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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.=' 7 Alterations
NORTHAMPTON, MASS. �zr l��. 9 2�°L Additions
APPLICATION FOR PERMIT TO ALTER Repair hly
Garage
1. Location /,.7 7 t trf`�L=�J/OR Lot No.
2. 0wnersname"L7, ' /�'lilWtNy Y/ZAddress i°��ric€`
3. Builder'sname&vR� Address/= ;S°/ �:k�°fI/Tfcs? RP 4&41X)1'11 V6-i`c<.1 0/y
Mass.Construction Supervisor's License No. wt 32'✓ Expiration Date 311-I9'g
4. Addition
5. Alteration C=4d 4NJr1iVLY f t'ER-;�v
6. New Porch
7. Is existing building to be demolished? C✓ '
8. Repair after the fire NU
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house YI V Y,, S 1y.i4t t`_
14. Estimated cost-017ei;.c,.
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible appucan!
Remarks P K T L �i�i ty
71
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 COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
Tldz colmm to be filled in
by the P-Ll i-g Department:
Required
Existing Proposed By ZoWng
Lot size
Frontage
Setbacks -frnnt
- side L: R: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of Parking Spaces
# of Loading Docks
Fill:
(volume & location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: APPLICANT's SIGNATURE f
NOTE: Issu(anoe of a zoning permit does not relieve an ie pp11oant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Hea th, Conservation _
Commission, Department of Pubiio Works and other mpplioabie permit granting authorities.
FILE #
� P �
File No. 0'N ` _
ZONING PERMIT APPLICATION ( F 19�;� ���;r .J
PLEASE TYPE OR PRINT ALL INF01WI -�;T�i, ,43 TTJ h F;J'-50 ....'
1. Name of Applicant:
/v?%STr,?�war'1J>r3? /F't� 41r,?rli�a.4,Jt'• rfi�- T --
4 f s c "e Z R�E W.3- F-77�
Address: _ Telephone: om "
{
2. Owner of Property:4W/tTf'
1,?7P6-eA1-7EJD �k FLc>✓c' ��c` %y%,�: C'!G(c.i?
Address: ' Telephone:
3. Status of Applicant: -Owner ✓Contract Purchaser Lessee
Other(explain):
4. Street Address: I d7 vtn'
Parcel ld: Zoning Map#, Parcel#_ / District(s): �
(f0 BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 6 t ,.r<ti's h'�s�� ✓'f�-
6. Description of Proposed UseNVork/Project/Occupation: (Use additional sheets if necessary):
J�t:M��Y�` pLi, �/�it7�y[-y ��niD /S�:'�'i',L1J Nc:�r1 �fJ�•r.rs_�'
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 PermiWadance/Finding ever been issued for/on the site?
NO DON?KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Docyrrient#
9. Does the site contain a brook,body of water or wetlands? NO__j,,ZDONT 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 SIDEZ - .-
FILE iI 960275
APPLICANT/CONTACT PERSON:
ADDRESSIPHONE: l
PROPERTY LOCATION:
MAP PARCEL: ZONE 14 141f
THIS SECTION FOR�OFFICIAL USE ONLY: _
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DA
Riii1ding Permit Filled nillt
-Type-of Construction-
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
ermit from sere ion Commission
ipature of gufft5ig - - - Date
NOTE:Issuanoe of a zoning permit does not relieve an appiioant'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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