29-327 (3) z �
X
3 a
Z m
ri
>, cn O
A
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No J o� �' �OZ Alterations
NORTHAMPTON, MASS. !Z 19 9W Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location O "' re%w Lot No.
2. Owner's name )dA u Address Foe GcP a n
'
q.
3. Builder's name r A Address /?G?Sc &&1 2,0&4 3
Mass.Construction Supervisor's Licen No. [7 71 3 Expiration Date Jfi hz
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 �� ' ,o �a% .�. ��
14. Estimated cost:
®� 00 The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Sign re of responsible app icant
/ c 7
Remarks e>/ ��(/ oP -,A.
je
i N 1N
-sal;IJoy;ne Bui;ueJB ;Iw d aigeolidde Jay;o pue sM ioM ollgnd ;o ;uawWedaa 'uolssiwwo0
uoi;ewJasuoo 'y;leati jo on ay; "; s;lwJad paJinbaJ lie ule;go pue s}uauwaJlnbea Buluoz
lie y;iM Ajdwoo o; uop s,;ueoi de ua awaliaJ ;ou saop ;iwaad Buluoz a: 1<o aouBn 1 -310N ;ft�
3X12,LVKDlS s,.LNV0I7ddK Z2 '3 a
•abpa-[Aou.{ Ar jo 7saq aq7 o7 94vanooe pup an.T4 ST r `
ura.zaq p9uTE7u00 u0T4PIMZ0jUT aW 7eg7 XgT7-Tao Zqe-Taq I :uoT-7aoT3 T:4.T90 • CT_
(uoT Voor --asarlron -
:TlTa
sxooa BuTpvoz 30 ..... .
sooEds bUT3(:EEd '36-
(6utX.zed paned
bpTq snuru vase;o-I�
:ooedS uedo%
a6elool aaenbS 6p18
;y6ioq 6ulppg
juej -
:U :-j :U :-I Opp -
s)joeg4aS
o6quoi-A
azss 10-1
6uiuoZ ,K8 posodoad BUIISIx3
paainbab
asm;—cEpa b—FT-w oqm dq
Trr PoTTT9 oq Cq =+T00 rTgX
•xOI.LYR90.lmx .90 XOYT
OIL Soma a.VIXYa HEr BY.? .LljdMT -TO 'aYZHTdK0D SS &SDM 901& RYOJMX TIE:' •TT
:uogeool pue add'azls aquosap'S3A jI
ON SgA Z,4jadoid aye jol popua;ul suBls 20 suor ppe�o of saBuego posodoid�(ue ajat.n a.ty
:uogeool pue adfi4'ezls aquosap`S3A=1I
ON S3A ZJ41adoid aya uo jsoca subis Aue oa -p{,
5 ' Fi1e No. ��
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: &Al ° Qn
Address: PO. So/670 Zee Q°0)0!3 _Telephone: A�U-6'3-IQ
2. Owner of Property:
Address: o !VC Telephone: � 11 gII oZ
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):} ll nnom—,
4. Job Location: �U b /4t'RPb yak
Parcel Id: Zoning Map# � Parcel# District(s): h� �--
(TO BE ILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupa'on: (Use additional sheets if necessary):
N yd r _t., rev .S drJ y
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 Specia DON'T KNOW Y ,Permit/Vanance/Finding ever been issued for/on the site?
NO
ES 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? N011—L 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)
d° _
FILE
�s
APPLICANT/CONTACT PE ON: e ai4, a y -51�z
ADDRESS/PHONE:
PROPERTY LOCATION: O � d�
MAP_, PARCEL: a ZOft
THIS SECTION FOR--OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLO ED REQUIRED DATE
Fe,- paid
O
N
Adtfitonn to E, isting
5
TI LLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
Approved as presentedfbased 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 Com ission
Signature 0 U11 o Date
NOTE_Issuanoe of at zoning permit does not relieve an applicant's burden to comply with all
zoning requirements and obtain ail required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
N z
n y O p y b 10 .O a o✓ y N
CD a a . CD
w
-D x 0 o. (4 0 CD 0 ,y~ W rn
p-' O � �C 551 F g � O � �] N
fv `C `* fC O cn C cn N• p
ti In
p v * r* p cn n In
(D r- y
o . CD g � w o' o
C ��' O r. a n O N �] CD
.Cy �C r0"
M� 181, d < n
G CD
(p O LQ
NI
a� a n. � C o n
cr
_ N
n� (
C z o
0) E3 Pot
M elf,
as
o � ~
cn
Q
Fl. y
cl� 0
o
Cn b D b CD
CD
cn coo
CD
0 0
2, a = o a.
o 0 0 0 0 0 Ln
t
RD
C'�' O n It
O
O O cP
o 'd o o ao 5 m c o CD (� o C'
O Y�I
n
C
� O
Q tl O �n C d
ry p VQ M�1
n �
z
b
ff� �c z N C y
cn
CD �" b