29-135 (6) > z
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
Qk APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location cR 7 Lot No.
2. Owner's name rr v 1 v, Address C
3. Builder's name ; 0, M 6 c- Address 7 M tlj
Mass.Construction Supervisor's License No. ()C ZS Expiration Date 3 c�
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 I
12. Type of roof
13. Siding house '� C
14. Estimated cost- ,
The undersigned certifies that the above statements are true to the best of his, her
knowledge and ia
Signature of responsible app icant
Remarks
10. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO_2"'
IF YES, describe size, type and location:
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This col- to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size 'q� Rb1 Y bc, ?
Frontage
Setbacks - 15~
- side L: i z R: L: 7 R: ZG
- rear
Building height
Bldg Square footage 1
koa0 I ot?0
%Open Space:
(Lot area minus bldg 77s j -7f
&paved parking) �'
# of -Parking Spaces
# 'of Loading Docks
Fill:
(vo.Zume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowled re .
A
DATE: c{ APPLICANT's SIGNATURE
NOTE: lanua o of a zoning permit does not relieve an applicant's burden to oompty 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.
FILE I
r
4a �5
Fi 1 e No C
I } f
ZONING PERMIT APPLICATION §116. 2
PLEASEf- E OR PRINT ALL INFORMATION
1. Name of Applicant: c";i C(.
Address: n 4 ,L S< �— Telephone:
2. Owner of Property: v S" C 4 ,f
Address: `1 ZLTelephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): i^ t,t
4. Street Address:
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING PARTMENT)
5. Existing Use of Structure/Property �z
6. Description of Proposed Use/Work/Pr 'ect/Occu lion: (Use a iti'o�al sh is if,necessary):-
c( (c,
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO !/ DON'T KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
FILE # 960482
APPLICANT/CONTACT PERSON 3-
ADDRESS/PHONE: '' r
PROPERTY LOCATION:
MAP c PARCEL: ZONE jl
THIS SECTION FOR-OFFICIAL USE ONLY:
PERK UT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM M.T.FI) QITT
Fee Pnid
lRytilding Permit MUM 011t
Fee Pnid
Addition to Existing
/ SJ
./
I
THYFOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: `
V Approved as presented based on information presented
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under:§ w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
I/
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
Pe it fro servation Commission
gna a of g Inspector to
NOTE:Issumnoe of ning permit does not relieve an applioant's burden to oomply with ail
zoning requirements and obtmin all required permits from the Board of Health, Conservation
Commission. Department of Pubiio Works and other applioable permit granting authorities.
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