Loading...
31A-268 (2) � a 3 o Zr-1 et C e = I > _ Z�77 m � Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. f� ? Alterations NORTHAMPTON, MASS. `2 t ' �`" 19 `.f� Additions Qk APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location t�7 !fit-v�A (3�i°t?�.__ _ Lot No. 2. Owner's name See mot- .°Soy. l IIt-e� Address Ili 7 ter S ,,�tl 3. Builder's name ~—tzi� P.�c,�, Address_1 -2 �-.� -, � Mass.Construction Supervisor's License No. CS U63 2 9 D Expiration Date l/ Cl 8 4. Addition 5. Alteration 2 r\ /`- I©�i� �� �.o X-i►, /� � . 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire �U 9. Garage 11 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 statements are true to the best of his, her knowledge and belief. Signature of responsible app icon! 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. MLis coiu= to be f;:led in by the Bully iag Department Required Existing Proposed By Zoning Lot size Frontage v Setbacks - front 4 - side L. R. L. R: - rear Building height Bldg Square footage -Z J� %Open Space: (Lot area minus bldg &paved parking) # of Parking Spaces ems / # of Loading Docks Pill: ( " - _(volume & location) 13 . Certification: I hereby certify that the -information contained herein is true and accurate to the best of my knowledge. DATE: /�"f `j S`� APPLICANT'S .SIGNATURE NOTF: isaunnoe of a zoning permit does not relieve an appiioanV13 burden to ootnply with ail zoning requirements and obtain all required permits from the Board of Health, Conservation Commission. Department of Public Worka and other applicable permit granting authorities. FILE # I 4x>Tie�� File No. ZONING PE=T APPLICATION (§I0 . 2) PLEASE TYPE OR (PRINT ALL INFORMATION 1. Name of Applicant: 1 y rn E� Address: / 7(5 Telephone: 2. Owner of Property: eSEY, Address: /Y7 Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): n A/ rf 4. Street Address: p Parcel Id: Zoning Map#� Parcel# �' a District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) S. Existing Use of Structure/Property !`��°�de.xc. 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 7. Attached Plans: x 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: i. (FORM CONTINUES ON OTHER SIDE) { FILE # 960240 APPLICANT/CONTACT PERSON: ADDRESS/PHONE: 7v -7tci lc.� 0 9 3 V PROPERTY LOCATION: /7 pnv MAP PARCEL: <� ZONE �/C�c� THIS SECTION FOR-OFFICIAL USE ONLY: PERNHT APPLICATION CHECKLIST ENCLOSED REQUIRED DA FPPv— 1- F3 61 t, C� . THE 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 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 fro Cons ation Commission ignature of 7&MKg Inspector ,-- Da NOTE:laauanoa of a zoning permit does not relieve an applioant's burden to oompiy with all _ zoning requirements and obtain all required permits from the Board of Health. Conservation Commission. Department of Pubilo Works and other applioable permit granting authorities. rA b .0 oA L a 46 cn 00 -20 N 4 y r w ° s y s w y a ° ° ° ° � W C ro- � � o U I �/ o � o v . O c o (a 4 -5 wo . � � Aca OW O �] Q CC ,a S' Q E-4 N r- •� a D: A � N 3 r OD a ° a -� o z o Z � a s