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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.Ncr-2,9 6 '�i'S �f'� Alterations
NORTHAMPTON, MASS. -19 Additions
a APPLICATION F R PERMIT TO ALTER Repair
Garage
1. Location,3,5/ Lo No
2. Owners name Address
3. Builder's name Address
Mass.Constructi ry No. 4 �' 1 e r
4. Addition 2'
5. AWF860 C '
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 cos ' Q(, Q
The undersigned certifies that the abov statements are we to the best of his, her
knowled `•and belief.
c
Sib j responsible app icant
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 MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This co 7— to be filled 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 conta 'ned herein
is true and accurate to the best of my knowl ge.
DATE �—� ? APPLICANT'S SIGNATU
NOTE: Issuance of a zoning permit does not relieve a appuoa b r o comply with all
zoning requirements and obtain all required permits from the Board ealth, Conservation
Commission, Department of Publio Works and other applioable permit grantin)b authorities.
FILE #
FEB I 1 1997 �'_m l
File No.
ZQNXNG PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: ne:� �r
2. Owner of Property:
Address: J ! Telephone:
3. Status of Applicant: Owner Contract Pur haser Lessee
_Other(explain): f
4. Street Address: �� C�42j�C
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMEN
t,.
5. Existing Use of Structure/Property C -
6. D criptio f Propo d Us or Project/ cupation: (Use additi o al eets 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 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 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)
r T �11I
FILE
FEAPPLIC9ANT/CONTACT PERSON: '-
ADDRESSMIJONE: '
PROPERTY LOCATION: �v� �C' /'; (�(�f��a/��2�� <'�4Y3—
MAP PARCEL: ZONE ez
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
7.ONIFNC- FORM FULED OUT
Fee pnid
Fee Pnifi
Type of Construction-
New Cnngtriirtinn
7
3 Sets nf Plans I Pint Plan
THI)'rFOLLOWING ACTION HAS BEEN TAKEN 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 Coati o
11, s
Signature of Building hiigtor D to
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
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