32C-227 PERMIT APPLICATION CHECK LIST
PAGE ` -32-6 BLOT 2-2-7 'ZONE tkkcl r76 ES NO Dp E
1 Igs1liG Fjmm APPL ICAT IOIJ
2 . _ I.MIB -APP LIC TO
3 . OWNER OCCUPANT 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
UE
12 , PERMIT FEE v4QH ONLY - I IJ ,
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. / 621 G , 1 9-.Iy Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location �i a_w ST Lot No.
2. Owner's name ,Teti aja n-'T 2 e w; Address 7e.
�A v
3. Builder's name /tee.T��h ✓�., s, S�c�:na �: b d Address T el,, A
Mass.Construction Supervisor's License No. Q �o L/ 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
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house S`
14. Estimated cost:- --°
The undersigned certifies that the a v statements are true to the best of his, her
know d belief.
Signature of responsible app,icant
Remarks
1
2,
+3
Date Filed 1 >
File No.
ONING PERMIT APPLICATION
I . Name of Applicant: vIle �` Q S
Address: Telepni ne;
2 . Owner of Property: L AAA
Address : 7G a /�. Si Telephone:
3 . Status of Applicant: Owner contract Purchaser
Lessee Other (explain : CC5�.2;nrCt C 7"!5
4 . Parcel Identification: Zoning Map Sheet# 1 Parcel# 2_Z__1,
Zoning District(s) (include o ys) Q-1Q(_
Street Address Wt-MIA
Required
5 • Existing Proposed by zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
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 Descri tipn of Proposed Work/Project: (Use additional sheets
if necessary) !� .
•r
7 . Attached Plans : Sketch Plan Site Plan
8 . Certification: I hereby certify that the informat ' n contained ein
is tru 2an accurate to the best of my knowle
Date: / a 9� 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:
n ing Re it d: Variance Require
9ZEgna-tute 'Build in or Dat
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.
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