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35-248 (5) a > z � v T � M 0 a w; z m > o cn rJ rD Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. IE3 g �2 Alterations NORTHAMPTON, MASS. 19 1 Additions sk APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location �� `` Lot No. 2. Owner's name ��� `I th,�SA— Address 6 3. Builder's name t� h Address S Mass.Construction Supervisor' License No. GS A`) Expiration Date 11j,( 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 13. Siding house 14. Estimated cost- 61V0 e d� The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signs ure responsible appicant Remarks - �- �� fr� S 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 DOE TO LACK OF INFORMATION. .This column to be filled is 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: (volume & location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: APPLICANT's SIGNATURE . NOTE: Ins ano of a zoning permit does not relieve an applioant' burden to ly with all zoning requirements and obtain all required permits from the Board of Health, onservation Commission, Department of Publio Works and other applionble permit granting authorities. FILE if File No. /� G' r ZONING PERMIT APPLICATION PLEASE TYPE OR PRINT ALL INFORMATION Qp 1. Name of Applicant: T`i G� 4W Address: Lar ` Telephone: 2,53,, 97 2. Owner of Property: ! efr '- d' sy, Address: ! 44,*yj;-,,1f AQ1 C LaV--1Z, Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Street Address: Parcel Id: Zoning Map# �_l Parcel# District(s): Sic (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 12�� 4 6. Description of Proposed Use/Work/Project/Occupabon: (Use additional sheets if necessary): V 3 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 PermWadance/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? NQ- N/ 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 # ' i APPLICANT/CONTACT PERSON: ADDRESS/PHONE: PROPERTY LOCATION: MAP PARCEL: ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERNUT APPLICATION CHECKLIST ENCLOS D REQUIRED DATE 7.nN'fNG FORM FfT,1 ED OUT F�e Pa id t T`�OLLOWING 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 P mit from F9servation Commission 1gnature of Building Insp for Date NOTE:lasuanoe 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 Publio Works and other applioable permit granting authorities. a� 0 a O o � o W � 0 0 U o 6 z (a o as U o o o LO I � v w (� v, p., Q, o O ,y : 0 a t 0 0 0 0 0 '� °,o 0 o 0 00 SZ 0 Ana O U. ~ O • o o .� o 0 V b o o tQ 2 - Z U z u to Q " 004 � w �i �, a, � o o a� u O � > O � � �U • 'CPU 3 Q A r 1 o a o b on C;3 . .g w a4 oil 41 = 0 Fi 00bo0o ►V�1 U) m 04- 0 U � H v � O � w 0 O cV W U 'b cN k Cd cd > V v F «t w N 0 -;0 v, c�v�. wow* py ,� c P�i U U ° U 0 .0 Q � 3 O .d0oh � m 'b> �o a �-+ o � �, a c� o 0 0 n, �0 ? M•f sa%,## p oUO z 0 A: U