'b O R A lx1 raj g N Crn o � ` 1 CD 0 � Q, Fl rD —. n • �n °, ro rD CD 3 � o E m cn Eg 0 s 5 CD 0-4 Con o = 0 o o o' O o o CT o .t On r-r UQ 8 M G M tQ M M � b cn Una � � /r O c G Q' c rci- ri i7 W N p �y cn O O trq v� Oq O trq �3 CD CD (1 Un liI Qq T ° Q Con y LO C lid � 1 -