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31B-311 (10) a ,� �o o y p ril z a 3 c o � r' n -i m _ Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations r NORTHAMPTON, MASS. 19 Additions FA'' APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 1 A-1 M.VS 60 0 S z / C. 2 V t cl'i. .A Lot No. 2. Owner's name C- 1 iv Address 2/ 3. Builder's name j33OB- T 4l? Address Jb ' R- /1C-F C- r'-' Mass.Construction Supervisor's License No. r) 4 7 8 * Expiration Date ,Of l6 q7._ r 4. Addition -N-)t �M VRAVY.--M,5. Alteration V N 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:- 0` two , The undersigned certifies that the above statements are true to the best of his, her knowledge .,• _-lief. Signature of responsible appicant Remarks 914-C.- l.0-02 ., t t`'T Go/ ertft C Q L Fl I, Tb +k- ►fn 4-co »C 6rAu l '4, ' o Do any signs exist on the roe YES NO 10. ny g property?� 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 colt= to be filled in by the Balding Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - front - side L: R: L: R: - rear Building height VD\V 4 Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) # of Parking Spaces #-of Loading Docks Fill: •:(vo1-lime--& location) 13 . Certification: I hereby certify that the information contained herein c is true an accurate to the best of my knos •ge. DATE: APPLICANT s SIGNATURE l NOTE: issuanoe of a zoning permit does not relieve an applioants burden to comply wi all zoning requirements end obtain all required permits from the Board of Health, Conservation _. Commission, Department of Public Works and other appiloable permit granting authorities. lv FILE # - - File No. e ��, FEB 2 9 1��C7 � ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: '1E _i LOAC OF-( Address: f3(p Sac?...-111,C.X. ( çjelephone 4_ -A2Z(L 2. Owner of Property: C= crtt OP- )∎-a)"V-cr 'vt PTO Address: tip Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee ?c,, Other(explain): IVY _„.X72 a 4. Job Location: QD kbU V f a l va.' ) Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) �� 5. Existing Use of Structure/Property v&l N15 t'---04—"_x' tq_ 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 V YES IF YES,date issued: IF YES: Was the permit recorded at the Regis 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 # 960683 Ir ' APPLICANT/CONTACT PE SON: � — /�("l ADDRESS/PHONE: - _ /1%' -,-_-e'k (:,>- • :3- 1//-7.,°,,,/,y PROPERTY LOCATION: 7 C1, _ �( ' 7K,/,_) t 7-1?-7-.( -- MAP ; -?/' -- PARCEL: /'/ ZONE t'•7 'PHIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FTTJ ED MIT EMMEN lemur -e Fee Paid Building Permit Filled not Fee Paid 29( ,= ( (%e—t L',,,,,:-.6_7-e. ,i,_ Type of Cnnct,ictinn• New Con 1 Additinn to Fzicting J & 22 2 }(i ,-----/L- A ereccnry Structure Building Plans Tnrinded• Owner/fire ant Statement nr Licence# Z-�a '�� . �.. Sets of tans\'1 Pint Plan -''--- imic* LLOWING 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 '• II mission ��r�' % _, ��/ z. 7• . 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