32C-183 PERMIT APPLICATION CHECK
IS
PAGE S N DATE
2 .
3 , OWNER
3 SETS OF--PLANS IPLOT PLAt4
N-EW CONSTRUOTION
6 , CURB CUT
7 WATER
8 , BF ODELING
9 . ADDITION
0 , ACC ORY STRUCTURE
11 . SIGN / AWNING
2 ERMIT FEE ,- QNLY - MONEY QgDEg
3 , SPIECIAL PERMIT REQUIRED IF APP ICAQLE
4. UNDER - CMR 780
5 . FORM A
16 , FILL
COMMENTS :
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qOKhTNWEALTH
4 D EPj6TIf&T OF PUBLIC SAFETY
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RE-0131 TIV AfE LIC NO.
t FOR PROTECTION AGAINST
THEFT, PUT RIGHT THUMB
w E„ o 06 1`993 01 7699 PRINT IN APPROPRIATE
w 1-3 a - BOX ON LICENSE.
DONALD W LOMAS.CCLO
660 PROS P E C T ST BLASTING OPERATORS
SS N�017-32Q A874 E LONGt+1EAD `MA G102$ �� MUST INCLUDE PHOTO.
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PHQTO(BLA� SIG OPR ON01 "F
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NOT VALID UNTIL SIGNED eV.:JJCEN§E�(AND OFFICIALLY
W SIGNATURE OFTHEY-0.'TMMISSIONER (}
1943 sir
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m B Ji�y MUST BE « SIGN NAME IN FULL ABOVE SIGNATURE LINE
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22 Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. J _ `l,;L 7 Alterations
NORTHAMPTON, MASS. _ � y Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location (_ -4 _w S' Lot No.
2. Owners name_ •Fe t_tk G a.Y G et..c4' w GZ Al lO 140 %...o.ss'-1a.&I,-r tai .,,.ate.,;
3. Builder's name� ar zm— t3v,,-Q a�_S i"c., 1�'c Address+-�00 G:3 3<a Z
Mass.Construction Supervisor's License No. ® t) (6 9 Expiration Date_�Z-'G y�o
4. Addition 911�91:�i IL.. G 19— i c� i S: Fcs�� 1�,� io 47'
5. Alteration
6. New Porch n9%.4
7. Is existing building to be demolished? \)I
S. Repair after the fire 3`t"a:a- U F�tt�' -�•.o t 5 �,.� L, �`` ,�
9. Garage fJ No.of cars Size
0. Method of heating P J), o
1. Distance to lot lines i-ii a
2. Type of roof /-lbA
3. Siding house �Sa
4. Estimated cosc:- ;7
The redge d certifies that the above statements are we to the best of his. her
know d belief.
Signature of responSrble app lcant
',emarks (t—, 4L OF— 0 �i 't.. eA✓� n�.ate
Date Filed File No.
ZONING PERMIT APPLICATION (510.2)
1 . Name of Applicant: n..SR 1 Da,� tira
Address:P6 g,��3eZ . > t�u,�c.n���� M Telephone: t 3Z?o
�ta'Lk
2 . Owner of Property:
Telephone:Address 7,53
3 . Status of Applicant: Owner ,--c ontract T9�
Lessee Other (explain:
4 . Parcel Identification: Zoning Map Sheet# Parcel# r
Zoning District(s) (include. ovg 1 ,
Street Address
Required
5 . Exis-tincr Proposed -by Zoning
Use of Structure/Property ¢ r-)
(if project is only, interior work, skip to #6)
Building height
oBldg. Coverage (Footprint)
Setbacks - front ,`
- side L: R:
- rear
Lot size _
Frontage.
Floor Area Ratio
oopen Space (Lot area minus
building and parking) )
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Propo ed Work/Project: (Use additional sheets
if necessary) � t'.A,,. 1=.d2 �r._,.,. r i� r...►:w� ti �5,_ 11. ZJJE_T'
7. Attached Plans: r/ Sketch Plan Site Plan
8 . Certification: I hereby certify that the it ation contained herein
is true and accurate to the best of my kno led e.
Date: Applicant's Signatures , '-- � f
Zhpproved THIS 8ECTION FOR F OFICIAL U8E ONLY:
as presented/based on information presented
Denied as_ presented--Reason:
S cial' Per 't and/or Site Plan Required:
ng Re 'r Variance Required:
gnat r f Buildiinng ector e
NOTE: issuance of a zoning permit does not rellove an applicant's burden to comply wilt all zoning requirements and obtaln all requlrod pormits
from the Board of Hoalth,Conservation commission, Departmord of Public Works and olior applicablo permit granting authorltfoa.
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