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1 i!) [c [f i FILE # 9621 3 f ?�
1 : wit LI 0/�APPLIC /CONTACT PERSON: &'2 ' .,ire f , ..4 . ,
?EF ' A /PHONE: Ca * 'CO ATM' &r, % - 0/a ,e--
u-. __ PROPERTY LOCATION: / 5�4L tt -t (.C' Ze4de-frl4
MAP o? PARCEL: 3c ZONE
THIS SECTION FOR Ei1CIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FTTJJ r) ()ITT u-----
Fee Paid
Building Permit Filled nut a/
Fee Paid /�76 15`-j7c `4179e) 441 7?
Type of C'nnttnirfinn•
New Cnnefnirtinr /,!' 1•66g.-11
RemndPiing Tnterinr \J41‘6%UiP
L k1 7-A°
Additinn to Fzieting
Areeccnry Structure
Rnilding Plane Included-
— _
owner/flrenpant Statement nr irenccJL- T -5 v--
1 Setc of Plane /Pint Plan ✓^
Approved ACTION HAS BEEN TAKEN ON THIS 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 Conservati om_m' s•
Signature of Building j/i. tor Date
NOTE:Issuanoe of a zoning permit does not relieve an applloant's burden to oompty with all
_ zoning requirements and obtain ell required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
APR � 7 I997
File No. 13
IEPT OF r) .��J<� T
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: (f ( ■<JD iZ 1=-`.( =e r.C) CGS`;[K\&c Lc
Address: I CA t'-iP-Lc:, f J- O Telephone:
2. Owner of Property: te_ AL4�A T/\
Address: c EC ` r}A trill Jr 1\l`t l\t`( Telephone:
told
3. Status of Applicant: Owner Contract Purchaser Lessee
k Other(explain): 1CS11C�Pc �
4. Job Location: 1 tES t�><wJ _ ' � )vra�
Parcel Id: Zoning Map# Parcel# 3 0 District(s): L
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property dCI-CI
•
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
I N ► NTI; (C)C ". cf&��k T1c�?-->
7. Attached Plans: v- 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 X 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 X
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 - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# pf -Parking Spaces
#. of Loading Docks
Fill:
J(vol-Ume--& location)
13 . Certification: I hereby certify that the information c tined herein
is true and accurate to the best of my knowled, = .
DATE: - 97 APPLICANT'S SIGNATURE /J ' 6
NOTE: Issuanoe of zonin g p ermit does not relieve an
4plioanYs burd: to comply with-all
zoning requirements and obtain all required permits f -m the Board o Health, Conservation
Commission, Department of Public Works and other applioable perm granting authorities.
FILE #
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Zoning
Miscellaneous Additions, Repairs,Alterations,etc. Tel.No. 2 5-c_`o I Alterations
%r NORTHAMPTON, MASS. g Additions
" ' * APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 1.5- L5: 11=k4 S\-- ,r.. C01_1wT , N.`-k-o k Lot No.
co n.rtp..c\--
2. Owner's name 5Msset'11 -t- ,u,ST LA.uler..l.AamacR-c'..t. Address -giliZe 6,3C) S P.4,./=NviS._, M N 1011\
3. Builder's name SC741r CCAI.S"CRLt,G1101/LsI.C- ef>■,..m.r.s'-( Address 3\ CAr1-°tpy5 PLAZA-tip, 1A-PS:x.p`C MI5
Mass.Construction Supervisor's License No. c S 0('(o S35 Expiration Date s\ \on
4. Addition
5. Alteration Co N,'�Ttel-1f't" 1_rl1-S.- P,-F-71.11.C>V. S
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- �e;90`---
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
/ 0-
Signature responsible app scant
Remarks
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