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Zoning U P G
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.G%(& CAS Alterations
NORTHAMPTON, MASS. 4 7-So u,E 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location -4Zkfi sT UQ=:R_Ab&p— sJ Lot No.PC 32 ' 235
2. Owner's name Wfll tA&%n Mrzw,, UA Address AA Ff;?^AiT ST t Re" t^.A
3. Builder's name UjilhAm J TU l2DN*-&RA Address AQ 5pu lgl lgFtos MA .
Mass.Construction Supervisor's License No. non C�(5 Expiration Date J 59 S
4. Addition
5. Alteration Co Us:rz t M2;) jr 1 Z'-d k 9=o" WAI) AAta e-b,,C{t M JSt I&JI&L i :-ftA"J u�_j&oF W&ie 4.
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage &W-k— No.of cars / Size 13=0��x 22=D a
10. Method of heating 6JL - 6AWtXQ )VQ f A44
11. Distance to lot lines
12. Type of roof pSTAML-t Ahjuy u fi"
13. Siding house platy
14. Estimated cosL- �,500, oa
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Si ,lure of responsible app,icanl
Remarks
10. Do any signs epst on the property YES
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:
IZ. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This coIuz= to be filled is
by the Buil.diag Department
Required
Existing Proposed By Zoning
Lot size
Frontage s 7 -y" S 7'-y"
Setbacks 1.0"
- side L: l8' R:5' L: 191 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.
)ATE: � ,r--.
Tir�/d'•/g I(o APPLICANT s SIGNATURE !h J ' IA—
VOTE: Issuanoe of a zoning permit does not relieve an appl ants burden to oompty with aIi
coning requirements Band obtain all required permits from the Board of Health, Conservation
:;`ommisslon, Department of Publio Works and other applionble permit granting eauthorities.
FILE if
51996 '
^ Fi 1 e No.
PRMI T APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant-- 11 SAM � ATV Q,nM_Su�1
Address:_ , CJ/���f C4.�.. 4/1S,j Telephone: S q nn
2. Owner of Property:W dlip 1 S T mobdsHA
Address: _5A FOn&ff ST2 r-T 1„EWS Telephone:
3. Status of Applicant: _Owner Contract Purchaser Lessee
Other(explain): (,r_/F6Z9 L C0AlM?AiMi2
4. Street Address:__11 W 1111AM S S132E E T J�/zTN Zvi 4-�cj J
Parcel Id: Zoning Map# L Parcel# �� District(s): ,
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property ��Al�?l��f' DeAA2/bL
3. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
r�sr.�.T C b��Es.T�aae���gat�� L.�s�/J t'y SGGd.�a JG�nia.a- �—/,�/3T.nU��io�c►+�C.
ls.a'rA•a, 1,r2?.». Aws�' do/ye& s AWz F r /—'Q C.g[. L!//AA r�
T. 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.
3. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO X DON'T KNOW I 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#
�. Does the site contain a brook, body of water or wetlands? NO—A DONT 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 ,
FILE #
51996,
AlPLICANPCONTACT PE ON:
ADDRESS/PHONE: / G'""
PROPERTY LOCATION:
MAP C P RCEL: �?�?�,'" ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZQNTNC�FORM FIT JET) OUT
Fee PAN
Building Permit F ;-
Fee Paid New Cnn.,qtriirtinn
Addition to Existing
lRuilding Plans Included-
T OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATIW
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 missio
Signature of Building Insp to
NOTE: Issuance of a zoning permit does not relieve an appllonnt's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities. —
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