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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 1-'`' f Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location L � f.i r�-ar�—'1 �r L /"�1
. / Lot No.
2. Owner's name Address 47`4 L,h7o ti` .t'_-1 'J'I:E�-c LA,
f✓:_tl
3. Builder's name ._/�f= � �? �'' Address 3- i'� e ->J
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration /e--7�/t/���/ ✓ f�� /'°i% f /�•'. 'c 1 �"�::i f:�G��
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 f ur C l t? I,C iq _1-5 0:q k��yt?
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:- f 00o
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
0 Signature of responsible app,icant
Remarks r l Ti� f �"'�!L 2.�' f ,` L,;-YI )0l- "JI L (1
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 cotu= to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
r10 c:f-f+lNb
Tv fZ k, 5T IPJ6
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lotarea minus bldg
' &paned parking)
# _pf `Parking Spaces
#r of Loading Docks
Fill:
4 vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: Y ' 4.r _ APPLICANT's SIGNATURE I
NOTE: Iss a e of a zoning permit does not relieve an a 1 o s urden to oomply m!HO,,.all
zoning requirements and obtain all required permits from he and of Health, Conservation
Commission, Department of Publio Works and other applloable permit granting authorities::..
` ',, FILE #
_
iy
. ', ��� � � ���� �
��� ^ , wv�^ _~
L- j `
File No' -
�� ���� �� �� �
� ===��� =� � =^�==.�'�=�, « ^�'�= . ^��
PLEASE reEE OR P=T ALL INFORMATION
z/
1. Name of Applicant:
Address: Telephone:
2. Owner mf Property:
Address: Telephone:
3. Status mfApplicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map Puone District(s):
(TO BE FILLED |NBY THE BUILDING DEPARTMENT) ^^
5. Existing Use ofStruoture/p rope dy IC
G. Description of Proposed UneNVnrk/Projoot/Ocoupobon: (Use additional sheets ifnenesnary):
-- J
_5 4
7. Attached Plans: Sketch Plan Site Plan nOineeood/GunamodP|ana
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
B. Has o Special PermibVuhanoe/Finding ever been issued for/on the site?
`�
N �- DON'T KNOW YES |F YES,date issued:
IF YES: Was the permit recorded at the Registry ofDeeds?
NO DON'T KNOW YE
IF YES: enter Book Page_________ and/or Document
Q. Does the site contain u brook, body of water or wetlands? NO X DON'T KNOVV YE
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)
'
a=. FILE 1 20 ///�/`/
8, tl V
APR I 1 1997 U
3DRT/CONTACT PERSO,� ESS/PHONE: ?
PROPERTY LOCATION: � - �
MAP . PARCEL:��(� �— ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERK HT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee P2;ri
M7,� P2id M*o,u l (�
Type of Constowtion-
Aridifinn to Existing
(V3*SPt,q of Pinns /Plot Plan
LLOWING 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
I
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 App roval-Bd of Health Well Water Potability-Bd Health
Permit from Conservation mmission
Signature of at
NOTE:lssuanoa of a zoning permit does not relieve em applloanta burden to oompty with all
_ zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission, Department of Public), works and other applioable permit granting authortties.
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