35-188 (5) �, . .
;;;::,
-r
PERMIT APPLICATION CHECK LIST
} - PLOT �' ZONE .5"y' rC � _ ES NO DATE
PAGE .� � � ���
1 . ZONING FORM APPLICATION
2 . PERMIT APPLICATION
3 . OWNER O
4 . 3 SET S PLAN
5 . NEW CONSTRUCTION
6 . CURB C
7 . WATER S
8 . REMODELING
9 . ADDITION
10 . ACCESSORY U
11 . SIGN / AWNING
12 . PERMIT FE - CHECK ONLY - - MONEY -ORDER ---
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - C R 780
15 . FORM A
16 . FILL
COMMENTS :
1 J
� r
z
v rri
a
0
a � om
A b d
a _ � o
Z d
y �
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. . c Alterations
NORTHAMPTON, MASS. _19 Additions
/ P
APPLICATION FOR PERMIT TO ALTER Re air
Garage
1. Location L t No.
2. Owner's name Address '�� CY
3. Builder's name Addressr t�
Mass.Construction Supervisor's License No. — --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:- d
The undersigned certifi at the above state nts are true to the best of his, her
knowledge and cf.
41 Signature of responsible appicant —
✓ W
Remarks
�•tvrti i
Date Filed /r/ 3 0015 ,41
File No.
ZONING P T AP U15 ION (910 . 2)
I. Name of Applicant:
Address : Telephone:
2 . Owner of Property: e
Address : elephone :
3 . Status of Applicant: Owne Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# 3.a- Parcel# ) ,
Zoning District(s) (include o,�er ys)
Street Address
Required
5• Existing Proposed by Zoning
Use of Structure/Property 1cf-Z, C_-c
(if project is only interior work, skip to #6)
Building height
tB1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage
Floor Area Ratio
oOpen 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)
7 . Attached Plans: Sketch Plan Site Plan
8 . Certificatio I hereby certify that the information contained er n
is true n a urate to the best of my knowledg .
e
Date: �� Applicant's Signature•
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information p resented
Denied as presented--Reason:
Special' Permit and/or Site Plan Required:
Ainid ' ng : Variance Req41�g �-B
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permfls
from tho Board of Hoallh, Conservation Commission, Department of Public Works and other applicable permit granting authorities.
G /"1 Q' O � C7• A G s ��• � v�'i
E� co pr y
C Fv N 8 d n
ul
ro 'BCD ED � �
.r i y
o a � COD
►-3 -h CD
� �
m ag c o 0
g w o o C�
��----�� 5;- a. o � � � � r c cr
90 5% Q i* iS r...
� c
�' n9 a o
C17 S9 ° °� CD
° : 0
C
0 0 22
..,
TO
cn
C) S,
W ° 5' 0
CD
�n �, ❑ o .
C1. �. C p 5 `C ct CI,
O v O UQ cn UQ O cn W G '.
.�•t � �' O �" O' O' O �' �' cn �� �' CD
O �
�n b Oz
ill �
c�