32C-296 (6) PERMIT ICATION CHECK IS
PAGE � ! ~, pip . c qlQ ZONE
YES NO D A T F.
aL AM
2
r
3 . OWNER OCCUPANT STATEMENT I NOT
4 . 3 SET S /PL -PL 7N
NEW CONSTRUCTION
6 , CURB CUT
WATER
8 . REMODELING
9 . ADDITION
10 , ACCESSORY STRUCTURE
11 . SIGN Z AWNING
2 PERMIT FEE ONLY _
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION - C R 780
15 , FORM A
6 , FILL _
COMMENTS',
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. -3_ 19 Additions
APPLICATION FOR PERMIT TO ALTER a Repair
Garage
1. Location d �r-9 f_L- U Lot No.
2. Owner's name CIA d11_A Lo7k, Address //
3. Builder's name I�2 i �• Address J6 li11,64,~Lk /Iii OF
Mass.Construction Supervisor's License No. N,4300 fO-S Y3 Expiration Date
4, Addition
5. Alteration 4
6. New Porch 1JUAJ
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
knowledge and belief.
gnature of responsible app,icant
Remarks
Date Filed
�" t File No.
ZONING PERMIT APPLICATION
I . Name of Applicant:
Address: ,3idC? /��L<<.�_. #1(_70(0Z Telephone: t :-7 f7 c�
2 . owner of Property: L 4k CA144 C 144 C qv
Address: , d / Telephone:
3 . Status of Applicant: Owner Contrac, Purchaser
Lessee er (explain0 J
4 . Parcel Identification: Zoning Map Sheets` 3. 2-C, Parcel# A%1,
zoning District(s) (include o erlay
Street Address ,
Required
5. Existin Pro osed -by Zoning
Use of Structure/Property
(if project is only interior wook,U ski4 to #6)
Building height
5.'-B1dg. Coverage (Footprint) If
Setbacks - front
- side L: ;2 R:
- rear u
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)
c J ✓ S
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: �p °f7 Applicant's Signature:
THIS SECTION FOR OFFICIAL USE ONL
✓ Approved as presented/based on information presented
Denied as presented--Reason:
S ecial' Permit and/or Site Plan Required:
C g Re r Variance Required:
C6
gnatu g 'of Buildin etor ` t
NOTE: Issuance of a zoning permit does not rellove an applicant's burden to comply Willi all zoning roquiroments and obtain all required permits
from tho Board of Hoaith,consorvalion Commission, Department of Public Works and otlior applicablo permit granting authod(los.
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