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32C-140 (25) Z 0) o '� cs' '7t =n o > r D r Zoning / Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. l` Alterations {� 1 NORTHAMPTON, MASS. VLU 19 Additions Repair ' APPLICATION FOR PERMIT TO ALTER Garage 1. Location t?LO cl 21,CAS A A-) -/— 5 7-- Lot No. 2. Owner's name J4T"rOJZiVr-Y t;R/L fg&LM#-A/ Address 7 ZnAIA2 7• /UOJ�rff�JYJPTd,v 3. Builder's name S 14 t.,0 0 I'H E Y C 6,US T'2KC,T/t()A), ddress PO d30X 1;2e,3 Mass.Construction Supervisor's License No. Expiration Date //-13 7 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished? /y 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating (I/g S 11. Distance to lot lines ir—iY/ s T/ 12. Type of roof A-,S O2 1J- -L-T 13. Siding house A-X/S T/N& 14. Estimated cosL- ©6 The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app,can A AJ Remarks 10. Do any signs exist on the property? YES NO IF YES,describe size,type and location: t'! t r r -(— t 13,s c4,S k-ry C^ 6 Are there any proposed changes to or additions of signs intended for the property?YES ✓ NO IF YES,describe size,type and location: AA y4 + ,6 [.yy C114 Sr4 rr -- r;ci t-L v s:-ec t.. r 11 . ALL INFORMATION MUST BE CO PLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This col=m to be filled in by tha Building I?cpartment Required Existing Proposed By Zoning Lot size Frontage �JA Igo 0,q AA/g Setbacks - frnnt NUA � CHA V 91A Aj - side L: R: Lq `f� - rear -N' A A E- Building height 1 17 1 ,j c '7o .-5 / Bldg Square footage s r i, 7� ,S e� VA w f e, %Open Space: (Lot area minus bldg A )A �L) a a"'fe' &paved parking) / Y ## pf Parking Spaces u f raf Loading Docks At 0 ^' Fill: {vol-time -& locations ry j �� 6AA,V j e, 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my know edge. DATE: -fLJ1 jq q U APPLICANT'S SIGNATURE � NOTE: Iss -t a zoning permit does not relieve an applioanta bur en o o-ompp all zoning requirements and obtain all required permits from the Board ofH6alth, Co aepvntlan Commission, Depas-tment of Publio Works and other applionble permit granting authorities. FILE , a File No. / 6-IdA, ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant:_ 127-7-0 IF-k t Y 9,414- Address: a 3 7 /'!'j/,¢ /,U s77 �O/Uf,�.¢A7P/�.�Yelephone: �/n r� 2. Owner of Property: S .1 M G Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: _ c3 to 4' 10L rALS,4,,u 7— 577 A.)o 2r4R-&7 P7-yti,, /Y)# Parcel Id: Zoning Map# Parcel# District(s): P13 (TO BE FILLED IN BY THE B ILDING DEPARTMENT) S. Existing Use of Structure/Property C- 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 DON'T KNOWS 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 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 I U APPLICANT/CONTACT PE ON: ADDRESS/PHONE: � d r PROPERTY LOCATION: '�� _ MAP ,. C?.- PARCEL: / L7% ZONE r THIS SECTION FOR-OFFICIAL USE ONLY: PERWr APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM MLED ()ITT tr/' (/ / Addition 'Building Plan- Tnrlyided- l� THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: . /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 C mission I'LL Signature of Building Inspec to ` NOTE:Umuanoa of a zoning permit does not relieve an applloant's burden to oompty with all zoning requiraments and obtain all required permits from the Board of Health, Conservation Commtsslon, Department of Publio Works and other applicable permit granting authorities. 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