35-145 (3) Z � o
i T
L0 3 C vDi
cn Z
> o cn O
`•
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 6yyd=(, 3 Alterations
NORTHAMPTON, MASS. �S 19 16 Additions
4
APPLICa ATION FOR PERMIT TO ALTER Repair
L / -� Garage
1. Location /��7 ll eo / ef-PRce- Lot No.
2. Owner's name Lt��//,Ia'�/7 QL (�, Address
3. Builder's name �j jaf?Na- N ;� il-r, Address-5:3y �1 i "�1�� A �/
61'
Mass.Construction Supervisor's License No, Expiration Date 5? 7
4. Addition
5. Alteration -
6. rc h
7. Is existing building to be demolished? � .)
8. Repair after the fire D
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roo5
13. Siding house
14. Estimated cost:-
7 The undersigned certifies that the above statements are true to the best of his, her
knowledg d belief.
Signature of responsible app icant
Remarks
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 columa 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:
'4volume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowl e.
DATE: �/ f� lj APPLICANT's SIGNATURE `--
NOTE: Iss an a of a zoning permit does not relieve an applio is burden to oam
zoning requirements and obtain all required PIY wltlw,. o
q permits from the Board of Health. Conservation
Commission. Department of Publio Works and other applioable permit granting authorities:..
`?`,, FILE #
NOV 15 File No.
ZONING PERMIT APPLICATION (§10 . 2
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: c_
Address: -44yid—Telephone: y/3s��9�6� 3
2. Owner of Property: H—qw Orb
Address: 1 -7 Telephone:
3. Status of Applicant: Owner "--Contract Purchaser Lessee
Other(explain):
4. Job Location: (��,+3`S' od I/
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Cs
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
ea-MP-1+L '9'r �e ,'R/ �`�� v�� -►s is
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)
FILE # [� 17 2 V
MN 1 5 X96 (,
APPLICANT/CONTACT PERSON: .ri � fi1
ADDRESS/PHONE: - ✓"� �. ��
PROPERTY LOCATION: !f -
MAP P CEL: ZONE,. {t
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OITT
Fee P id
Fee PAid )_0
A
Addition
Arrevmv
2
THE 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
Permit from Conservatio mmissio
iol,L
Signature of Building or ate
NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
b N z
LO
O
N O O O O O v� x O
Ln R cn < CD M. CD BCD z
0 CL
IID ET
Oil CD o.. (D b CD z O 0* r'
v O s 5 ?: C(D m J
O `� C 's �
rt v' Q0
N
CD �
Q- coaJ •• I `Q a
CD o O
V1 ago i a o m ,'
n h rt
r--�
R. ►». . r.
Oa � � �' cD �. p d r• r• rD
M C R O
W
) ° v
° O
11J A CD
Z o
M CD
0 La
Odo
0 91
Z o m
Co
n o
y �
o � o
CA o
5 CA c CD CD CD
b d c b
CD CD
CD
oc
a v' CL J N
o
C"D CD (D j ^
p Fr
cn
b a o a�a a arc via R (D "
cn � r. M•r
o u�o o' as Ll CD o cCDD,
CD 0-0
� ::r
a cD (D O n
LI) 'c z * CD ►"�
n Q OD
�_ n