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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.584-1220 Alterations X
NORTHAMPTON, MASS. 16 September19 96 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location 59 Phillips P12 A Lot No.
2. Owner's name Natalie & Arline Lula Address Same
3. Builder's name Pioneer Contractors Address P.O. Box 1145, Northampton, MA. 01061
Mass.Construction Supervisor's License No. 017890 Expiration Date 1/19/98
4. Addition
5. Alteration Renovate x i st i ng 1st floor Bathroom - �i r`�� � tv.Ise t`1h'1'►r..t3-�'���.jr•
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 �t Pam
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost-I-` bV?,{D
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
lg ure of responsible app ican!
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10. Do any signs exist on the property? YES NO X
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO X
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This Cc I== to be r177 is
by the and T^ 4Ung pepartmeat
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- 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 knowledge.
DATE: 9/10/96 APPLICANT'S SIGNATU
NOTE: tasumnoa of a zoning permit does not relieve an a lioant's bur; t oomply with all
zoning requirements and obtain all required permits from the Board of H Ith, Conservation
Commission, Department of Publio Works and other appiioable pe ,mit grar:t�ing , ities.
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FILE # "
1
6.. File No.W a2�7
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. - Nam
Address -n6' " ' D1 - Telephone: 584-1220
2. Owner of Property: —w(11� - _ ,
Address:_ Telephone: Same
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain)
4. Street Address:
Parcel Id: Zoning Map# 3 Z"_ Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Residence
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Renovate Existing 1st Floor Bathroom
7. Attached Plans: Sketc Ian 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 X 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 SIDS_
FILE 4
•��
APPLICANT/CONTACT PERSON: 7,�e 2�� C A4
ADDRESS/PHONE:
PROPERTY LOCATION: S3 6
MAP PARCEL: ZONE
THIS SECTION FOR�OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
FPP Pahl
FPP Paid ` e-
0,�7ner/Orrnpnnt Statement o(l.irenyt,ii
THE LLOWING 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
Permit from Conservation mmiss'o
Signature of Building Insp or Da e
NOTE: lssuanoe of a zoning permit does not relieve an appiioant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioeble permit granting authoritles.
14.
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