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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.L1/ 5' �, _3 Alterations
NORTHAMPTON, MASS. 5 q�219 Additions
APPLICATION FOR PERMIT TO ALTER Repair
a
Garage
1. Location �'l V �'e-� S T Lot No.
2. Owner's name /A%b Pr W\, Address ALL \) PAVf-!j ST NO IX-Tk Y%Lmei-o iQ
3. Builder's name 0, S . V— Address 2.3 T%' t-3 QL'e•a3 \As,% I mo
Mass.Construction Supervisor's License No. O''1 5 7 2- Expiration Date 03— 2 3 — 9g
4. Addition X Z2' 1:Z;1 w,!y A?#Ss ON &OW o-f
5. Alteration
6. New Porch
7. Is existing building to be demolished? i✓6
8. Repair after the fire
9. Garage J,65;r•5 be, No.of cars Size X Z.d�
10. Method of heating �" •t,�+
11. Distance to lot lines 16 19 'f — 70
12. Type of roof �i`� — Fi�9r 2 G l rs5 �ALA�g&.d
13. Siding house 5/4/N`
14. Estimated cost-
% c a0 •
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belie
Sig tw of responsible app�icant
Remarks
CrA
Gc^ f
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__X_
1
IF YES, describe size, type and location:
11. ALL .INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This co7== to be filled in
by the Baildis9 Department
Required
Existing Proposed By Zoning
a
Lot size � S4 t (o�l�,g
Frontage S_..S- 1
Setbacks - front '
- side L: /6 ` R: IV ` L: !S� R: 18
- rear ei3 t
70 �
Building height
Bldg Square footage '6-1f Q
%Open Space: i63
Lot area minus bldg8 � x
&paved parking)
o'f - Parking Spaces 3 3
of Loading Docks
U p
Fill:
-(volrime -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: r�-•-� 9�_ APPLICANT'S SIGNATURE
NOTE: Issuanoie of a zoning permit does not relieve an a o nt's bu on oompty with all
zoning requirements and obtain alb required permits ! e Board of H Ith, Conaervstion
�Commisnion, Department of Publio Works and other np II able permit gr ting authorities.
`:' „ FILE ,
MAY T W6
File
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: E U 2.A ft1.TR t Al-.>A PA r Pi'S 1' r—
Address: az t4 V p k``P-,A 5T Telephone:
2. Owner of Property: ff (_l yrat(�g'rq -t- PC%i:rm F►54►er
Address: ..y V& lf-y ST 0-�kftV-%e-t6 Telephone:
3. Status of Applicant: _Owner Contract Purchaser Lessee
Other(explain)t:
4. Job Location: o)L� `V A`\,P-`A S .
Parcel Id: Zoning Map# Parcel# azC.'ex5 q District(s):
(TO BE FILLED IN BY THE BUILDING `DEPARTMENT)
5. Existing Use of Structure/Property ky
6. Description of Proposed Use/Work/Project/Occupabon: (Use additional sheets if necessary)-
_ Vi �� �8`�'� zz n6'ro ►`owJ pro RP-A.2 b- -
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/V2dance/Finding ever been issued for/on the site? %
NO DON'T KNOW ,,X YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW 70 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 if r ,
MAY 7199b
APPLICANT/CONTkCT PERSON: -
,a, 'ADDRESS/PH.pN
PROPERTY LOCATION:
MAP PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERNUT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Rnilding Permit Filled nlit
Fe�,Paid
�.
Ate.
r
,-,z
Addition t
irlyided-
3 Sek of Plnns /Pint Pin a
THE LLOWING 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 frqpm onservation m " sio
Z
Signature of Buildin ector Date" `
NOTE:Issuanoe of a zoning permit does not relieve an applioant'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 applioable permit granting authorities. —
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