35-214 (3) Pi=RMIT APP�L,IgCATION CHEC LIST
PAGE J P L O T Z-(q Z ON E w- ' -D E S NO DATri
Z O (�- Q
2 . PERMIT APPLICATION (i
3 , OWNER OCCUPANT STATEMENT / LIq ii rr- NOT
h_. 3 SETS OF PLANS /PLOT 21-6N
5 . NEW CONSTRUCTION
CURB CUT
7 , W619B AYATLABILITY FoaMS
S REMODELING INTERIOR
2 . 6DDITION
1-0, ACQ�UORY STEWQTQRE
11 , SIG INQ
2 E - MONEY 0 D E ZCI C.�
13 , SPECIAL PERMIT R50UTRED WITH DEED IF APPLICABLE
U S C g.p
15 , FORM A
16 , FILL
COMMENTS ;
4
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y Mr.b Mrs.Edgar Lesko,Jr.
100 West farms Road
°± Northampton,MA 01060
41 i
Val:
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
ti
APPLICATION FOR PERMIT TO ALTER Repair
FARA,,�S Garage
1. Locati WCS t We�
AAA 01 Lot No.
2. Owners name L.e S � K�e S- �g y
3. Builder's name M Address "—
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration N;Z$ AJ2� Odl '4 t" dw, .MOgle 0 f$ VAc
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:-
C? �f4St, vecl �-c C'�\j t4z 1. L VSON 1 E?
_k The undersigned certif s at the above state nts true to best of his, her
V&' t �, ,� C 1� knowledge and belief
Qw,,�j ® " Si nature of r p nsible app,icant
Remarks
U r
•� It 'l ,
� ' 0010 1
Date Filed File No.
ZONING PERMIT APPLICATION (C§,1.0, 2 )
1 . Name of A plicant : c 4 f k,
Address : -S ,1Telephone :
2 . Owner of Property: 5 6 v
Address : d0 eS� S Kat Telephone :
3 . Status of Applicant :xOwner Contract Purchaser
Lessee Other (explain ,, )
4 . Parcel Identification: Zoning Map Sheet# --:95 Parcel#2/44 r
Zoning District (s) ( include overly s) S
Street Address 00
Required
5 , xiatin Pro osed by Zonin
Use of Structure/Property: I ; QAA 10
(if project is only interior work, skip to #6)
Building height
° B1dg . Coverage (Footprint)
Setbacks - front 1.
SWiM�N Too - side L; qql R: _L: ' R:
M�VE� - rear
of size
Frontage
Floor Area Ratio
' r•e)f- area minus
ion)
>f Proposed Work Project : (U e additional she is
U -e �t t! O N
C
Sketch Plan Site Plan
!by certify that the information con a ' ed erein
to the best of my know e e .
Daze ; - Applicant' s Signature .
THIS SECTION FOR OFFICIAL USE ONLY: ^
Approved as presented/based on information presented
Denied as presented--Reason :
Special• P rmit and/or Site Plan Required ;
i ing equi d: _ variance Required :
le? �14F3
gnat e of g pe
Build ' pector to
NOTE: Issuance zoninrmit does not relieve an applicant's burdon to comply with all zoning roquiremonts and obtain all roquirod permits
from tho Board of Hoallh, Consorvalion Commission, Doparlmont of Public Works and othor applicablo pormit granting nulhoritlos.
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