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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.'a Alterations
NORTHAMPTON, MASS.2A Arc-+ 19� Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location Lot No.
2. Owner's namebe—Er.3 ►-��"tel t��r4�c=_ Address 2.3L
3. Builder's name�4v �, l Arm q Address P(D.Zn x t to . A s
Mass.Construction Supervisor's License No.C>,42- s=9b, . Expiration Date 12419
4. Addition e!:.' X 8t V-(CCst� I IZ_A• K� 4 L i Ex,t°,��t U G A7%k'Zm�L
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- #�,� 30a, ot,
The undersigned at the above statements are true to the best of his, her
kno a and belie
Signal a of responsible app icant
Remarks
Av fl�71aa� _
h3`
7-1
lot
1
i
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 col— to be filled in
by the Building Department
Required
�- 40 Proposed By Zoning
Lot size
Frontage `;) -may ?'5
Setbacks - frnnt
- side L: 0 R:a% L: t _R: _
- rear
75 t c
Building height :--
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking) l
# of Parking Spaces !�
J
# of Loading Docks
Fill:
(volume & location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my know
DATE: APPLICANT'S SIGNAT
NOTE: lusivan6e of a zoning permit does not relieve an ap oants bu en to oomply with all
zoning requirements and obtain all required permits from t a Board of Health. Conservation
Commission, Department of Publio Works and other applioable per it granting authorities.
FILE #
LEAUG Fi1e No. G� D!NG iJN1'9ELT'0fdS
TON NIA 01060
ZONING PERMIT APPLICATION (§10
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:��vL_ r ( AEG y
Address:P'.0. 2�eC 1 i O . HG"►(?�c� ��. Telephone:IF
2. Owner of Property: KE4.5 1J c—_-ruL
Address: V CX--yCGT Telephone:...,"-1��
3. Status of Applicant: Owner `Contract Purchaser Lessee
Other(exppll—ai�n):�
4. Street Address: Z.31 1�2p5 a�CGT q::5
Parcel Id: Zoning Map# Parcel# �) District(s): t%/
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property J HIV =z is i/r L g •
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
s
X >3` �. r-C o w Z -►'b ��C t C T o, V>L 1G L'►
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 ✓ DONT 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 # `t
1.APPLICANT/CONTACT PERSON: ,c
ADDRESS/PHONE• ; G' /� c �
PROPERTY LOCATION: / ct — r�c �'!�/•�(!
MAP P PARCEL: Z�? 5 ZONE_ Gl C,
THIS SECTION FOR OFFICIAL USE ONLY:
PERK HT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Trichided-
✓'�
✓°
TTFOLLOWING 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
Pe it from Con rvation C mission
Signature of B ' din ector — D
NOTE:lasuanoe of a g 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 applioable permit granting authorities.
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