31B-049 (8) PERMIT APPLICATION CHECK LIST
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PAGE i�J PLOT ZONE / /,�f �} f ES NO • = DATE
ZONING FORM APPUCATION
2 , PERMIT APPLI
3 , OW O
3 SETS OF PLANS /PLOT PLAN
NEW . CONSTRUCTION
6 CURB OUT
7 WATER
8 , REMODELING
9 , ADDITION
0 , ACCESSORY
11 . SI
t2 , PERMTT FEE CHECK ONLY-'- MQNEY ORD�
13 . SPECIAL PERMIT REQUIRED E I F APPLIC B
4 . UNDER SE - CMR 780 --
5 . F0
6 . FILL
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location I M NU2T1`1 p%4'-9T0tJ ►MR Lot No.
2. Owner's name 00A.(., k Oh 1. Address YA C No-Py.S (a0i le", h DL C,4 (?�
3. Builder's name ONO- VN0rL 5E Address j0r%j -,U:2 Rl�) ��;� c��; -\K
Mass.Construction Supervisor's License No. l 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 5,J Ir En P 2 P 2 U l"- r J= rl / M ^"`f? R 41 1 !z Y-N
13. Siding house
14. Estimated cost- 3 000
The undersigned certifies that the above statements are we to the best of his, her
knowledge and belief.
t;
Signature of re o ible app,ican,
Remarks
Date Filed File No.
ZONING PERMIT APPLICATION (510.2)
1 . Name of Applicant: r�je , -- a E
Address: ��A k.( �Z Q0^ s r:� —Telephone: c cl y 1
2 . '
owner of Property: . VJr;,�c� c�h L l
Address: 2ck (_AW(Jtkc pL� zA irian(_G- Telephone: '2�tG_ — c;�21
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map SheetJ 3) K) Parcel#,
Zoning District(s) (include o erla s
Street Address 34
Required
5 . Existincf Proposed —by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
aBldg. Coverage (Foot=print)
Setbacks - front
- side L: K: 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) t2Crtir, �� (= k�.ST. mac, s3�, L ,- a / mac-;��
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 know dge.
F
Date: 4 06S Applicant''s Signature:
r ^THIS SECTION FOR OFFICIAL USE NLY: r
ZApproved as presented/based on information presented
Denied as presented--Reason:
S ec. 1.' Permit and/or Site Plan Required:
i ing red, Variance Required:
gna re of Bu ldi g Inspector "� ate
NOTE: issuance of a zoning permit does not retiave an applicant's burden to comply With all zoning roquiroments and obtaln all roquirod pormits
from the Board of Hoallh,Conservation Commission, Dopartmont of Public Works and othor applicable pormft granting authoritios.
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