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Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. Alterations
._ NORTHAMPTON, MASS. 1 9 Additions
r= `:.` ' %4' APPLICATION FOR PERMIT TO ALTER Repair
Jo ,n j4 Garage
/
1. Location (� 0 [J l} nn o hl 12..e4 4 IJn v u+✓� lo ) /)1 ' Lot No.
2. Owner's name (L)t /II wo._ rn pc.k Address Jo) 12.(4w0w /
3. Builder's name 74a H ; au, ,.)/ t) Address 6 (',..' i how ti, JotfLe J f'i_.t
Mass. Construction Supervisor's License No. 0 1 1 a R ° I Expiration Date / 5 98-
4. Addition
5. Alteration II--
6. New Porch +cif- is P Fwd iv 4 i d n, , -C /) tl
1, f Pi/ N h)5 7� I j
/ j ,Si�'1 `f •
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 11/A.,4
13. Siding house
14. Estimated cost: - ° 0 a ,
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
✓`' /
Signature of responsible appicant /
Remarks k :r :.,s PI�5;e. A, - c�e w )�c 1 S 56;A) • of , , f.^ctSseS I 14.1 .v A" �`
I `1 J / ,r, '.t) ✓i
: _ ` . N l • M (/L,, , • . / ,. . /, c ' /- (.L) N k
bire A"'s bez.--) 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 DL7E TO
LACK OF INFORMATION.
This cols to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lotarea minus bldg
&paved parking)
of `Parking Spaces
"of Loading Docks
Fill:
( vol - rime - -& location)
13. Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: 3Z a (� C APPLICANT's SIGNATURE S y A.
i" NOTE: Iss an a of a zoning permit does not relieve an applioanYs rden to comply with all
zoning requirements and obtain all required permits from the Boa of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE #
6C
File No .7
dLjJ MAR 2 6 096
Z NG PERMIT APPLICATION ( §10.2)
aF�� cf i3tlir ��,9. ; --
rt r �, P r r s P E TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 1 401y1 x} S /4
Address: ( \ c r•--) 1 1�J dv / � Pt
2. Owner of Property: 0), / r i@tn b e. vc
Address: /00 % h„ 0 N �a Telephone:
3. Status of Applicant: Owner t/ Contract Purchaser Lessee
Other (explain))
4. Job Location: /O U KJVtwvO /
Parcel Id: Zoning Map# 1 R Li Parcel# 2 District(s): �
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property C OQ 1 W c e S `f(),,,
6. Description of P Use/Work/Project/Occupation: (Use additional sheets if necessary): A •
C.t �e ),)d o t r orc �, N bO¢" S (des •Pr1ci
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 PermitNariance/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 1 960763 p9, f
I 26 6 R
l is t icA jxrx,4caxxA
A � P 'w �s ERSON: _1 - ' 'C -� - '-) ( - ;Zir71 ,, �_.
GALL d i .1((; C ( i 0 ' � ' _ - - ' , . - , ',,:=. _ - 1 -- / -.) 7
PROPERTY LOCATION: /G`7= � c't r� y' -, !e, - ; �` s
MAP /1/ PARCEL: it ZONE a-e
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
7ONTNa. FORM FTT.TNJ) OTTT
Fee Paid
Building Permit Filled ni t
Fee Paid (' / 7 4 1/
Tyre of Construction
New C'nn strnctinn
Remodeling Interior /1 % f <.r'\- t if it
Addition to Fzisting „01:4-0_,A. _ 0-2~C1 /1- -i
Accessary Structure
Rnilding Plans Tnclnded•
Owner /Occupan Statement n
T ic
s ef. ' -J�•. ''/
3 Sets of Plans �Plr�t/plan
THE ,P' ACTION HAS BEEN TAKEN ON THIS APPLICATION:
l/ 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 a '1issio .
' -----
Signature of Building Inspect`/ Date
NOTE: issuance of a zoning permit does not relieve an applioant's burden to oampty with ail
zoning requirements and obtain a il required permits from the Board of Health, Conservation
Commission, Department of Public" Works and other applioable permit granting authorities. __