Loading...
29-496 (9) a > Z it T f`— = D Fri A Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. h $�.` Alterationsyd� ' ' Additions NORTHAMPTON, MASS. ? 6 19 APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location_ �",/� �� ` Lot No. 2. Owner's name S.R ZK5 /r/ Address 3. Builder's name / Address J /� Mass.Construction Supervisor's License No. (7 0 f l Expiration Date } 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 12. Type of roof 13. Siding house 14. Estimated cost:- ` 7� The undersigned certifies that the above s merits are true to the best of his, her knowled belief. 1 5,-7 Signature of esponsible appicant Remarks—/;,— IL � jo, 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 color= to be fillcci in by tba Btaldiag Dcpastm .t Required Existing Proposed By Zoning Lot size Frontage Setbacks - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) of Parking Spaces of Loading Docks Fill: :(vol-ume--& location) 13 . Certification: I hereby certify that the information cont ined herein is true and accurate to the best of my k edge. DATE. � APPLICANT's SIGNATU ' ititOTE: [ an o a zoning permit does not relieve a plioants burde to oompty with all zoning requirements and obtaln all required permits m the Board of ealth, Conservation Commission. Department of Public)- Works and other a plioable permit ranting authorities. " , FILE 'f File No. � ! 7 ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYP�g OR P_RITT ALL INFORMATION 1. Name of Applicant: —) Address: '. L- Telephone: 2. Owner of Property:_ 14 Address: '!- I"-_Telephone: S 3. Status of Applicant: X ner Contract Purchaser Lessee Other(explain): 4. Job Location: t-yl1- Parcel Id: Zoning Map# _ Parcel# o District(s): ._� 'Z (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property r� 6. Description of Proposed Use/Work/Project/Occupa6on: (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 ij. Q 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-,", -U 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) 7 FILE # ���,' ? 1 APPLICANT/CONTACT PERSON: ADDRESS/PHONE: PROPERTY LOCATION: MAP PARCEL: ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM Ell T,FD 01IT Fee Pahl Building Permit Filled ollt 4 Fee Pnirl o RPmndelinv Tnterinr Arlrlition to FY_ictin2u Arr",gnry fitrurture Rnildiny Plan-,Tnrlfided- O� c- 3 ,Sek of Plan-, /Plot Plan THBLLOWING 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 Conservation mission Signature of Building or gate `. NOTE:Issuance 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 Publio Works and other applicable permit granting authorltles. — • •rti z o agog � � p v� o""' O. cn .A $ �] C'D to N ON �'. 'a al ink< p a 'R 8 x CD 0= c c � CD� b E m o `< y lo g � s" d o c < F-L m m ri to pm 0 Uq O r. v� F—+ O ee 5' - a �< C7, rs ° r''<u m CM O p 0 p.* co CYQ gal d O I�1 V1 � O O O � � s �r c xz P cr S. I wN ro N �--� G. •s c7 O z7 0 "rl 07 w e� O �.y O C/1 O C1Q to UQ O cn UQ O 0 CD O V r�.t � 'J• `J 'S' 'S 'S R ? '•S' v� :'b to O 6 ^+ C c p a. o b sy O (IQ o• �. o w � O y OD b z CD A �