35-269 (17) ■■ ■■ SEES■ SEES■■■■■E■E■■■
. �1ii`. SEES■■ ■■■■■■■■■■■■■■■ '.
- = - ■■■■■�■■■■■■■■■■■■■■ SEES■■■
; ;, ■■■■■■■■■■■■■■■■■■■■ SEES■■■
. - ■■■■■■Sri■E���Er�..a....�ME■■■■■
SEES■■■■r1■■■■■■ X11■■■■■■�■■■■■
■■■■■■■■■■■ SEES■■■ ■F■■■■■■11■■■■
■■■■■■■■■■ ■■ SEES■■�t�■■■■■1 SEES■
■■■■■■■■■■ /■ ME■M■MPIMM■■ ■ISEES
■ ■■■■o■■■smar o■■M 1■M■M■
r ,SEES■■ ■�■,■��■ ®�■�■■
�■■■■■■ ■M®IMEIRM [Il.EW
w. ■■■■MM■E NA■■■AME■■
• ' ■/SEES■■ ■■NSWE■Mi■■M■■
SEES■■■ /SEES ■a Iii■■ /l■■■■
■M■E■ ..��■= =.=.0 , .-■E rim ME
■ ■■ ■■■■■■■■■ WE KM■1®M■■■■E
EMMEMSEEMENNEMNEENIMENIMME MEE
■■■■■■■■■■■■■■■■ ■■■/r■■■■■■■
■■■■■■■■■■■■■■■■ momm■ME■■■■
■■■■■■■■■■■■■■■ ■HM IAMEME■■■
■M■■■■■MME■ESM■ ONE SEES■■■
ME ME M MEN No ..IRE■/IM■■■■m■■
■■■■SEEM■■■■■■ ■/iii r■,■ ZQ .
mom mom ME Now will 0
MINES■NOME■■■ _■ffimmam/�EII� ■■■ lmiumsu
■■■■■■■■■■■■■■1'�;'1m- Won-WORT lk■■■■■■■■■
E■■■■■■■■■ ■■ MOSOMN
> ?
p T ^►
3 0 071
Z 71
C\j r
7- cn O
>
r
Z -•
m
a
I
Zoning S
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.52(- - y4-21- °w'"-o"Alterations
ti NORTHAMPTON, MASS. l 5-- 197(� Additions
APPLICATION FOR PERMIT TO ALTER Repair
`/ /, Garage
1. Location Tv�t �l 1' ,�i �� a� , /���'�j/1� �'1 Phi- Lot No. S� rf -PC,/
2. Owner's name AA-0&) AC j:!j��'&0 to,r Address�;S T61,01 y / Ij/ &o-R
3. Builder's name //:n/fir &51e/p #O-C- 5� ,+p Address — E`
Mass.Construction Supervisor's License No. �/ D % Expiration Date
4. Addition ;X '3
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 cost:- E�S c�Gi p
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible app,icanl
Remarks
10. Do any signs ebst 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 coZ=ma to be fiSled In
by the Bai].diny Department
Required
Existing Proposed By Zoning
Lot size
, e
Frontage C d
Setbacks -front
� � r
- side L: R: Q97 R:-9/
— - rear � 6
Building height
Bldg Square footage -
%Open Space:
(Lot area minus bldg
' &paved parking)
`Parking spaces
# fof Loading Docks
Fill:
':(vol-ume -& location)
13 . Certification: I hereby certify that the information contained herein
r, is true and accurate to the best of my knowledge.
DATE:-.Y_/ _ ° 7 APPLICANT's SIGNATURE�'�eV/?'
NOTE: Issuanoe 6f as zonin
zonin 9 Permit does not relieve an applioant's burden to oom
ply with all
g requirements and obtain all required permits from the Board of Health, Conservation ..
Commission, Department of Publio works and other appiioable permit granting authorities.
�� FILE #
OR 2 6 19% Fi 1 e No.
i
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: / lG-, Telephone. 44 J-S5 6 -
2. Owner of Property:
Address: /U L2 ���� G ��O. &�i Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: `
Parcel Id: Zoning Map# Parcel# District(s):—
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property / Ell.4-1 /V C,
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 y YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO 1- 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 if (` ^ (� 7 t :/i j i� Y
JJ APR 2 6 096
"APPLICANT/COA CT PERSON:
i
PROPERTY LOCATION:
MAP / PARCEL: -% ';' ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee Pnid
r.
WOLLOWING 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
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
Permit from Conservation C issio
llfa
S
Signature of Building ln&tor bate `
NOTE:issuance of to zoning permit does not relieve an appiioant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Heaith, Conservation
Commission, Department of Publlo Works and other appiioable permit granting authorttles.
c�u b N z
y
�' y �•r� w
O O r• � W � N
p � a � o' CDa rD o • Y
n $ � acs , g
o
ao �
CD o � �• o
`C CD � CD b• ¢ CD J p N O
tz n s F H N
� � ~' F ° o G
i, c#n n a
N° d o' m �* 0 ice)
RD
0,
to
n c Z CD
UQ RD
CL
CD
M"•'1 '�' C p .cDs O O H CCD N
°Q
con
coo b-
n � y �
O
b
cn N
^' .�. C O
0-4 0 Q O O p O O In
ll�r•11 � � � � O� ,0,� b 'TJ C/� �' J
C
rDD p D G
CD
5 CD
i�.
0 Q O O n CD (� C/� TJ
Itj
O
CD 0
UQ
�j 0° "o• � E
con PIT, - � b
CD n
CD
�l S V2
� r