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32C-171 (9)
PERMIT APPLICATION CHECK LIST PAGE PLOT ZONE YES NO DA)'E 1 . ZONING FORM APPLICATION- 2 . PERMIT APPLICATIO 3 . OWNER OCCUPANT STATEMENT LIC . # IF 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 ORDER 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 . FILL COMMENTS : 0 < n 70 Oil 0 rn a 3 C OZm c. a: o• in Z O -s Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. `s y— S Y Alterations NORTHAMPTON, MASS. f 19_2 Additions ' APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location Lot No. 2. Owners name -c Address --2.S6 �±I-w r, 3. Builder's name L—et Address -K Mass.Construction Supervisor's License Naga, O'a 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 0. Method of heating 1. Distance to lot lines 2. Type of roof 3. Siding house 4. Estimated cost:- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app.icant emarks 0 eOe 0 7 �t t Date Filed �� Q 1 �dwv� File No. ZONING PERMIT APPLICATION (510 . 2) 11 . Name of Applicant: a Address : ,;2 S6 Telephone : — Sf°�' Owner of Property: v Address :____ Telephone : ray rr Status of Applicant: i�Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# -3:1-C- Parcel# /]/ , Zoning District(s) (include o rlay Street Address Required 5• Exi Pro osed by Zoning Use of Structure/Property h (if project is only interior work, skip to #6) Building height %B1dg. Coverage (Footprin Setbacks - front - side L: L: - rear Lot size Frontage Floor Area Ratio %Open Space (Lot area minus building and parking) Parking Spaces Loading signs Fill (volume & location) 6 . Narrative Descripti of Proposed Work/Project : (Use additional sheets if necessary) r 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: IZ (o �� Applicant IsSignatur THIS SECTION FOR OFFICIAL USE ONLY: ZApproved as presented based on information resented / p Denied as presented--Reason: Special* Permit and/or Site Plan Required : in ng Re i d: Variance Required: Signatu e of Buil nspector a 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-71- p �swogp.� (+ O ►� y �' ° ~' D N Z � c5 A Y p 0' F O �4s0aP'e, c Q. � os5 CA. Cc) °, � cis o co S N V1 °� g b a� � g F- ul m ° o rn 1 a d A W � w Z � l R. rn rr ri G O o ru O� rt � d 5G 0" 0 0 Co `t o Q y � 4 n 0' oo ° cn � � O b tw 5 5 b d 00. y ° (IQ 5 ac o" o, � OQ N w oil r�i R O , C O N O O O o 00 ° B A n �d Q o ° �. � mo ' b 5y © rQ * CD o O CD