29-026 PERMIT APPLIC;ATIUIN CHECK LiSY
PAGE '�� PLOT vZ � ZONE "` 1 h'`: / {'• ` Y ES NO SATE
1 . ZONING F0 RM APPLICATION
2 . PERMIT P IC TIO
3 OWNER OCCUPANT STATEMENT LICA IF NOT AYES-S--
3 SETS OF S /PLOT PLAN
5 NEW CONSTRUCTION
6 CURB CUT
7 WATER I I IT FORMS
8 REMODELING INTERIOR
9 . ADDITION
10 . ACCESSORY STRUCTURE
11 , SIG AWNING
2 , PERMIT FEE - ONLY MONEY ORDER4�,2,6/3)
13 . SPECIAL - PERMIT RE UI ED WITHDEED IF -APPLICABLE
14 . UNDER SECTION 2 - CMR 780
15 . FORM
16 FILL
COMMENTS :
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Zoning
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Miscellaneous Additions Repairs,Alterations etc. ! Te No. Alterations
pa ,
t a1 NORTHAMPTON, MASS. �'�' '�� 19 � Additions
APPLICATION F MIT TO ALTER Repair
Garage
1. Location Lot No.
2. Owners name i Address
3. Builder's name - Address / `� �11 /✓°/s.. CG '
Mass.Construction Supervisor's License No. c/.S� 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 �?� - /�cc�/ 7 A611 l�r
13. Siding house
14. Estimated cost:-
The undersigned certifies t e above statements ar ue to the best of his, her
knowledge and belief-
Si nature of responsi le app,i n!
Remarks
*
^ ^
Y/Date Filed
�/ nJ� a0a
ZONING" ��
' r ~^ File 0o.
P24 MIT APPIaq1TION 10 . 2)
1 , Name of Appligairpt : 77
Address -
~ ^ ~=^^=^ of Prop ertY : _,.,; '_,", I /'/;� I ",I
Address :
2 . Status of Applicant: Owner
___ --- `~ - t
Iaooee c (explain :
)
4 , Parcel Identification:
Zoning District (s) (include cAveKlays) -
Street Address ele�
Required
5 . Existincir Proposed -by Zoning
(if project is only interior work,' skip to #6)
Building height
%Bldg. Coverage (Footprint)
Setbacks - front
- 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 .
-Y�ork/�ro ' eot � �Daa additional sheets
if �
7 , Attached Plans : S}ca�ob Plan Site Plan
8 , Ceztifi tion / I hereby certify that the i f ti t i -b i
i t /a to the best of my knowledge . - /
Date :_ &ppl�oant/ aS�gnntore /
_ _ _ _ _ _ _ _ _ _ -/ � '
THIS �SE�T�O� -�O� -�F�I���I� USE� ONLY:
- - - - - - - -
o� presented/based on information presented
--__ .
Dao1edaspzeoented--Baaoon :
Special' Permit
ing Re i d: variance Required-
� Sig'^"tv'r= ~'f ""i //Da/Jee °
NOTE: |ovuun����zoning pvnnk does net relieve unvppUvunr,burden mcomply with all zoning requirements and obtain all required ponnkx
from the aou,u of Health, Conservation commission, ovpv'onvmn/Public Works and nom,upn|iouuv permit granting "vo`omivo.
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