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AQUADRO&CERRUTL INC.
COL[JM ELECTRIC M.J.MORAN,INC. QATa ion ho.
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A JOINT VENTURE ATTtnTlon
P.O.Box 656-Taw Road
Northampton.Ma.01060 nai
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WE ARE SENDING YOU Q Attached ❑ Under separate cover via the following Items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
COPIES DATE NO. DESCRIPTION
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THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit coples for approval
P"For your use ❑ Approved as noted ❑ Submit copios for distribution
VAs requested . ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
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COPY TO
SIGNED•
If ancloauru an not a noted, Mlndly notl a at once.
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. I '� :;,c7('—(C--ivtrF"e57,e19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
T i Garage
1. Location C� i �' , 1`Lb c'—r�pr n Z, `J Lot No.
2. Owner's name ( ���-�'�' ���' ��"� ��'�' L Address /k- �a��£
. cc,�ccc.s�i
3. Builder's name !;t_E�LL�tm;>,ln6 r� — .7C,L-T t3&k;a)F-CAddress ktn--4k Pt 5 �°°�'. U�c"��R tnF`�nl
Mass.Construction Supervisor's License No. ? <:13 Expiration Date -2>1z,�o, c
4. Addition
5. Alteration +�
6. New Porch
7. Is existing building to be demolished? 130
8. Repair after the fire ►S IA.
9. Garage N'JA No.of cars Size
10. Method of heating S Tc— A,
11. Distance to lot lines O cs t-t�Fc L_ (2r4+�—c'O I� — L4 rJ6 o CJ57 c= t#(zL,E PU4 i
12. Type of roof
13. Siding house rylpk- W-
14. Estimated cost:-'
t
The undersigaed- dies that the above statements are we to the best of his, her
knowledge and beli
Signature ojresponsible pp,icant
Remarks
10. Do any signs exist on the property? YES NO
IF YES,describe size,type and location:
rtE &ST/NG . /GN WILL $t R�yIQVEI�
Are there any proposed changes to or additions of signs intended for the property?YES sap or
00 t..
IF YES,describe size,type and location: A T'-v t � avc. N
7TL rVtA�N Ch ern qS �"Ves
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO Si.��
LACK OF INFORMATION.
This color= to be filled in
by the Banding Department
Required
Existing Proposed By Zoning
Lot size 16o6f,423 $ SF S� AE
Frontage 21 (05 S S,-&,MV_
Setbacks -
- side L: 41 2 R:-7 L:465 R:_ -7riQ
- rear 7Z cfI) Z CTO
Building height Zo 20
Bldg Square footage 40oo 5F /Nvcv Sr
%Open Space:
Lot area us bldg -
' &paved pking)
# of Parking spaces
# of Loading Docks
Fill:
4vo1-ume--& location)
13 . Certification: I hereby certify that the information co ta ' -,d erein
is true and accurate to the best of my knowledge. .
DATE: � 1 1 -9(a -
APPLICANT's SIGNATURE
NOTE: Issuano _ t a zoning permit does not relieve an a
zonin pp ioant's u en to oor7y witty
g requirements and obtain all required permits from the Board of Health, Conservation .;
Commission, Department of Publio Works and other applioable permit granting authorities.:-
FILE #
a. 1 7 -
File No. �
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:_ft` QeW-UTI 2 M.J. MUWJy GLLIN,$ EL15C Address: TES 1�4c> , iJoR jt7b4Mj2T614 Telephone: 5)R,4 QZZ
2. Owner of Property: COO C)i KwsoA Hog?rrAL
Address: ,IC) Locusz ,5T. Telephone: '782' Z000
3. Status of Applicant: 11*400 Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: kbSR(TAL C-AWlPUS 3o LocusT ST.
Parcel Id: Zoning Map# Parcel# District(s);
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property TA L-
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
I�5"P(TA�I... f}LT�TIQI�
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: —6
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:_ Julm 10 -.�r7
(FORM CONTINUES ON OTHER SIDE) ��
FILE # r h <
j �
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APPLICANT/CONTACT PERSON: c��
ADDRESS/PHONE
PROPERTY LOCATION: G c.__D
MAP c--�2,3.15 PARCEL: 46 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST l�
ENCL SED
70NTNC�FORM MIND OITT
Fop Pnid
]Rnilding Permit Filled njit
Epe Paid C ,
l
7 I `- (/
T OLLOWING 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
Permit from Conservation mission
Signature of Building Ins r to
NOTE:issuanoe of a zoning permit does not relieve an applioant's burden to oompiy with ail
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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