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SURVEY
-HOUSE LOCATION
NO. Ek STREET: 19 ARC
N" Of 11,
JOSEPH G�-^•,,
TnOIANO OWNER'. JA ME S F I A R p Y e7— V X
No. D528
f°�Af, lANay [SCALE: 1 ''= 4 A
DATE'. /Fc: ,8
,,� o► DEED BOOK: IS-0 PAGE: -el 5_�C
JOSEPH 0 PLANS, (,-8 PAGE: 73
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rao+�NO PREPARED BY
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CIVIL JOSEPH TROIA►NO
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?foiaTtP" .� REGISTERED PROFESSIONAL
CIVIL ENGINEER 8 LAND SURVEYOR
59 UNION STREET, SPRINGFIELD MASS. 01105
TEL. I-(413)-737-773
19 1�1a.rc C; rC I C, PERMI/T APPLICATION CHECK LIST
PAGE Z C PLOT q --),_ ZONE U A I ('� P YES NO DATE
1 . ZONING FORM APPLICATION
2 . PERMIT APPLICATION
3 . OWNER OCCUPANT STATEMENT LIC .# IF NOT iT 4
4 . 3 SETS OF PLANS PLOT PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 . WATER AVAILABILITY FORMS
8. REMODELING INTERIOR
9 . ADDITION
10 . ACCESSORY STRUCTURE
11 . SIGN AWNING
2 . PERMIT FE - CHECK ONLY - MONEY ORDER Si ' f'140-00 t'
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM A
16 . FILL
COMMENTS:
C �
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Miscellaneous Additions,Repairs,Alterations,etc. ; Tel.l co ( C>C' 6-'?Y' Alterations ►
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NORTHAMPTON, MASS. ZZ11( � 2 �1 19 Additions L�� Z�z�1
g e
a ' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 1-2 Loot No. '
2. Owner's name Address
3. Builder's name / Address -�--
Mass.Construction Supervisor License Expiration Date
4. Addition
5. Alteration C17& 6 X
6. New Porch Zed
7. Is existing building to be demolished? ti� ✓
8. Repair after the fire
9. Garage A,1/ ' No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:- /
The and i ned certifies th t the above statements are true to the best of his, her
no ledge an lie
m'F Signa of responsible applicant
Remarks
PHIN, TnSHOP
Y
i
Date Filed ,
File No.
ZONING PERMIT APPLICATION (510 . 2)
1 . Name of Applicant:
Address : / elephone:
2 . Owner of Property: �J
Address ; elephone:
3 . Status of Applicant: t--`Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# ZZC Parcel#
Zoning District(s) (include over ays �/Street Address / ,w 4
Required
5
Existina Proposed bv Zonin
Use of Structure/Property
(if project is only interior ork, kip to #6)
Building height
%Bldg. Coverage (Footprint)
Setbacks - front
- side
- 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)
7 . Attached Plans : ketch Plan Site Plan
8 . Certification: I hereby certify that the info a on contained herein
is true and accurate to the best of my know dge.
Date: ,� S ignature: t —4!�4 -
— — — — — — — — — — - -ZApproved THIS SECTION FOR OFFICIAL E Y:as presented/based on informa io resented
Denied as presented
Xi�ason fo e ial :
gnat e of Buzl Inspector to
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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