32C-339 (5) a � '
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
eNORTHAMPTON, MASS. l 2 19 Z-/ Additions
APPLICATION FOR PERMIT TO ALTER Repair
ti Garage
1. Location Z- Z -5 PL• &ft<AA/T -s T Lot No.
2. Owner's name M 99r --T. SIf lV k j E lW J G Z Address IM R ,0- N-#d L Ge
3. Builder's name
�/LG�A� I T �3 L i z iyi k Address Z G G S PA rN
Mass.Construction Supervisor's License No. /j2 3 1 (o Expiration Date 711(04/ 06
4. Addition
5. Alteration w
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:- �f��D
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible a p-icant
Remarks
Date Filed File No.
ZONING PERMIT APPLICATION (§10. 2)
1. Name of Applicant: J t 66G 1Z-1V
Address : -,2 _ f 4e Telephone: - Z
Owner of Property:_ . 11�g g f( J . SlE/�11f 116#116
Address: - � x �,/j, - HtY-P1 6 -Telephone: 46
3 . 1 Status of Applicant: Owner /-'Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet# 32c'C� Parcel M ;,
Zoning District(s) (include olays)
MA-4,xx
Street Address
Required
5. Exis-tincr Proposed by Zonin
c6se.._of.. -Structure/Property afliffAte&I SP�K
(if project is only- interior work, skip f�
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
— side L: R: L: R:
- rear
Lot size
Frontage.
Floor Area Ratio .Fr.
oopen Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
(96 Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) t,-
iV Z' L-
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: 17, Applicant's Signature: r -z.
_L--.Approved! THIS SECTION FOR OFF E ICIAL U8 ONLY:
as presented/based on information presented
Denied as presented--Reason:
S cial•• Permit and/or Site Plan Required:
ng 'red: Variance. Required:
na a of Bu r � D to
NOTE: Issuance of a zoning pomtit does not ro(teve an applicant's burden to comply Willi all zoning requirements and obtain all required permits
from tho Board of Hoolth,Conservation Commission,fopattmont of Public Works and otiior applicablo permit granting authoddos.
PERMIT APPLICATION CHECK. LIST
PAGE �� PLOT ONE G� S NO DATE
ZONING 0 APPLICATION
2 . PERMIT I
3 , OW IF NO
4 . 3 SET S PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 WATER
8 . REMODELING
9 , ADDITION
0 . ACCESSORY STRUCTURE
11 , SIGN / AWNING
2 , PERMIT FEE - CHECK ONLY - MONEY 0 490
13 . SPECIAL E I RED WITH DEED IF APPLICABLE
14 . UNDER SECTION 7 - C R 780
15 , FORM
16 , FILL
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