29-002 (6) az Pr
y
Date Filed - Q-3 " 9 a-- 0 0 0`, ` .
File No. �-
ZONING PERMIT APPLICATION (510.2) CL. �
1. Name of Applicant: -� 1 G�U,�
Address: Telephone: 5220-(zk,' 'K
2 . Owner of Property: a,,�VAO.A
Address: Telephone:
3 . Status of Applicant: Owner _Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# p cf Parcel#_ _,
Zoning District(s) (include overlays) ,(,� RA /Li 5P
Street Address a lo (=to r ev, c e Rcl
Required
5 . EXistina Pro nosed by Zonin
Use of Structure/Property
(if project is only interior w rk, skio to #6) N
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 Des iption of Proposed Work/Project: JUse additional sheets
if necessary) west`. \ �-•
Al
7 . Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is true a d a curate to the best of my knowledge.
Dater Z Applicant's Signature:
THIS SECTION FOR OFFICIAL USE Y:
/ ITV 2 31992
P Approved as presented/based on information presented
D ied as resented
a n fo e 'al:
ign tur of Bu' ng Inspector D to
NOTE: lssuanoe of a zoning permit does not relieve an applicants 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.
PERMIT APPLICATION CHECK LIST
�—
PAGE PLOT `' ZONE 1. °.�,'I� i ��"? l' r YES NO DATE
1 . ZONING FORM APPLICATION I tCre.Y1C�. CA'
2 . PERMIT APPLICATION v
3 . OWNER OCCUPANT STATEMENT LIC . # IF NOT -7-0; 6C� /!; 1--
4 . 3 SETS OF PLANS PLOT PLAN
5 . NEW CONSTRUCTION
6 . CURB CU
7 . WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR l�
9 . ADDITIO
0 . ACCESSORY
11 . SIG N / AWNI
12 . PERMIT FEE - CHECK ONLY - MONEY ORDER 04 4 0.
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. �'-% -Y 6 Alterations
NORTHAMPTON, MASS. b 1�� Additions
so APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location ,r `�C*+15i`��(, G Lot No.
2. Owner's name �-�- �a ��� ` \ Address
3. Builders name �V X 1 G,� Add ress
Mass.Construction Supervisor's License No. `� �' Expiratio Date ZA-
4. Addition
5. Alteration
6—Ne-w-Porch."
7. Is existing building to be demolished?
i�
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
G� knowledge and belief. f j
i Si nature of responsible applicant
Remarks
1010 COMMONWEALTH AVE.
OF MASSACHUSETTS BOSTON, MASS.02215
EXPIRATION DATE
RESTRICTIONS EFFECTIVE DATE SIC NO.
if ?
PHOTO(BLASTING OFF.ONLY) FEE-
NUT VALID UNTIL SIGNED OY LICENSEE AND OFFICIALLY
HEIGHT: STAMPED OR SIGNATURE OF THE COMMISSIONER
DOB: I
�C' 2 / '1 1
THIS DOCUMENT MUST BE
CARRIED ON THE PERSON OF SIGNATURE OF LICENSEE
THE HOLDER WHEN ENGAG
OTHERS RIGHT THUMB PAINT ED IN THIS OCCUPATION commissiotiER
20OM-,-87.81429
DL N
JOHN T
¢�P7'
�,y,,...•Mid
� A
Date Filed - - _ c� 0 0 0'J File No. �I? - On?�
ZONING PERMIT APPLICATION (510.2) Ltr A/ J
1. Name of Applicant:
Address: \ Telephone:
2 . Owner of Property: S ���
Address: Z�2,�nr�. Telephone:
3 . Status of Applicant: Owner \A contract Purchaser
Lessee Other (expl in• )
4 . Parcel Identification: Zoning Map Sheet# G/ Parcel# 00<' ,
Zoning District(s) (include overlays) P W 13P
Street Address m 1- (vr e-nc- Inc!
Required
5. Existina Proposed by Zonin
Use of Structure/Property �c__ -'�: *c-<- all
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side 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,-,53 `JC-c� C2,)
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 knowled
• � 1icant s Signature
Date: / � -�" App g
THIS SECTION FOR OFFICIAL US ONLY: 2
Approved as presented/based on information presented
Denied as presented
on fo Denial:
ignat 6 of Buil nspector j C D e
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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