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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. _y 6',14c Alterations Abrz /
NORTHAMPTON, MASS. 4/X`11 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location / CY/. I'� 5 �• Lot No.
2. Owner's name M)e i Aej 6e6 fir y,,'e)i Ad '1
ldress
3. Builder's name > /��1Vr P;(, /l) Pr,1,ieVF1i•� dress vNf 1,C/lle Y 57'
r/F5>//�iLli�I7�.tl
Mass.Construction Supervisor's License No. 011 Y/ 3 7 Expiration Date Y "
4. Addition
5. Alteration /I ,s //i i 4g4.)1
6. New Porch A�✓/) 5r`/� 'c%'y 11.41Yl
7. Is existing building to be demolished? P.
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:- yl/ l/l�G�, eery
The undersigned certifies that a above statements are true to the best of his, her
knowledge and ef.
,y A,
7(7 Si Lure of responsible app,ican!
4e,/�Gl�
Remarks_____� �' �� /11>'�► a``�l�d �'Tti '08�� /
Ile
Al � -�'� �
10. Do any signs exist on the property? YES NO,�jt�
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 —7— to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size x 9`d
i
Frontage 0, 51
Setbacks -frnnt 460FIV J0
- side L: R: 1410 L: R:
- rear
Building height
.r
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
of -Parking Spaces
of Loading Docks
Fill:
(volume -& location) O
13 . Certification: I hereby certify that the information contained herein
(,� is true and accurate to the best of my knowlZ- � .
DATE: I r j y— 9 G� APPLICANT's SIGNATURE , '
NO TE: Issunnoe of a zoning permit does not relieve an applicant's 6 p"ad4o comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE #
MR 1 8 M6
Y Fi 1 e No. QL�1
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 19,r) g J9,01V ' J✓� �%�y%Vt' t f;L%��' R iYll�G1r' /�-
Address: / %r��y Sl. �'/>l��/�/I/I /4,r,1J,11 Telephone:_ S A t1 4!!5 V
2. Owner of Property: 14412, ,t 1!' 1-""e6 X X,5 f i=V 'G//
Address: 7) h 7' Telephone: 5 0'C ._ 0 3 q`J
3. Status of Applicant: ner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property 4-444,f
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Rf/'/.QG %✓G fX�X57•it/G- /O/2Gh/ AV'
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 X 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? NOS_ 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 #
APWATICJ�ONTA CT PERSON: G !� C'�/'� cG� �L
PROPERTY LOCATION: j-
MAP PARCEL: ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERNUT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee Pnid
h
e
c �' 2 444
3 ,setq n�&�Inn�l Pint Plan
7
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION-
4-'/'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
!Permit from Conservation Co mission
Signature of Building for ate
NOTE:lssuanoe of a zoning permit does not relieve an applioant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commtealon, Department of Public- Works and other applioable permit granting authorities.
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