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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No; ` Alterations
NORTHAMPTON, MASS. l9
Additions
Repair
APPLICATION F R PERMIT TO ALTER
Garage
1. Location �� � �� / ` Lot No.
2. Owner's named Addresses
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date f
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 costt-
1
The undersigned certifies tha;a
bo a statements are true to the best of his, her
kno e e and belief.
Signal a of responsible appicant
r f J
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 o igns int n d for the property?YES NO
IF YES, describe size,type and location:
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENTED DUE TO
LACK OF INFORMATION.
This coltmm to be filJ--d in
by tho Building TacPartment
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
w
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
of -Parking Spaces
of Loading Docks
Fill:
=(vol-time--& .location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DA-TE., APPLICANT's SIGNATURE
NOTE: lasunnoe of a zoning permit does not relieve an appiioant'a burden to oompty with alt
zoning requlrement and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting aiuthorities.
' FILE ,
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYP;) OR PR=T ALL INFORMATION
1. Name of Applicant:, )A-7-)
0
Address,G Telephone:
2. Owner of Property: .0 -�
Address: Telephone , 5
3. Status of Applicant: _ Ow er Contract Purchaser Lessee
Other(explain):
4_ Job Location: — /q 'Z-
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property j
6. Description of Proposed Use/Work/Project/Occupation: (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 Q DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO ��_62 DONT KNOW YES
IF YES: enter Book Page and/or nDocument#
9. Does the site contain a brook, body of water or wetlands? NQ-� 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: Z .
PROPERTY LOCATION: d 'G�
MAP 25' PARCEL: t�" �� ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMFF APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee Pnid
lRyTilding Permit Filled ovit
f
THE,,FOLLOWING ACTION HAS BEEN TARN ON THIS AP ICATION: `
V 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 q/
!(O
Signature of Building or
NOTE:Issuance of is zoning permit does not relieve an applicant's burden to oompty with all
zoning requirements and obtain ail required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authoritles. —
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