29-075 (3) PERMIT APPLICATION CHECK LIST
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x" h PC0'fi 'ZONt' YES NO DATE
2
3 , OWNER OCCUPANT IF NOT
3 SETS OF S PLAN
5 , NEW CONSTRUCTION
6 , CURB CU
7 . WATER AVAILABILITY FORMS
8 . REMODELING
9 . ADDITION
10 , ACCESSORY STRUCTURE
11 . SIGN AWNING
12 . PERMIT FEE % ONLY - MONEY OR D #*' `
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 , UNDER SECTION 27 - C R 780
15 , FORM A
16 . FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR ERMIT TO ALTER Repair
Garage
1. Location L Lot No.
2. Owner's name Address
3. Builder's name Address_
Mass.Construction Supervisor's License No. /� ,5'' _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 line
12. Type of roof
13. Siding house
14. Estimated cost:- ?j� ��►
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of respon ible appicant
Remarks
u
1
0010143
Date Filed File No.
ZONING PERMIT A P CATION (510 . 2)
1. Name of Applicant:
Address : Telephone : lb
2 . Owner of Property: , /
Address : W2 e _
3 . Status of Applicant: Owner Contract Purchase S -
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# e-warcel#�,
Zoning District (s) (include over ays)
Street Address �y
Requirc7d
5 . Existin Pro osed by Zonin
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%Bldg. 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 Description of Propose rk/Project: (Use additional sheets
if necessary)
r
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: Applicant' s Signature :
7/ THIS SECTION FOR OFFICIAL USE (YNLY:
Z proved as presented/based on information presented
Denied as presented--Reason:
S ecial' Permit and/or Site Plan Required :
i ing q ed: _ Variance Required
lignaokure of B ns e or_.._ a
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 47ranting authorities.
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