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32C-281 (2) e 'o ,> o Olt v z 3 a ° z �' R M � > r z r► CT1 C Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �{-ZIP Alterations NORTHAMPTON, MASS. �� ' 1925 5 Additions APPLICATION FOR PERMIT TO ALTER Repair p Garage 1. Location �C y� hQ L (,4IV� � Lot No. 2. Owner's name Cf fz 17-- Address /?'r-) (_U al 'L `- r 3. Builder's name n1 Address Mass.Construction Supervisor's License No. tf -(s Expiration Date 2-12'7 rr� 4. Addition 5. Alteration 6. Alca*Porctt-- 1 F�1T1�•i(, i >�l f� 7. Is existing building to be demolished? (---D 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:- - � The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. —� Sign ure of responsible app icane Remarks > �-�l� ? �� =��st`. (n(%,J c-AF- Rif` 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 col— to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt - 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: '_(vol-time--& location) 13 . Certification: I hereby certify that the information contained herein rf_ is true and accurate to the best of my knowledge. DATE: (f -��{? APPLICANT's SIGNATURE - - NOTE: Issu noe of a zoning permit does not relieve an a-AP14cusnto 144r n to co#�WOY with all zoning requlrements and obtain all required permits from the Board Health, Conservation iCommission, Department of Publio Worker and other applicable permit granting authorities. ` ,; FILE , t b t^ File No. ZONING PERMIT APPLICATION (§10 , r} PLEASE TYPE OR PRINT ALL INFORMATION rt 1. Name of Applicant: Address: ?�:,,. J '�J',C - ��_ �t ��,�: Telephone: 7� G 2. Owner of Property: Address: Lc (_ `1t f_ Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Street Address: cl 'U UV t is f�ry� 1l Parcel Id: Zoning Map# ZC-- Parcel# District(s):_ (TO BE FILLED IN BY THE BUILDING DEPARTMENT) S. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 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) 960469 11 FILE # " APPLICANT/CONTACT PE RS N: ADDRESS/PHONE: PROPERTY LOCATION:_ Aw MAP-:L2 PARCEL: / ZONE 1� THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE MNTNC�FORM FIT LED MIT NPw f nnstrnrtinn RPmndt-line Tnterinr f '� Additinn to F,xisti Rnildin2 Plane Tnrinded- TIC' OLLOWING 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 rmit f onservation Commission -IS1 lding Inspector ate NOTE:Issua of as zoning permit does not relieve an npplioant'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 appiioable permit granting authorities. a 0 Z R_. ova CD r ° a z o r, �• Fv to y' Uj � rA. � � � co Cho 00 LO CD � �� � c. rA °' 6 H m x LO !rr V1 � � aaCD � ~ n y co " a ►*, b'b n n C o' rt G � 0 y• rt May i..�• b a � C-4 n �' O rt (D 041� CD rt 5 P C, n 0 CD to Z � cn b � CD 1 .y1 t.r.I o 0 C y D ao L.�r 5 o, ° 0" �' I 'i7 I ❑ 0 o un rjQ ' 0 �; b 5 � ® Q :z CD