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32C-267 (2) PERMIT APPLICATI�O�Np CHECK LIST PAGE Z PLOT ��� ZONE U~PC �� W-� �cvru-�' "YES NO DATE ZONING FORM APPLICATION 2 . PERMIT PPLICATION 3 . OWN-ER OCCUPANT E IF NO 4 . 3 S PLAN NEW CONSTRUCTION 6 . CURB CUT 7 WATER 8 . REMODELING- INTERIOR 9 . ADDITION 10 . ACCESSORY STRUCTURE 11 , SIGN / AWNING 12 , PERMIT FEE — CHECK ONLY — MONEY ORDER 13 , SPECIAL PERMIT REQUIRED WITH- DEED IF APPLICABLE 14 . UNDER SECTION 7 — C R 780 15 . FORM A 16 , FILL COMMENTS: a T � a 3 o Zr-1 Z rn Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location l%.1 L L i jg to S s—7 , Av Lot No. 2. Owners name 12 E iyE 11 o Y.v0 S Gr i Address RL G w i t 57: 3. Builder's name D A vi tJ A. v AC Nu +4 Address f.O. If Oti i/X Ale, f, 4—tf 1461,10 A4 Mass.Construction Supervisor's License No. q0 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 14. Estimated cost- ! b© • � The undersi certifies that the above statemcnts are true to the best of his, her knowledg and lief. �, C " G G ' Signa re of responsible app icani Remarks I�lN 1 � y1 00226 `1 Date Filed / '� File No. ZONING PERMIT APPLICATION (510. 2) I . Name of Applicant: ppvlb _ V�CiKvi A Address: P. O . Yr oy i it ,r Telephone: 2 . Owner of Property: 2yeEtij�- HoY : Address : r, ;� i s vrr, OW-79 a.U,"Al Telephone : j--4,1 3 . Status of Applicant: Owner L,-"Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# 32-G- Parcel# 267 , zoning District (s) (include ov ):lays) C(.4c Street Address (, Required 5 . Existing Proposed by Zonin 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 . oOpen 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) -r y >`Ti4 C F w -U t Al to a•,. ,V i5 X(S-'r,­6- o tvEn.i.4,G -- 'C,,J 1`T f-( 41-Q G Ty[L i1 C •T U i_04 C&(A ti& S Y 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 knowledg . Date: NpeCK a IfFf Applicants 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: i in equired: variance Required: //— 17 Y p t a� gna a of B g Inspector � NOTE: Issuance of a zoning permit does not rollove an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health,Conservation commission, Dopaitmont of Public Works and other applicable permit granting authoritfos. /071- N C� � O � � � O �. �i ,b �•an BF W W En rA a� w O �9 "CIS V! t9 N Ol V1 CJQ tz age CD o � e ' y g9 O �� n r* (1 w �D �� �• C r.(1Q � o o a CrQ z co X 0 rya. rt • � o << r � tz 55 Z a a ,r °° ° o ~ w bd 5 S o' o, b ro a 110 Z c� R• o• �• � G7 � Q' � m ,� O s ° �• �• �r �, ao o � � � to 71 8 s o g d tz 5y ®OM 4 Q OZ ko L/1 C�/� co O