32C-227 (2) PERMIT APPLICATION CHECK LIST
-' ZONE V76, l YES NO DATE
1 ZQNZhG FOAM APPLICATIONi;; sn
a
2 . IT APPLICATION
3 . OWNER OCCUPANT O
4 . 3 SETS OF S PLAN
5 NEW CONSTRUCTION
6 CURB CUT
7 WATER AVAILABILITY FORMS
8 REMODELING INTERIOR
— I
9 . ADDITION-
10, ACCESSORY STRUCTURE
11 SIGN / AWNING
12 PERMIT FEE — � = NLY —MONEY ORDER
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.
7 -19 Additions
a APPLICATION FOR PERMIT TO ALTER Repair
Garage
/
1. Location �P l�A w 1-C S // Lot No.
2. Owner's name �X,t n S°t'd n t,S`Z S Address 7G !)`a w S'
3. Builder's name s- &!Y,-t-e - n ala t s .y,s Address C y P�5i"'S C /A_
Mass.Construction Supervisor's License No._� 3 y _f� cf Expiration Date_ l2 3 Z-?It
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
14. Estimated cost:- �d Cr. o r
The undersigned certifies t the above statements are true to the best of his, her
knowledge and bel
J � Signature of responsible app,icant
Remarks
WMW
Date Filed File No.
ZONING PERMIT APPLICATION (§i0. 2)
1. Name of.Applicant: ��h4 ct 11a.
Address :_ F -3 .� ST �'.�ST��,,,�/2a� Telephone: G 5' 2 2 -r
2 . Owner of Property: . ,)a�ik
Address:_ 7C /,,�4 /V S i^' Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain ))
4 . Parcel Identification: Zoning Map Sheet# 3ZC-- arcel# 2-Z
Zoning District(s) (inc ude,pve 1 ) (�
Street Address
Required
5• Existincr Pro ased bv Zonin
Use of Structure/Property
(if project is only interior work, sk p 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 Description of��Proposed Work/Project: (Use additional sheets
if necessary) _
trip
7 . Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the informatio ntained herein
is true and accurate to the best of my knowledge.
Date: Applicant's Signature:
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
Special" Permit and/or Site Plan Required: _
' di Req a Variance Required)(
S gnatur of Buiid, for L ��
DOTE: Issuance of a zoning permit does not reliove an applicant's burden to comply with all zonin rod Imments and obtain all required permits
from the Board of Health,Conservation Commission,Department of Public Works and other applicable permit granting authodilos.
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