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Phaneuf Construction Services
■ General Contracting
■ 169 NORTH ELM STREET■ NORTHAMPTON,MASSACHUSETTS 01060
■ (413)586-1089■(413)247-9993
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BUILDING .DECORATING ■ RESTORATION . CONSULTING HOME INSPECTIONS■RADON MITIGATION
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10. Do any signs ebst 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 COMPLE'T'ED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This =I== to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
/.1115
Frontage 76 1
Setbacks 7 v e — O
3
- side R://,/-'7/o L: R: /`�`-z !r /�_
C �
- rear 92V f — '20
Building height
Bldg Square footage 6-now
%Open Space: 9�
(Lot area minus bldg ° 98>'
&paged parking)
# of Parking spaces
f of Loading Docks
Fill:
{vol-dme--& location) — --
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge. cT') AWV47
DA'Z'E: ��eu-) APPLICANT's SIGNATURE "
NOTE: IssuaAoa of a'zoninfl permit does not relieve an apps oan bu de to oom wIt all
P IY hi
zoning requirements and obtain all required permits from t oard t eaith. Conservation
Commission. Department of Publio Works and other �appiloabla perms granting authorities.
FILE #
4
Sic
JUN 7 2000
File No. /1�00 -4
DEPT of BUILDING INSPECTIONS
NGRTHANIPTGN MA Ql
NG PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: /?a�„r1" �l�• t� 3N��Gf�'
Address: 16 y' 1116. G7.w yl' /Yaggg6gr*g lephone: S.1911; /ate'
2. Owner of Property: ()/t•
Address: _?�o &j Ate" �� Telephone:
S'6,i'•,f-
3. Status of Applicant: Owner Contract Purchaser Lessee
__Other(explain): G'Or-
4. Job Location: y to e')19-100 1,�VAr
Parcel Id: Zoning Map# (61(2-- Parcel# Ur District(s):..�.1/�.
(f0 BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Propertyi�� L9•>'ilc, /7.eliar?sn.c�,
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
/T,litrlfli►. `,�' �x�i�i✓� �1i r1 ,Co[e�.,r iL�.[� !2 *,
8 a 70 ,r;,& �
.4.,nAtid'0
7. Attached Plans: Sketch Plan �Site Plan _PLC 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_k _ 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 iC'? YES
IF YES,has a permit been or need to be obtained from the Conservation Commission?
/»i!r /?/Apt z9y- Exr st A-49 -1-4
Needs to be obtained Obtained J,date issued:
(FORM CONTINUES ON OTHER SIDE)