32C-147 (2) r/ PERMIT APPLICATION CHECK LIST
PAGE �2 PLOT ��/ ZONE (4- �� -��+ -'
YES NO DATE
ZONING FORM APPLICATION
PERMIT APPLICATION C�
3 OWNER OCCUPANT STATEMENT LIC . # IF NO
3 SETS OF PLANS IPLOT PLAN C,-
NEW CONSTRUCTION
6 . CURB CU
7 . WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR
9 . ADDITION_
10 . ACCESSORY STRUCTURE
SIGN AWNING
PERMIT FE - CHECK ONLY - MONEY O DE
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. 229-77"I4 Alterations;?� y27"/A:�le-'<""
NORTHAMPTON, MASS. ��� 2-!Z 191 air
Re Additions
so APPLICATION FOR PERMIT TO ALTER p
Garage
1. Location // lgyle lf` 4LIW /Iwi- Lot No. �y
2. Owner's name e � Address
3. Builder's name ?1f� S�O ' /x '-11 Q�"l Address CO
Mass.Construction Supervisor's License No. r �t� Expiration Date "
4. Addition
5. Alteration � �✓� �/'o�lT � C��111,5 �9�Z � L� z /�'I�I�GS� ��I�zLS;�•t�1nc4�
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:-
The undersigned certifies that the above statements are true to the best of his, her
knowled&e and belief
�I
Signature esponsible appicant
Remarks
' FS Pp
' 000 .�
Date Filed 3 a File No.
ZONING PERMIT APPLICATION (510.2)
1. Name of Applicant: CPf ?_d4J d,0J7 &,!:v ;�,
Address: A',; Telephone: 7,79 -
2 . Owner of Property:
Address: Telephone - 1�-1
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain:
4 . Parcel Identification: Zoning Map Sheet# 3 a C Parcel#
Zoning District (s) (include overlays)
Street Address t(
Required
5 . Exi tin -Proposed by Zonin
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg.Coverage (Footprint)
Setbacks - front Z-
- side T. 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 Descri tion of Proposed Work/Project: (Use additional sheets
if necessary) evlfL / 7;'40114- Awr -
y D P A
7 . Attached Plans. Sketch Plan Site Plan
8 . Certification: I hereby certify that the information co tained herein
is true and accurate to the best of my knowledge.
Date: /Q 1, Applicant' s Signature: DI
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented
eason fo Denial:
// i1 721
ign t e of Bu Spector � q�I ate
NOTE: Issuance of a zoning permit does not relieve an applicants 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.
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