36-096 (5) PERMIT APPLICAT I T
4
PAGE PLOT Quo ZONE � ' YES NO DATE
1 . ZQNING FORM APPLICATION
2 3
3 . OWNER OCCUPANT NOT
4 . 3 SETS OF S PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 , WATER
8 . REMODELING
9 , ADDITION
10 , ACCESSORY STRUCTURE
11 , SIGN G
12 . PERMIT FEE - MONEY 0 DER
13 . SPECIAL PERMIT UIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - 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. 19gt/ Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location (20F:2 Lot No.
2. Owner's name es ��� ��{rr > Ra: 4
-7n°�,-�T
3. Builder's name �g `j'"—� fi f(jam —J; Address f�� /lj {!�,Za l Pf /VT
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
S. Alteration U e- OF CAQC�*aer
6. New Porch /41.c:7
7. Is existing building to be demolished? l/y
8. Repair after the fire Kim
9. Garage 40 No.of cars Size
10. Method of heating ,/ S�j�,��T / � �
11. Distance to lot lines �� 6,�h
12. Type of roof / O �
13. Siding house Ct✓
14. Estimated cost-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and be ie .
Signature of responsible app,icant
Remarks
sum
002288
Date Filed File No.
ZONING PERMIT APPLICATION (910 . 2 )
1 . Name of Applicant: . CG
Address : Telephone:
2 . Owner of Property: h F" ZAR
Address : 4 Telephone : Eg ; (y3
3 . Status of Applicant: - Owner Contract Purchaser
Lessee Other (explain:
4 . Parcel Identification: Zoning Map Sheet#-3-L "'.,6arcel# g1 ,
Zoning District (s) (include over ys) /�
Street Address (�d
Required
5 . Existina Proposed bV Zoning
Use of Structure/Property l
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R:_J 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)
'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: ' Z Applicant' s Signature:
THIS SECTION FOR OFFICIAL USE AY:
VApproved as presented/based on information presented
Denied as presented--Reason:
Special' Permit and/or Site Plan Required :
Finding Required: _ Variance Required:
Yy
_ O
Signaure ui ding Inspector Da e
t
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.
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