32C-207 (2) ERMIT APPLICATION CHECK IST
77mrim
YES NO DATE
2 ,
3 , OWN ER OCCUPANT STATEMENT �� IF NO
4 . 3 SETS OF S PLAN -
5 ,
NEW CONSTRUCTION
6 , CURB CUT
7 WATER
8 , REMODELING
9 , ADDITIQN
10 , ACCESSORY C U
11 , SIGN
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12 PERMIT FEE - C - MONEY ORDE
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION - C R 780
15 , FORM
16 . FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. G 19 �`, Additions
APPLICATION FOR PERMIT TO ALTER Repair
1 r
Garage
1. Location / `lll4"t''/y S1-S� Lot No.
2. Owner's name �OCA ,41<1 �S t w 441/4 Address tL/y 7l
3. Builder's name IfoY Address
Mass.Construction Supervisor's License No. CEO Co 63 Expiration Date /D/,-a/ S'
4. Addition
5. Alteration /6'11-4— 1- -5*r4
6. New Porch ol-- �
7. Is existing building to be demolished? �`�t le'��`"' �`" ,L-•s /sit S �+` ��G
8. Repair after bSs ft W if&< pif^4't-
9. Garage '--- ' No.of cars Size
10. Method of heating
11. Distance to lot lines i A,,Ai T
12. Type of roof Ter e'.r
13. Siding house
4F a
14. Estimated cost- '`�vv°
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
gnaiure of responsible app Leant
Remarks
(/f/'�.�13 -T" C<'dl,vP .t r:a tf+/)l/ .NC�.y �lQ..,.t �®<,•.��.,,r ;� _
04338'7
Date Filed Ft
�G l��y File No.
ZONING�PERMIT APPLICATION (§10.2)
1. Name of Applicant: /`� 4 --s�-� 511rPr
Address: �? d«r�i S7- Yc Telephone:
2 . Owner of Property: 4,c-4,%,le.S �/.
Address: 9'( S t- Telephone:
3 . Status of Applicant: Owner J/Contract Purchaser
Lessee Other (explain: r�)
4 . Parcel Identification: Zoning Map Sheet# 32-(- Parcel#
Zoning District(s) (include overlays)
Street Address
Required
5. Existina Proposed bv Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg.Coverage (Footprint)
Setbacks - front
- side
- 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) /c`--10E"c ,5 4-77 �'f� G /� G-� �j.�,,►�/ � ;c.l='J ��4 ..
7-0
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: 7 Applicant Is Signature:
- - - - - - - - - - - - - - - - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:- - - - - - - - - -
Approved as presented/based on information presented
Denied as presented
a for
s r
qK gna o Buildi '6ctor Date '
NOTE: kssuance 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.
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