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29-214 (5) S J > v � D =; Z > _ � o Z -� et � o z -s I I Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.skg'-sac' 7 Alterations NORTHAMPTON, MASS. 4 19J,4 Additions a APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location � /1~C rc-- �6ra o ft ,d r Lot No. 2. Owner's name t�f -CII AJI II Address 11Z .4r-/`c- !°tA-,YA- 3. Builder's name ~�% Address _S:_4 .S! Mass.Construction Supervisor's License No. /Q 50e,01010 Expiration Date ,70ZIEZ 4. Addition 5. Alteration /�f�'-l�s f�t w° t ►i7'�.. 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 C� 4CC a�i s � w t r j 1 �Z,Aa—Y SIG a a 14. Estimated cosL- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible appicant Remarks 10. Do any signs exist on the property? YES NO t` IF YES,describe size,type and location: ,i Are there any proposed changes to or additions of signs intended for the property?YES NO IF YES,describe size,type and location: Ii . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUB TO LACK OF INFORMATION. This cOl== to bo filed in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) # of. `Parking spaces # of Loading Docks Fill: 4 vol-ume--& location) 13 . Certification: I hereby certify that the information contained herein G is true and accurate to the best of my know dge. DATE: s� r�l{ �� APPLICANT's SIGNATURE `:� )Y NOTE: Issuanoe of a zoning permit does not relieve ppiioanfa den to comp with all zoning requirements and obtain all required per from the Board of Health. Conservation Commisslon, Department of Public, Works and other applioable permit granting authorities. FILE if File No-- ZONING PERMIT APPLICATION (§10 . 2 PLEASE =,FJ OR PRSNT ALL 2NFORMATION 1. Name of Applicant: .a A r-&—* I t Address: ' _� A i'Y o e-A ' / Telephone: 2. Owner of Property: j Address: 7 1 e-/-C-- rlYdIC A!` Telephone:` 3. Status of Applicant: Owner _Contract Purchaser Lessee Other(explain): 4. Job Location: 4, Z Parcel Id: Zoning Map# r / Parcel# C>21-�l District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) S. Existing Use of Structure/Property _- 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 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/Vadance/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 Conservatioh Commission? Needs to be obtained Obtained ,date issued: (FORM CONTINUES ON OTHER SIDE) FILE APPLICANT/CONTACT PERSON: ADDRESS/PHONE: PROPERTY LOCATION: : G MAP o f PARCEL: THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED MIT Type of Cnn,,tnyrtinn- -Remodeling Interinr Building Elam Tnchided- TI3E�,OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION' _/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 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 Per ' from C nseryati o Signature of Building Ins for bate NOTE: Issuance of a zoning permit does not relieve an applioant's burden to comply with till zoning requirements and obtain till required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioable permit granting authorities. n - b 0 23 OD 0 a Fo Z oc0' � a n o Vol to" CD cn ►O-n O '�• ' C J cn I Vl no rt O O' In p �•. O D v, N r• 0 rU _ Qq O � y O n 'U Q' O C �I• cl rt r O R `� (D R• * r-r LO cm d co OQ cn O Q O O � v� o s 5 y ►b CD �, N • C o c' O O �O. � CI. O O \N CM 7 b \ H I I V ( I _3 p g. p� ��{ O f�D �, O O v' �•-• O O O Cf. b � �' -C o aco d ►-d o as as o ao c c CD o 0. = � b ►--i N © o �. C�