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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No F y k i> ( Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
a
Garage
1. Location J'� ( L-4-0 Lot No.
2. Owner's name :-7) 1- Address 593 6 -7
3. Builder's name rA , Address
Mass.Construction Supervisor's License No. 7 Expiration Date 0 '�
4. Addition
5. Alteration
\
6. New Porch 1 !h(C ►}cam ±`.t
7. Is existing building to be demolished? ��}
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating 10,)R }�
11. Distance to lot lines
12. Type of roof
13. Siding house �2----e a Cc-" " Ay-
14. Estimated cost-V�e�
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible appocan!
Remarks A- SbV-,e I-( v-,%A(- -° (5T1 if'. _ salmi
`�V11 L--) Q9 LAC 6AZI :5Z 41!L i�`r'FC--'4 S��'� LC`),1
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 a01== to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size 3112-7
0 :-7/5 A�-_ K6
Frontage fro
Setbacks - frnnt a c-,
- side L:50 R: L:(,g(fR• ,? 0
- rear
Building height N
Bldg Square footage G I � 4 J � d
c�
%Open Space: 8`7 n/
Lot area minus bldg ,��f�'�%�''' 2-7-3,55 ,
' &paved parking)
# ..pf. -Parking Spaces
# rof Loading Docks
Fill:
_(volume -& location) S
'13 . Certification: I hereby certify that the information contained herein
_ is true and accurate to the best of my knowledge.
1
DATE: 1/// 2-6 APPLICANT's SIGNATURE n `�
NOTE: Iss an of as zonin
zonin 9 Permit does not relieve an ap i n burden to comply with all
g requir ments and obtain all required permits from t' of Health, Conservation _.
Commission, Department of Publio Works and other applicable pe mit granting authorities.
FILE �`
APR 1 1 1996
Fi1e No. L
ZINING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address- � � le hone: *.a
2. Owner of Property: .
Address:� � L ���' ��
N`' (_- Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): ' 1 /
4. Job Location-: � �
Parcel Id: Zoning Map# \3'i Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. 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.
S. Has a Special Permit/Vadance/Finding ever been issued for/on the site?
NO DONT KNOW -�) YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO N 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)
nr% r) 0r �
FILE
,n
CANT/
I T/CONTACT PERSO :
ADD
RESS/PHONE: Cr��c �_ _��115
PROPERTY LOCATION: / a-exl
MAP ,`> PARCEL: ZO
THIS SECTION FOR OFFICIAL USE ONLY:
PERNIIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fpo
RuRding Permit Filled nlit
LG
Additinn to Existing
/?2
C`! �V
THE LLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION- .
Approved as presented/based on information presented
Denied as presented:
Special Permit andlor 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 Comm"p 5i �8
Signature of Building Insp Date "
NOTE: Issuanoa of a zoning permit does not relieve an applioanYs burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commisslon, Department of Public Works and other applicable permit granting authorities. —
L 07_Z
5z
City of Northampton
BUILDING INSPECTION LABEL
APPROVE [
_ Inspector
Date i C�
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