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32C-277 (2) PERMIT APPLICATION CHECK LIST f AGE PLOT 2-77 ONE 7 ,>(��� �..q�.� Y S NO DATE 1 ZONING FORM LICATTON , 2 ' }�ERNiT 'APF. 3 . OWNER OCCUPANT STATEMENT LIC . # -IF NOT 4 . 3 SETS OF PLANS OT PLAN 5 . NEW CONSTRUCTION 6 . CURB CUT 7 . WATER AVAILABILITY FORMS 8 . REMODELING INTERIOR 9 . ADDITIO 10 . ACCESSORY STRUCTURE 11 . SIGN / AWNI 12 . PERMIT FEE — CHECK ONLY — MONEY ORD ,; , o ' 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 . FILL COMMENTS : U b > o � r D � Z z o Fri o y Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations a NORTHAMPTON, MASS. 19� Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location fur Lot No. 2. Owner's name G ++JA e-t- 4 44 , Address_ 3. Builder's name Alldr& C�hMirc,11-11 Address Mass.Construction Supervisor's License No. ©'�� �'� —Expiration Date 4. Addition / �+ 5. Alteration 41h/e, G�( S��✓ C lm 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:- The undersigned certifies that the above statements are true to the best of his, her (�0 knowledge and lief. Signature of responsible appicant Remarks , quii'll. Date Filed (;,,. 001r File No. ZONING PERMIT APPLICATION (910 . 2) 1 . Name of Applicant; 0 Address : / S f-iLV f r ivee Telephone: -O 2 . Owner of Property: ,L uJrcwee `Sme f_ fildl , Address : �9,;"`g4`�nlephone : 7 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain; 7) 4 . Parcel Identification : Zoning Map Sheet# �; C& Parcel# Zoning District (s) (include o er s-) (,( �C Street Address 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 Description of Proposed Work/Project : (Use additional sheets if necessary) J.i,ve N 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 knowledge . Date : aj Applicant I s Signature: 44�2 d214-,_"Z - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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 ing u ' red: Variance Required e, - l gnat of Buil nspector ate 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. i o'7')- z a w � � w .� •� S an � o a� O � °" o = a o 5 'S o Z A cn CE=* Ono � � o A a, t4UZ � w z Q o o °r 4� 9z �4 U) 0 , .� 'fl� U0 ' T�s 4 E - -) �. a ;' ° � o ° 'fl ;