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32C-268 (4) PERMIT APPLICATION C ECK LIS PLOT 0 ZORE Wt, 30 E NO DATE LJ63 3 . 0 NOT 3 SETS NEW CONSTRUCTION 6 . CURB CUT WATER 8 , REMODELI 9 . ADDITION 0 , ACCESSORY 11 , SIGN / AWNING 1-2 . P ERMIT FEE - CHEQK ONLY - ., 13 . SPECIAL I D WITH DEED IF APPLICABLE 4 . UNDER SECTION 122 - CMR 780 5 . FORM A 6 , IL COMMENTS: a v �• T � I v �' 0• I U' rJ x ^' m r v 0 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair p ( Garage W i�l 1. Location 30 i a A g --' i Lot No. 2. Owner's name Address 36 k 1,*vi `l 3. Builder's name —tVAA ,t Address (/0 + r4 r4 U?LIf Mass.Construction Supervisor's Lic se No. Cd 1 4 0 � Expiration Date 4. Addition e.7 b 5 ."O f`y U 5. Alteration 6. New Porch 7. Is existing building to be demolished? N a 8. Repair after the fire '' b a 9. Garage N A No.of cars Size 10. Method of heating T i4 11. Distance to lot lines 12. Type of roof 13. Siding house 1xr S 14. Estimated cost- �p`ty�,p ,O b The undersigned certifies that the above statements are true to the best of his, her knowledge and bell . Slgn tune of responsible app,icant Remarks v Date Filed _ File No. ZONING PERMIT APPLICATION ��1 Name of Applicant: VgJ__ Address : 0 Wldlllf 5; wivLry Telephone: 2 Owner of Property: %i TC ✓L �`Y �- Address ; " 30 W, lkk ,�.� ;, �1k„cZans�elephone: 3 .) Status of Applicant:—L,/6wner Contract Purchaser Lessee Other (explain ) 4 . Parcel Identification: Zoning Map Sheet# 3Z- Parcel# P.4 r Zoning District(s) (include overla UfLC� Street Address -36 W OLM Required 5. Existing Proposed by Zoning Use of Structure/Property `A/� (if project is only interior w r , s)qp to #6) Building height 5.'-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 6) Fill (volume & location) . Narrative Descrip on f Proposed Work/Project: (Use additional sheets if necessary) o�`�1,o 6 S w 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 knowled 9 Date: �_a R Applicant' s Signature. - �^ THIS SECTION FOR OFFICIAL USE ONLY! !/Approved as presented/based on information presented D.enied as presented--Reason: Special' Permit and/or Site Plan Required: Finding Required: Variance Required: Signature o ullding Inspector � D to NOTE: (ssuanco o(a zoning petm(t does not repave an applicant's burden to comply Ymi all zoning requirements and obtain all required permits from the Board of Health,Conservation commission, Dopattmant of Public Works and other applicable pormit grantino authorilles. 0 Lo PTJ M ►�+ o z ~ o� 0 CA � c• � cSg. � °� � m " �. E! CA (CD n b'od G g Ef r' b cnrt oa. �' �' b y O n 91 ew I H rl S. Wig' bd � -� aQ I cn M � � 3 CD n o n n l 1 � � r� � a � I.r• aQ y C/1 � * 0 to aQ 9 =1 pp.. CA s — F= d 0 5c � r• 0-4 La yrot, CD 5 5 5 y r cy ro IM as P-� a° o o, �, � � w o Ln ° ° ° 5 r i `n o o " Q aQ o nQ 'o 5 i 5 o �. o o � o g. 'ILI o ; o. �c �. mc o' y. �c o ° 5' CD vy d a o a Con CrQ CD 5 ° - 0 Ci7 y © K ° q � ° ° z i