29-120 (4) „PERMIT APPLICATION CHECK LIST
11-9-D PAGE gq PLOT / ZONE 4"-- '-7-�” 4" /'
`7-0 w4— i A� YE"S NO bA E
1 . ZONING FORM APPLICATION ��® l
2 . PERMIT APPLICATION C_
3 . OWNER OCCUPANT I NO
4 . 3 SETS OF S IPLOT PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 . WATER FORMS
8 . REMODELING
9 . ADDITION
10 . ACCESSORY S TRUCTURE
11 . SIGN Z AWNING
2 PERMIT FEE - CHECK ONLY - -MONEY ORDER { Z�i2li (j
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SEC ON 127 - C R 780
15 . FORM
16 . FILL
COMMENTS : ��"� `� � ►�(� ��
A
ao �
i T �
M
z pn
C4 Z
> 1 `�
..l m
1
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
a - .APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location - l` } = �° �" Lot No.
2. Owner's name 1. �-� '' [,C i Address ,c '
3. Builder's name n C Address a1AA Ali S
Mass.Construction Supervisor's License No. � �� 1.� 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 n "Vt'. b � • ,., cw �?c.-
13. Siding houses,' 1✓'
14, Estimated cost:-
The undersigneA certifies that the above statements are true to the best of his, her
knowledge f.
��
Signature of responsible appicant
Remarks
- VL4�Date Filed ` 003190
File No.
ZONING ER IT APPLICATI,AN (§10 . 2)
I . Name of Applicant: t c
Address : _ Telephone: -
2 . owner of Property:
Address : -"70 �, lephbne: S
3 . Status of Applicant: Owner Contrac Pu cha er
Lessee Other (explain : „��E y4 )
4 . Parcel Identification: Zoning Map Sheet# 6 Parcel#
Zoning District (s) (include ov r ys) �
Street Address :7 .-
Required
5 . Existing Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%Bldg. 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 Propos d,Work/P of ct: Jse additional, s Bets
if e cgpsary) it
7 . Attached Plans : Sketch Plan Site Plan
8 . Certification: I hereby certify that the informa io contained herein
is true and accurate to the best of my knowledg
Date: ) Applicant' s Signature: _J
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason :
Special* Permit and/or Site Plan Required:
Fein a ng R ired' variance Required:
51gnat of-Building Ins or Date,:
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, Deparlmont of Public Works and other applicable permit granting authorilios.
dQ C �.W•qy�
o �*,
COQ`' 00 "1 H FD C•C �' �. �, Oo
C Oi 3-+ Q• O � C7. A � sG�' O � r�
0- 'D c5
o 00 00
n s � � � =- g* -j E
UQ j
g
O �• y � O y No fD W b
OQ
rt
$ CA' S rt
40 0
n -
� o rot,
co- 5 5 5
r � � od
a4 �t- tlQ D O ►Oro M O �N 0
�111JJ
y M b b tD
a
b O s dq aQ r � Uq O cep
KII O
�f (D ,Or H O QQ V� UQ O cn d4 p 5 y
0
O
0 b