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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 586-9888 Alterations
NORTHAMPTON, MASS. August 29 19 95 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location 395 Pleasanat Street Lot No.
2. Owner's name Jack Fortier Address 42 Platinum Circle, Northampton
3. Builder's name i.t.s./designers2 Address 12 Middle Street, Hadley, MA
Mass.Construction Supervisor's License No. 042574 Expiration Date
4. Addition
5. Alteration Replace fascia panels
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:- $16,654.00
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
ae/(Q,
Signatur po ib(e appicanl
-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 of signs intended for the property?YES NO
IF YES, describe size,type and location:
11 . ALL INFORMATION MIDST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This col— to be f177 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)
# of Parking Spaces
# 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 knowl ge
DATE: (/t
�:_2 APPLICANT'S SIGNATURE
NOTE: lunu oe of a ioning permit does not relieve an applioan s%urdZW to oo with all
zoning rq ramnts and obtain all required permits from the Board of Health. onse
e e rvation
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE #
AUG 29
File No. L'
DEPT OF BLiIL O'r'G iEIC F Y '
ZONING PERMIT APPLICATION (§10 .
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Chester E Abel, Jr d.b.a. ; t.s. /desi_gners2
Address: 12 Middle Street Hadley, MA Telephone: 586-9888
2. Owner of Property: Jack Fortier, Jr.
Address: 42 Platinum Circle, Northampton Telephone: 584-2062
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): Contrnetnr
4. Street Address: 395 Pleasant Street
7
Parcel Id: Zoning Map# 51;�0 Parcel# District(s): 6
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Business
6. Description of Proposed UseM/ork/Project/Occupation: (Use additional sheets if necessary):
Replace existing fascia panels
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 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)
FILE
APPLICANT/CONTACT PERSON: :
ADDRESS/PHONE: - i. L ..
PROPERTY LOCATION:
MAP___;_ PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
IFP�- Paid
Addition to Existing
0-�rnerLOrriii3ant Statement
-3 19i-tQnfPl§knr /Pint l5in
v�
T OLLOWING 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
mit from C s rvatio Commission
Sikhaturle of ail ' for e
NOTE:issuance of a zoning permit does not relieve appiioant's burden to oomply with all
zoning requirements and obtain all required per its from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authoritles.
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