29-206 (2) Ir
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MAR 2 219916
`DEPT OF BUIL0!I G I ;cPe id
NORTHA.',� `T%j vA
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Zoning
Miscellaneous dditions epairs,Alterations,etc. Tel.No. �_3 ��SG° fS Y 5° Alterations
NORTHAMPTON, MASS. Additions
a APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location Lot No.
r
2. Owner's name Address
3. Builder's name Address
Mass.Construction S rvisor's License No. xpirati n ate _
4. Addition '^
5.
� s
6. New Porch
7. Is existing building to be demolished? �01}
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:- �, U,
The undersigned certifies that the above statements are true to the best of his, her
knowle and belief.
i ature of responsible app icant
Remarks
i
4
10. Do any signs exist on the property? YES _ NO X qp
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO,-V
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED,, or PERMIT CAN BE DENIED DUE To
LACK OF INFORMATION.
This column to be filled in
by the Balding Department
Required
Existing Proposed By Zoning
Lot size
Frontage f p ;
Setbacks - frnnt __—..
- sir-$e I L', R: W L: R:
- rears
Building height
Bldg Square footage f�
%Open Space:
Lot area minus bldg
&paved parking)
#, of -Parking Spaces
ffof Loading Docks
Fill:
(vol-ume -& location)
13 . Certification: I hereby certify tha:.t the information contained herein
is true and accurate to the best of my knowle e.
DATE:3 — s-' APPLICANT's SIGb",��TURE r
NOTE: Issunnoe of a :coning permit does not rF.i eve a pplloanY,� d` o oomply with all
zoning requirements and obtain all required pr -,.r from the ealth, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
FILE #
MAR 2 21996
File No."(
DEPT OF BI M
n'R� ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address' le hone:_ 9K zK z{
2. Owner of Property: f' 4 /J
Address: f/ L�, a , Telephone: s D ij
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel ld: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 1i 4
l
S. Desgdplion oA Proposed Us /Work/F'roject/ ccupati (U additional s' eets if ne ary):
7. Attached Plans: �'� Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking witt,the Building Dept or Planning Department Files.
8. Has a Special Perm itNariance/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
920747 i -
`:�� MM229%
PLICANT/CON PERSON:
N f
) Y, i / 7
�tORTAFvii1ltit4 MA City
V }
PROPERTY LOCATION:
MAP PARCEL:
THIS SECTION FOROFFICIAL USE ONLY:
PERAHT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee Pnod
lRytilding Permit Filled nvit
pry 77 171,--
NPwCnnqtmrtinn
Addition tftErigtin2
r/ -
TIEEO HI
LLOWING ACTION HAS BEEN TAKEN ON TS 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
Permit from Conservatio mission ??
J
Signature of Building r Date
NOTE:issuanoe of in zoning permit does not relieve an appiioant's burden to oompiy with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Fommiusion, Department of Publio Works and other applioable permit granting authorities. —
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