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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. Additions
APPLICATION FOR PERMIT TO ALTER Repair Garage
1. Location A/ Lot No.
2. Owner's name leo/F q 2 4,2 Address
3. Builder's name k <5y&1716L& Address 6,1,57 J7— 7{r-*uAf
Mass. Construction Supervisor's License No. 013 � Expiration Date
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
12. Type of roof
13. Siding house
14. Estimated
The undersigned certifies that the above statements are true to the best of his, her
knowledge and ef.
�----�Signature of responsible app,icant
Remarks
ya eil e 0 It 100 l '(f, /'j-
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
IF YES, describe size, type and location:
11. ALL INFORMATION MOIST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION_
This columa to be filled in
by the Building Department
i Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks -.front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# .Pf 'Parking spaces
#' 8f Loading Docks
Fill:
4vol-ume-& location}
13 . Certification: I hereby certify that the information contained herein
rf is true and accurate to the best of my knowledge.
DATE: ' APPLICANT'S SIGNATURE
J+" NOTE: 1
u n e of a zoning permit does not relieve an applioanra burden to oom all
zpning requlrementa and obtain exit required
Cammisaton, Department of Public), WorKs and Other tarom the Board of Health, n rvation
pplioable permit granting authorities.
r
APR l 1 1997 ...
File No.
'An O BI INS;
PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: er�� �'�S'Frl� ��T �lepfione: ��
2. Owner of Property: , Q d��/� �jt1a XIE41t C 4 /' c�
Address: / �02 �yll 12 Telephone: SAk ` l ��
3. Status of Applicant: Owner _ Contract Purchaser Lessee
Other (explain).
4. Job Location:
Parcel Id: Zoning Map# Parcel#' District(s): 5 JE
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
i
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Prroject/Occupabonn: (Use additional sheets if necessary):
i'rF (-"-"L 3'e�rS
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 Conservation Commission?
Needs to be obtained_ __ Obtained ,date issued-. -
(FORM CONTINUES ON OTHER SIDE)
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i U FILE #
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� �.�� ��i���PHONE• � � �.
PROPERTY LOCATION: � � �`c�r � � (�
MAP ; S 1"` PARCEL:. ZO
THIS SECTION FOR-OFFICIAL USE ONLY:
PERNITP APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
MNING FORM PIT LET) DITT
Fee pnid
d �� ✓
3 Set, Of Plnn- I Pint Plan
OLLOWING ACTION HAS BEEN TAKEN ON THIS A-P ICATION:
Approved as presentedfbased 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
—. -Perjuit4vo m sery o m 's
- �//J�I ,�1�9
Signature of Building or Date
NOTE:lssuanoo of a zoning permit does not relieve an appiioant's burden to oompty with all
zoning requirements and obtain all required permits from the 13oarci of Health, Conservation
Commission, Department of rain
Works and other applioable permit granting authoritles.
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