32C-318 (2) PERMIT APPLICATION CHECK LIST
PAGE ZC PLOT 319 ZONE (J- (d z/7 t4 '" l' YES NO DATE
1 . ZONING FORM APPLICATION Q
2 . PERMIT APPLICATION
3 . OWNER OCCUPANT STATEMENT IC. # IF NOT
4 . 3 SETS OF PLANS /PLOT PLAN
5 . NEW CONSTRUCTION
6 . CURB CU
7 . WATER VAIL BI IT FORMS
8 . REMODELING INTERIOR
9 . ADDITIO
10 . ACCESSORY STRUCTURE
11 . SIGN / AWNI
12 . PERMIT FEE - CHECK- ONLY - MONEY ORD5-R-�- 60
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM A
16 . FILL
COMMENTS:
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 5� �` Alterations
a NORTHAMPTON, MASS. /iL� 3 19�. Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location IQ sr Lot No.
2. Owners name AJAR 6✓FK fit— + Address
3. Builder's name 5,�4�vr E Address
Mass.Construction Supervisor's License No. 0 Expiration Date9�
4. Addition
5. Alteration tJ,&-j 5.a,A�)L— ►��r s -VinA Arno &LnI]OAss
6. New Porch
7. Is existing building to be demolished p
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating �✓}5 l.� re
11. Distance to lot lines
12. Type of roof 1918L6�
13. Siding house
14. Estimated cost:-
I��Oov
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
lam'
Signature of responsible appicam
L
Remarks
FPM L
Date Filed v 0009 ( File No.
ZONING PERMIT APPLICATION (510. 2)
/
1. Name of Applicant: U,M✓�5 c�1_Jg -
Address: 41 ����_�. - Telephone:
2 . Owner of Property-
Address : 42 -Ld y z = Telephone:
3 . Status of Applicant: ---Owner Contract Purchaser
Lessee Other (explain: )
)n: Zoning Map Sheet# 3Q Parcel# ,If
include overlays) C
Required
ExistinGr aroposed by Zoning
)perty ��
interior work, skip to #6)
)otprintT,,
-ont
Lde L: R: L:
:ar
area minus
-ng)
Loading
Signs
Fill (volume & location)
6 . Narrative Desc457L >ption of Proposed Work/Project: (Use additional sheets
if necessary) J�E(psr2r.OA &J�C� l,��c,Jr rZ-CX x tJ 1 r
r �
z�CML- r.I&� ��y,[� i�JTIf►?a s�L ./I4Uo1,QL_ � �TL����o,t 2,3-v Tfrlo �3�iJGJ
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. �J
Date: /��y_ /f9� Applicant's Signature: 'C� -
- — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
THIS SECTION FOR OFFICIAL USE ONLY:
tX Approved as presented/based on information presented
Denied as presented--Reason:
Special Permit and/or Site Plan Required:
nd ' ng R i Variance Required:
ignat _ of Buil
ector Dat
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.
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