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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
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NORTHAMPTON, MASS. 1 Additions
' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location Q Lot No. �^
2. Owner's name (,7/,4 Address
3. Builder's name �le ' Address ✓'' rJ ,I
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
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 3ilx
13. Siding house
14. Estimated cosL-
The undersigned cent' ' that the above cments are true to the best of his, her
knowledge an lie
Signature of responsible appican!
Remarks `'
4
10. Do any signs exist on the property? YES NO
s
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 cols to be til3ad is
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnf
- 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
Pill:
(volume & location)
13 . Certification: I hereby certify that the -information cont ed herein
is true and accurate to the best of my know
DATE: C APPLICANT s;_SIGNATURE
NOTE: Ise a e of zoning permit does not relieve an a plioanVs burden to comply with all
zoning ements and obtain all required permits from the Board of Health. Conservation f
Commission. Department of Publio works and other applionble permit granting authorities.
FILE #
i 9 File No. 9VI V
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: UUf ��Q"Q
PP
Address: �✓ �� C/ elephone/�G� 7.77
2. Owner of Property:
Address: : D Telephone:
3. Status of Applicant: '%-- Owner Contract Purchase Lessee
Other(explain)::
4. Street Address:. Z.5
Parcel Id: Zoning Map# Parcel# District(s)r,
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
67 67
6. Description of Propose ehV Pr jec pation: (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 DONT 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)
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FILE #
MAY291996
APPLICANT/CONTACT PERSON: 10 --'
ADDRESS/PHONE: p '
PROPERTY LOCATION:
MAP PARCEL:_ ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FULED OUT
Fee Pnid
Bnilding Permit Filled mit W-/
-Remodeling Tnterinr
.;,. PLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
Approved as presentedfbased 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 Commissio
Signature of Building Inspector D e
NOTE:Issuanoa of a zoning permit does not relieve an applloant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Co mmisslon, Department of Publio Works and other applioable permit granting authorltles.
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