32C-257 PERMIT APPLICATION CHECK LIST —
Yes No Date
1 . Zoning Form Application
2, Permit Application
3. Homeowner statement if applicable ic, If not
4. 2 sets of plans
5 Curb cut
6. Water Deartment memn
7.. Permit fee - check only ���
r
8, Special Permit required with deed iapplicable
9�. Under section 127 -
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. � �� 19_1 _. Additions
Repair
APPLICATION FOR PERMIT TO ALTER Garage
1. Location LL l k1 /tit S -s- lUQ Ie 7N/9�P. xJ Lot No.
2. Owner's name PPrI1246'a yP kl Q r2Q9Q. �rc17 1uc�� Address S w� C L�At S S 7
3. Builder's name MP2S 4 Address S2 /LLD "A
Mass.Construction Supervisor's License No. Expiration Date—.-�&49Y
4. Addition
5. Alteration �.��C PL A lI/ti)S S Zxfe-
6. New Porch 1> A)z w ?-ofZ-f1 'EL a L&)!b L/Z
7. Is existing building to be demolished? LKIS 1"t e&Y luoL 15 6L.,-/b
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating _ - L _
11. Distance to lot lines OUPW Ec> Y�- V-7 LL l G /- S!f�
12. Type of roof /USA D/8 d ZP� 111 f 44 4?-12.4 AJ3
13. Siding ket sr_le—ltw
14. Estimated cost• _
S, as 0 .
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
noel l �-
�� VSignature of responsible applicant
Remarks
PflINTnSHOP
Date Filed File No.
ZONING PERMIT APPLICATION (510.2)
1. Name of plicant: L � /-1A- S �
�d s o,[ t�� d M a/JJc> Telephone: ,� S'
2 . Owner of roperty: A- D V r�IC �.A a)
Address: W AItt o Telephone
3 . Status of Applicant: Owner Contract Purchaser
,--other Other (explain: I[.t)52 C&O 7 C?T 12 )
4 . Parcel Identification: Zoning Map Sh et Parcel#
Zoning District (s) (include overlays)
Street Address CAJit4t ►-o, S _ S:
Required
5. Existing Proposed bv Zoning
Use of Structure/Property "
(if project is only interior work, skip to 6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side O -
,- - 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 add tiona' sheets
if necessary) Iz- P_ c.A 9;.
1 1 S"` w i A� AJ�.v 7 a a "w igo
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. C_
Date: Z Applicant Is Signature: Z
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
,�� THIS SECTION FOR OFFICIAL USE ONLY:
1�' Approved as presented/based on information presented
—De ied as pr sented
aso for ial :
ignat of Building nspector D at e
NOTE: Issuance of a zonlneoi6ft doos not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Heatth, Conservation Commission, Department of Public Works and other applicable permit grwTdng authorities.
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