29-325 PERMIT APPLICATION CHECK LIST +1 at*�
PAGE '�`' PLOT 7L-`OZONE 1 YES 0 DATE
1 , ZONING FORM APPLICATION
2 , PERMIT APPLICATION � -
3 . OWNER OCCUPANT STATEMENT IC . # F NOT
4 . 3 SETS OF PLANS /PLOT PLAN
5 . NEW CONSTRUCTION
6 , CURB CUT
7 . WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR
9 , ADDITION
10 . ACCESSORY STRUCTURE
11 . SIGN / AWNING
12 , PERMIT FEE - CHECK ONLY - MONEY O DL'�
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 , UNDER SECTION 127 - CMR 780
15 , FORM A
16 . FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 3 -33 Lot No.
2. Owner's name -'e ?e eq Address
3. Builder's name �Ll s%''1�`r� Address 7 ��� moo` 41' llA�(t
Iq
Mass.Construction Supervisor's License No. O�d G�z/ Expiration Date
4. Addition
S. Alteration �y�Jl��, Ss V, /1(7e j,;"l c `c6z/ S
IV
6. New Porch
7. Is existing building to be demolished? Al
8. Repair after the fire Al
9. Garage NJ No.of cars Size
�0. Method of heating
.1. Distance to lot lines /
2. Type of roof/ boy S a ( e
3. Siding houses�;cs N•^ A�e�,y l ,y ,`h �� � 1 s
,4. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
/ 5 nature of responsible app scant
temarks _
J .
Date Filed /46 Aqy 90, V File No,
ZONING PERMIT APPLICATION (§10 . 2)
I. Name of Applicant: le4 .5�„74
Address : 7 6- 'S, /fir l�.ki' r Telephone:
2 . Owner of Property: rc Te
Address :. 3�;5 � �;;,���,,�. Telephone :
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain:_ boa 'Krzc To/C )
4 . Parcel Identification: Zoning Map Sheet# Z�I Parcel#5-� ,
Zoning District (s) (include overlays) (,L
Street Address . ?�� . ,
Required
5.
Existing Pro nosed by Zoninci
Use of Structure/Property Iti: cwt
(if project is only interior work, &`kip o #0 )
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) ViAt t.�y, �'c �1 « � f�i'�u ✓S /L�{ Qa1/ dd��r�,
7 . Attached Plans : Sketch Plan Site Plan
8 . Certification : I hereby certify that the information contained herein
is true and accurate to the bent of my knowledge .
Date: /��d�`j�% Applicant's Signature
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
S ecial� Permit and/or Site Plan Required ;
in it d: Variance Required:
4natur Building nspector ateZ 9
NOTE: Issuance of a zoning pormit 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, Dopartmont of Public Works and other applicable permit granting authorities.
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