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FILE # 1'LICANT/CONT C PERSON: ,r"aez' PROPERTY LOCATION: j='' (11i _ t ° / a 2( MAP ,2 3 D PARCEL: (3e-,,; ZOO THIS SECTION FORANTICIA.L USE ONLY: PERMIT APPLICATION Ch ECKLIST ENCLOSED REQUIRED DATE 7.ONTNG FORFILLED HIT t/- Fee Paid Building Permit Filled It Fee Paid CbQ952; Type of C'nnstr Tctinn• New f nnctrnrtinn y..'Sc��-e Remndeling Tnterinr Additinn to Fsicting Arreccnry Structure Building Plane Tnrinded• Owner/Occupant Statement n Liren e 3 Sete of Plane /Pint Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: • 1/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 Comm is z Signature of Building Insp *ate - NOTE:Issuenoe of a zoning permit does not relieve an epplioent's burden to oomply with ell zoning requirements and obtain ell required permits from the Board of Health, Conservation Commission, Department of Publio Works and other appiioable permit granting authorities. — ILR I 106 File No_9e(72 i � ti _Ji n,. sc DEPT�'�f 8(I,� �: r -`ONING PERMIT APPLICATION (§10 . 2) PLEASE E OR PRINT ALL INFORMATION 1. Name of Applicant: w1 licant: 0_ M C61 i ‘'` Address: 617 CL SeLvi SI. Telephone: se 3 3 c z 2. Owner of Property: Al 4c&v.1(.14 Address: L YLIU- SA- Telephone: aG f cca--7 3. Status of Applicant: Owner Contract Purchaser Lessee 0 { Other (explain): Z"—.. CANAkt,t V 4. Job Location: LAS iVc. civ.3 Parcel Id: Zoning Map# , ,3 fl Parcel# G'<1. : District(s): -(4.. '- (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 5kAt; 4t Jt,,,, / 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): _Ar' /7-) (' I V_ . e—, / — 1234S rit■fle-/- iczk k 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 • ued for/on the site? NO DON'T KNOW 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 current# 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) 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 v 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 c Frontage I Z Setbacks - frnnt 7eTh - side L: S I R: r7 L:r? J1 R: 27 - rear 1 37 Building height Z3 23 Bldg Square footage coC. S'? LIcGC S %Open Space: (Lot area minus bldg 5r7 c 9 &paved parking) r # _Of marking Spaces #` Hof Loading Docks Fill: .4vo1--rime--& location) 13 . Certification: I hereby certify that the informa 'on contained herein is true and accurate to the best of my knowledg DATE: 1 /cj , APPLICANT's SIGNATURE NOTE: Issuan a of a zoning permit does not relieve an applioant's burden to oomply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Pubiio Works and other applionble permit granting authorities. f' `?` `; FILE # r �. ril ow. r � S C O 1 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations %r NORTHAMPTON, MASS. 19 Additions k' �9' APPLICATI Repair ON FOR PERMIT TO ALTER Garage ,"+ I. Location 1 3 /VG,,,1jo c.f t SC,,Q - L t No. 2. Owner's name //1 s Address LI 3 o t 3. Builder's name il©� Address �� Mass.Construction Supervisor's License No. C8�Y 11 Expiration Date 0)?f 77 hoe. 4. Addition 5. Alteration 6. New Porch li 7. Is existing building to be demolished? '"—� 8. Repair after the fire 9. Garage ' No.of cars Size 10. Method of heating FitA- I1. Distance to lot lines ,(r3 )1 12 .1 , i3 '37 r 12. Type of roof ( i 13. Siding house (7� o✓ e v 14. Estimated cost:- "�� The undersigned certifies th above state ems are true to the best of his, her 6,? knowledge and belief. Signature of responsible applicant Remarks