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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 775L 7�1 775-- Alterations
:r NORTHAMPTON, MASS. / 19 Additions
;= APPLICATION FOR PERMI TO A TER Repair
// Garage
1. Location /E'er � ' � Lot No
No.
■
2. Owner's name .�' , o - Address _d. ■ -.4 '#. �.�> .' 4153•
3. Builder's name / �y ,� Address, -t///9.--�/0- /9-/',C3D/
Mass.Construction Supervisor's License No. CS—C:26-4-4'7Y Expiration Date � 9
4. Addition
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 i //��
12. Type of roof Dye," /` `i „.6.. ..v
13. Siding house
14. Estimated cost 0.- 4 n
The undersigned certifies that the above tements are true to the best of his, her
knowledge and be .- .
i..)," /rie#:"
Signature of responsible appiirant
Remarks
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 DUE TO
LACK OF INFORMATION.
This column to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - . .
- side L: R: L: R:
- rear _I
I i
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
9f -Parking Spaces _■■ I
r-
#' of Loading Docks I
Fill:
-=(vol-tune--& location)
13 . Certification: I hereby certify that the information contained herein
rf is t .. - and accurate to the best of my kno. ed. - .
DAVE L /� C' APPLICANT's SIGNATU': / `i ,�,7 ,‘„rdi,/
NOTE: ssuanoe o a zo ng permit does not relieve an -pplioanrs burden to oomply with al
Zoning requirements and obtain all required permits I -m the Board of Health, Conservetic
Commission, Department of Public, Works and other appiloable permit granting authorities.
--`', FILE #
t5 U li u k
L+
a ; OCT 1 O 1996 _
PTOFR!!li
File No. 7 too
'"
- -ZOA`ING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR P T ALL INFORMATION
1. Name of Applicant: (Z- j
Address: 7fj2/47/et "/,'y (Telehone: 77/
2. Owner of Property: y'
Address: c S 1� 7� - 'jve
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Street Address: ;e449e4der Z OS. ,
Parcel Id: Zoning Map# //C Parcel# District(s):_2 ,.e ,
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 1 ai I
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7/ 2 /�f/� /, ill/ / rrW
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 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)
1; �_ � !; ■ FILE I .. _.
„ uU rq
1
,6 OCT 01996 _ -
APPLICANT/CONTACT PERSON: A,; - if .. 'fir 7-' ' fY YV6-
I ADD IS HONE: 9' 14,: '201 t .,, z .z.e- t /;36 /
PROPERTY LOCATION:_ k i z:,724,64 !'e / ''. '.9 - .d,
MAP // �' PARCEL: . ZONE,...ee. A_
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
7ONTNCT FORM FIT.T,F.T? OUT ✓
Fee Paid
Rnilding Permit Filled out
Fee Paid 'ti� � it .VC — >/
Type of('onctruction• �7
New C'nnctrnrtinn L
/ J2i � 2 A
_Remodeling TnteriorZy it� G ��ZLe/
1
Addition to Evicting c � / .Dh�:a
Aceeccory Structure Cr /1Za-? et ` rti= __
�
Building Planc Tneluded• _ �_`
Owner/Occupant Statement nr ,hence#\ (1/5-Z'qe7 t''�
3 Setc of Planc /Pint Plan
TH�O'C HIS LOWING ACTION HAS BEEN TAKEN ON T APPLICATION: . %'
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 Conservatio mmissio
,„•.••• 11k ...■R''. /a 23X‘,
Signature of Building or Date
NOTE:Issuanoe of a zoning permit does not relieve an applicant's burden to oompiy with all
_ zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Pubiio Works and other applicable permit granting authorities. —
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