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10. Qr}y 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 colmm to be Pi121ed in
by the Baildi-g Department
Required
Existing Proposed By Zoning
Lot size `3x�
Frontage /
Setbacks
- side L: R: ; t� L:fa r R: � `\
- rear
Building height
I Y" / ,o i
C1, --
Bldg Square footage (y
%Open Space: 1ro�= �w �-
(Lot area minus bldg a V~ 7
' &paved parking) 1 G
of Parking Spaces
of Loading Docks
Fill:
Avolume -& location)
13 . Certification: I hereby certify that the information contained herein
4, is true and accurate to the best of my knowledge.
DATE: APPLICANT's SIGNATURE
NOTE: lfisijjiCnoie� of a zoning permit does not relieve an ppiioant's bur en o oomply with all
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission. Department of Publio Works and other applicable permit granting authorities.
t
FILE #
c
File No.91t,
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: w �lblvv, C"OA)
Address: 0 S ' d' Telephone:
4
2. Owner of Property: ' 4v �'✓
Address: Telephone:
3. Status of Applicant: V Owner Contract Purchaser Lessee
Other ex lain):
4. Job Location: l cl
Parcel Id: Zoning Map# :1 ,' Parcel# r District(s):,-N5-pl
(TO BE FILLED IN BY THE B1 JILDING DEPARTMENT)
5. Existing Use of Structure/Property �Cv�cl I
6. Description f Proposed Use/Work/Project/Occupation: (Use add'• al sheets if necessary):
r
C:t' S'A
Avk-,A cc__��c ivT -3�t d 1
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7. L [\ Or tl w
tached 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 Perm it/Va ria nee/Find i ng 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 cument#
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)
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.N�. Alterations
NORTHAMPTON, MASS. '�. 19"1, Additions
• ' APPLICATION FOR PER IT TO ALTER Repair
Garage
1. Location f✓` �i `��e � �l 1 L Lot No
r f ,
2. Owner's name tl_)'t 1 '�,a ��—� S>G t �4 f:. Address �' G Vl,� 1✓04 1 /`'��'
3. Builder's name �� �• r'li ii r_ �c-� bC' iC Address_ ` --
Mass.Construction Supervisor's License No. Expiration Date
i ;E�-L- tv G ���-Q-
5. ..
4. Addition
Alteration
6. New Porch --
7. Is existing building to be demolished? X 3 7' `g 1i k 6.` c.� `�'� IL
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating / 1
11. Distance to lot lines f,c ^V ' Seri'' (G i ce_ t �G'C% � ' I 1 T
12. Type of roof
13. Siding house Lt.�) G ��u s��v- C± �� ( x-26 c c4,(°
14. Estimated cost:-
t" �G The undersigned certifies that the above statements are true to the best of his, her
knowledge and be ief.
Signature of responsible app icanl
Remarks
FILE # F v V
APPLICANT/CONTACT PERSON: Z
ADDRESS/PHONE: �f` rf-e
-i
PROPERTY LOCATION:
MAP PARCEL: ZONE
THIS SECTION FOR�OFFICIAL USE ONLY:
PERNUT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FULED OITT '7777M,
trnrhire
,_, lan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION-
X_ 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 onservation mission
7�7//'J�//5;�
Signature of Building ector ate `.
NOTE:lssuanoe of to 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 Pubiio Works and other applioable permit granting authorities. —
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