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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS.C�)C T- Jam` 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
a
Garage
1. Location_ 7 � -, '� S % Lot No.
2. Owner's name S21 C,2,,iC Address -3-.? JV
3. Builder's nameC,Y (-or,d L-,77, — Address It- y; S�
Mass.Construction Supervisor's License No. C L (D(.' Expiration Date, "3 0 - Dwo
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 cost_-�
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
l Signature of responsible app icant
Remarks T,Z1Si / C/o i✓ ��.f�CQ1�'e2✓ ,s%y f �;°'
10. Do any signs exist on the property? YES NO
IF YES,describe size,type and location:_ t'l
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 colu= 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 minors bldg
' &paved parking)
:Pf. -Parking Spaces
f of Loading Docks
Fill:
(vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
_ G is true and accurate to the best of my knowled
DATE: l(�' �i J� APPLICANT's SIGNATURE
NOTE: lssuanoe of in zoning permit does not relieve an applicant's burden to comply ,witifi,,'Pll
zoning requirements and obtain all required permits from the Board of Health, Con�ervatior
Commission, Department of Public Works and other applicable permit granting.authorities:-
'i FILE #
-c,
OCT 3 11996 File No. [c' � 1-7 1
.7
_._ ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applican'.t:
Address: `f ��� '�/�� Telephone: -
2. Owner of Property:
Address: /�rE'�S!3 �� Telephone:
3. Status of Applicant: Owner &//Contract Purchaser Lessee
Other(explain): J
,;�➢
4. Job Location: r
Parcel Id: Zoning Map#—�� � Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property /z/
6. Description of Proposed UseMork/Project/Occupation: (Use additional sheets if necessary):
� r
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 PermitNariance/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/o Document#
9. Does the site contain a brook, body of water or wetlands? NO__V _ 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 # 961674
OU 3
A PLICAXT-/CONTA;CT PERSON:
PROPERTY LOCATION: ' �? '
MAP ZONE � ' i
,
0
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
'Miolding Permit MUM Alit
C C> t/^�
New Cnngtnictinn 4L /11_71
�
LLOWING 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
leer ' rom ns-ytti o
7
Signature of Building Ins for Date
NOTE:lssuanoe of to zoning permit does not relieve an applioant's burden to oomply with all
_ zoning requirements and obtain ell required permits from the Board of He®Ith, Conservation
Commission, Department of Publio Works and other applioable permit granting authoritles.
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10. Do any signs exist on the property? YES ✓ NO_ f
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:_ZIP6 a_-& &4_`s
Tic ice'n�i`o�S a �at�e ar L1Qi_
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUB TO
LACK OF INFORMATION.
This calm= to be filled in
by the Bna.ldinq Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- 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:
4 vol-lime--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
APPLICANT's SIGNATURE -
NOTE: 1 uanoe of a zoning permit does not relieve an applicants urden to oompty with all
zoning requirements and obtain enll required permits from the Board of Health. Conservation
Commission. Department of Publio Works and other applicable permit granting authorities.
,; FILE #
i
T 10 File No.
ZO!q-TNG PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Z¢8
Address: zz Z7CZ CJ1ey .ST (fit±� Telephone: 01-4)
2. Owner of Property: �S�
Address: c.� 76 t" ��s� '2t ST Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other (explain):
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BYY��TH BUILDING DEPARTMENT)) '
S. Existing Use of Structure/Property is E. d"l-oor e f�� nc�/`/oo� eSrc/eKC
—?ale 'F'o/Z Par t< (/`.rWS tL ll�
6 Description of Proposed UseAN k/P'ro'ect/Occupation: (Use additional sheets if necessary):
SDac� -rv0— /C�/'{ui� dra�
�zcj a s��tk- �ro�esSo�•
GeC k a-S Cmu« ��srpla�,s L'ases� GJo�lc�f4r6/es � 3R°kaeac, arc Fie StK�r/:.e�,
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/Vadance/Finding ever been issued for/on the site?
NO DON'T KNOW YES IF YES,date issued:
S
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
JERON:APLICANT/CONTACT _ C e�/
ADAPSSS%PHONE:
PROPERTY LOCATION: a 3&
MAP ���®� � PARCEL: / 'L ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMUT APPLICATION CHECKLIST
ENCLOS D REQUIRED DATE
Fee Pnid
lRifflding Permit Filled nut a 4
Pniff
3 !qpt�z of Plans I Pint Plan
THE FfLOWING ACTION HAS BEEN TARN ON THIS
APPLICATION-
L
Approved as presented/based on information presented Y A
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 on
Signature of Building Insp r Date
NOTE:Issuanoe of zoning permit does not relieve an appiloant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commisslon, Department of Publio Works and other applioable permit granting authorities.
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