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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
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::;/7 NORTHAMPTON, MASS. `3O 19%� Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location (�1001-E C/://&S 6r/,L) WAsD/7Z- Lot No.
2. Owners name A916-- Address 30 .&emy- � � /�
3. Builder's name D� Address_/ ('t 2, 4.4dZ5"0XJ2 -- ( 400Ve g
�S � l�o��-
Mass.Conswction Supervisor's License No. Expiration Date
4. Addition
5. Alteration s--TPL/7— �/�2
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:-
413— �
The undersigned certifies that the above statements are true to the best of his, her
=e .
Signaiure ofresponsible app,lcanl
Remarks
10. Do any signs exist 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 COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This —I== to be filI.ed in
by the BniSding Urparfm nt
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
&pared parkingi
# of Parking spaces
f 6f Loading Docks
Fill:
A vo1-time--& location)
13 . Certification: I hereby certify that the infor ati n ontained herein
is true and accurate to the best of m
_1
DATE: 97 APPLICANT's SIGNATU
NOTE: Issuance of a zoning permit does not relieve a applioants burden to comply witl),.*11
zoning requirements and obtain all required permits rom the Board of Health, Conservation Commission, Department of Public Works and other.applicable permit granting authorities.
FILE #
t� t�
t ,4i E i� s fj
V
J, 31997
File No._�&—,3:�3
ZONING PERMIT APPLICATION (§10 . 2
PLEASE E OR PRINT ALL INFORMATION
1. Name of Applicant_ -�
Address: (JhIALl ;f Telephone: Da-
2. Owner of Property:
Address:-c--?6 I-0Cu.S7-- �J Telephone: O�o�
3. Status of Applicapt Owner Contract Purchaser Lessee
V Other(explain): GCS
4. Job Location: �i/C C •9�LLl/rL_ �i,!/f.Di��
Parcel ld: Zoning Map# J'� Parcel#_ District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property Cam' IIVA'C-177n 6- dx't---S
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
s. 41 7p
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/Variance/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/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 # J � nJ4 3__�q�
T1 ONTACT PERSON:
RE .S NE: Cp
PROPERTY LOCATION:
MAP a, ,1 _ PARCEL: ZONE
THIS SECTION FOR�OFFICIA.L USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FITIED 0111
qtrtirtiire
�i
THE F LOWING 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 mmission
9
Signature of Building r Date
NOTE:Issuance of at zoning permit does not relieve an applicant's burden to oompiy with all
zoning requirements and obtain ail required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
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