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18C-136 (2) D ,� i T A 3 C Z rpn 7 � � c. M cn Z 0 XI Z m .r ^� Zoning Miscellaneous Additions,Repairs,Alterations,etc. 'n Tel.No.,Oy Y ����C Alterations a Garage---- NORTHAMPTON, MASS. �// V C— 7 19l� Additions APPLICATION FOR PERMIT TO ALTER Repair // & 1. Location L,���C Lot No. LA 2. Owner's name���4ay� �Z �14—�- Address �` LA`- - r- 3. Builder's name j lu L��� Address J P 1'ti[rCJ L Mass.Construction Supervisor's License No. �/J L le i'000 Expiration Date 4. Addition 5. Alteration"t j~ S i A-L(-,r Aci r1tC- /� L/iti�L D r'/��4C_�_�-� �1ti✓ 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- The undersigned certifies that the above statemcnts are true to the best of his, her knowledge and lief. Signature of responsible app scant Remarks 10. Do any signs exist on the property? YES NO /x iy#Y'ES,Abe 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 MAST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This corn to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks frnot - side L: R: L: R: rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) # pf -Parking spaces of Loading Docks Fill: (volume -& location) 13 . Certification: I hereby certify that the .information contained herein 'f is rue and accurate to the best of my kn edge,. DATE: APPLICANT'S SIGNATURE ,� NOTE: Iss ano of a zoning permit does not relieve, applioa burden to oomply with all zoning requirements and obtain all required per is from the Board of Health, Conservation Commission, Department of Publio Works and other applioable permit granting authorities. FILE —.a r �..M2 y I as File No. u - ZONING PERMIT APPLI CATION (§16 . 2') PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: G t�- Address:- 6 01 w1 cc CC r; ( Telephone: ,.Sy `f �� 7 2. Owner of Property/: ��-N�f ttit,� �.�� �/�L-LrA-c�,.� r7 Address: �f at_rAC-lL .y c f-r LA Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): r - 4. Street Address: Parcel Id: Zoning Map#l 'p - District(s): L" �� Parcel# � �(TO-BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property r, i.s r //1Ca L fS 6. Description of Proposed Use/Work/Project/Occupabon: (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/Vadance/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) 960519 FILE APPLICANT/CONTACT PERSON: � / ? ADDRESS/PHONE: : i< Je , ' PROPERTY LOCATION: AX _ � �z - 2 r f�dc6l LK 1�'2 MAP PARCEL: ZO THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 70NIFNC�FORM OITT 7,77=77 Fee Pnid lRivilding Permit Filled nvit Fee Pn*d ":�'C ✓ T,/B/FOLLOWING 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 rmit fr onse ation Commission / ____ ignature o ilding Inspector -___. ----- ate NOTE:Issuano 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 public- Works and other applioabie permit granting authorities. — n m N z On � O CD qQ a co ° 0 In = ID o' g a a n o *,ft 110 CD CD o rt 0 CD CD rTl ~ o ° CD 0 a0ao a 0 ` 1 a o � m a ° �I dCD CD Z o ° a E M CID RD O CD CD CD �• td 'CD d E � r CD � CD CD � a, as 1 �o ~' O O z N Oro a4 O ao \ � � O O � � � � � \ � m CD 0 r, ~' CD O n o o o �' bd ►- ° �' Cl7 On �' as o ao (D , d o U,Q o o CL 0 � b LI) O ate' s C� cr Ln a D