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35-129 (2) a ti n. T A 'I z _ �• CA Z ^' n Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. (/Z/c.c / 3 19 '� Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location �� u'd°�O'"� Lot No. 2. Owner's name t'`�' `� ' `'/5 Address �6"'�er 4 3. Builder's name !�°� d!-c4 Address Mass.Construction Supervisor's License No. OO ? -� 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 houseie'st�l/ QG 14. Estimated cosL- 3 coo The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Z ignawre of responsible app,icanl Remarks X« <I C =:,z': /.,p� '�1`c S'� e�yj �.,� /C51�"Fc e Cllr . %'�i �c°C •f'� cS'�z.� �t � S 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 MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This cols to be filled in by the Bwd_Jc ny Department Required Existing Proposed By Zorang Lot size Frontage Setbacks -frnnt - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg ' &paved parking) .pf -Parking Spaces # rof Loading Docks Fill: (volume -& location) '13 . Certification: I hereby certify that the information contained herein _ q is true and accurate to the best of my knowledge. DA-'1'E: lFll -3�� - APPLICANT s SIGNATURE t±„ NOTE: Issuanoe of a zoning er permit dos not relieve an a 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. . ,�. FILE # File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Z?�k Address: Telephone- 2. Owner of Property: w///47't 4��'rQ Address: © 'd d ` l Q2 Telephone- 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: -3`� Parcel Id: Zoning Map# Parcel# District(s): ! '� (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 171c' 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/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 96111 I 1 s APPLICANT/CONTACT PERSON: ADDRESS/PHONE: PROPERTY LOCATION: MAP 'S PARCEL: � ZONE t THIS SECTION FOR.-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLO ED REQUIRED DATE ZONING FORM MLED 0111 Fee Pn New Cnn,,gtriyrfinn Remodeling Interior Additinn to Existing C� s" T�IY-OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: 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 Conservation Co 0zis3ion Ile Signature of Building Inspect Date NOTE:issuanoa of a zoning permit does not relieve an applloant's burden to oomply with ail zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of public- Works and other applioable permit granting authoritles. CD x 5 ° o 0 o x ~ CA o � o oCD � c�D 0 y R rn C'n n5 Qo C i7. N N �] o Q.� ° ebb r• ; g � � g n o IM QQ CD O 1=1 .`3' y O f�D N ri Uai _ _ S d A �.. S � �,� w C..� n. (7 -h 5+ � a n ° �`< ° =' ° o 0 ,� � � �: C � n airs• � r- O '� C) elf, n N 5 " o ooc�D < n y � o o o' CD ai '3� oP � cDr. Z cn It O Q crs � C s a . � y 5 s, _ °� ° = ao N 00 c Z 5 rr p cr o- try " t'' " r0 ' 0 5 5 j j y j j o g. o 0 ❑ o g °. LOS O an ac O v� as CD r. y 0 A � o a ov `� ❑ * Cb o �. 00 o N � o CD