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35-161 PERMIT APPLICATION CHECK LIST PAGE ��`� PLOT 161 ZONE -� �� -2 � YES NO DATEr ZONING FORM APPLICATION 2 , PERMIT APPLICATION c� 3 . OWNER OCCUPANT C-fC , A, IF NOT c 4 . 3 SETS OF PLANS ZELOT PLAN-- 5 . NEW CONSTRUCTION 6 , CURB CUT 7 . WATER 8 . REMODELING 9 . ADDITIO 10 , ACCESSORY STRUCTURE 11 . SIGN AWNING r 1 2 . PERMI EE — C — D .� -� 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 — CMR 780 15 . FORM 16 , FILL COMMENTS : v b a o a E. .. ., o n b -- d -s Z cn O p Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. `�l" ��a Alterations NORTHAMPTON, MASS. `- f _19 Additions APPLICATION FOR PERMIT TO ALTER Repair f7 Garage 1. Location t�5 t —��• /{s w_ Lot No. 2. Owner's name & �-� s! �d kL Address �7 (u 3. Builder's name -5a&h t Address z Mass.Construction Supervisor's License No. Cl) ,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 13. Siding house _ 14. Estimated cost:%,/ (('' The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. \W� Signature of responsible app,icant Remarks s 4s�yti � �„ 93 'I 0 0 0156 31 Date Filed File No, ZONING PERMIT APPLICATION (910 . 2) 1. Name of Applicant: Address : °7 _ ��� /.� 9J= Telephone: r- 2 . Owner of Property: Address: Telephone : — � �-s- F 3 . Status of Applicant: L,40`wner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# Parcel# , Zoning District(s) (include,-gverlays)- Street Address 5. Required Existing,, ProDosed by Zoning Use of Structure/Property (if project is only interior work, skip to #6) 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 & locations 6 . Narrative Description of Proposed Work/Project: (Use additional sheets if necessary) 7 . Attached Plans : Sketch Plan Site Plan 8 . Certification: I hereby certify that the information contained herein is true a d accurate to the best of my knowledge. _ Date: ��/h Applicant' s Signature:Y�!G �Gs����� � THIS SECTION FOR OFFICIAL USE ONLY: Approved as presented/based on information p resented Denied as presented--Reason: al' Permit and/or Site Plan Required : ng Re r Variance Requir d: gf g Ins pector at 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. 7 _ O y A phi �y t , N •J.aC�t, G pt �• A 0 ►� n'i O CD " K 0 y co 0 Ul C=7 F G) m m CIO a � a � g ' o' 00 (D P mom cis Z LQ cr tw ID (1 o o� Q d s COD � o C) Q to G g � � r) 8 tZ• �. 0 C) CD 3� CrQ of con � � Q o 5 r CY 0. y cr ao 5 ° o Cl O O 'Ti c �- ::� c w V 5 p T i i 5 i I =1 og• CD nv' o ° g o � ;� � ° :W- On =s n Cn ° ° o jI �