36-055 (3) 3 Z m
vi R y S
Z
f
>
m
A
�7 Zoning /
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.&L o(�'� ++ Alterations y
NORTHAMPTON, MASS. �� e, 19� Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location y�'I f-�/ �UrDN� 1/��/� Lot No.
2. Owner's name 44Z//PA — Address
IN,
3. Builder's name , % /� /� �'• Address
Mass.Construction Supervisor's License No. 41 1� 1 9 Expiration Date Z
Zm&4!2-1
_
4. Addition
5. Alteration e7 es� ACI S LOLL 4f/V1We,- 6-45s'
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 cosL-ca,/���
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belie a—ze-r CIZZ 71—�—
Signature of responsible app icant
Remarks
10. D6 any signs east 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. G C jv/r I� /c,9 r 7-/V 1/'1 7 6— i J°i�//�1
xhi.s co7� to be fiZl.ed in
by tho Building Drpartraent
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- side L: R: L: R:
I
- rear
Building height
i
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 knowled
4� 4�6 DATE: APPLICANT's SIGNATURE 9- v-,
NOTE: Issu noe of a zoning permit does not relleve.an app oAnt's burden to oomply 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.
FILE if
9
File
ZO1VLNG PE=T APPLIC,ATXON (§10 . 2)
PLEASE TYPE OR PR2NT ALL =0RMATS0N
1. Name of Applicant: //,--/
Address: ��? f�C�s /�¢C (%i� Iephone:
2. Owner of Property:
Address: `?"l "I eU1-21�4
Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee f
/-'Other(explain):_ �s
4. Street Address:
Parcel ld: Zoning Map# , Parcel# 5S District(s): h�LhC
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property. e�
6. Des ription of Proposed Use/V1/ork/Project/Occupation: (Use additional sheets if ecessary):
X/ Z:�Z�
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 PermiWariance/Finding ever been issued for/on the site?
NO DON'T KNOW YES IF YES,date issued:
lF 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 I
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 SIDS_
_ FILE # � r t �-j ?"
i� ! Pqp
APPLICANT/CONTACT PERSON: / /U
ADDRESS/PHONE: _ �n
PROPERTY LOCATION: T
MAP PARCEL: "y`-,5 ZONBY
THIS SECTION FOR-OFFICIAL USE ONLY:
PERNUT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING F01RM FITLED OUT
FP7� Paid
Addition to F.Yiqtin2
ri
Tn,FOLLOWING 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
Permit from Conservation Co mission �r `
Ca / S-/?4��
Signature Date
NOTE:lasuanoe of oning permit does not relieve an appiloant'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 applicable permit granting authoritles.
b
o
OQ cz
< • � 0
CA
�
0ao o
co
x CD
,00" b'0 �
• y °, 0
'b � a0
im,
i Q,
d � � sg5� � = � O
A . � N '
Q
CD s
o 5p � n O
0 0 0
..
_
5 "0"
.
b d O
0
rl
o C
Cam-' tz � 55 b
co
5 . 0.
UQ Ct7 5 o M 0 (IQ 0 5 ~
N
0 b ro
0 54 o °5°' 5 u5o 0 a �. c
10 0 Li
�pp
51 0
oz
CA H
tz OQ 9 .0 -sr b
5 � Qn
LI1 O N
CA o ro Z
l
CD
z
ti
O64
C4a o � � a n o
kw
p,
ci
ae.m•a0
n (��D f� �f O � �• O �A D �y � 6�l
U co
CD on � � x
�] Eye R aDb0 n
av c g c.ac •i :3-
(1Q y on C
N
Cc S
CD
Q.•aC CD '. N n m in
tz C _. �� � (D U1 0 O
w to p v-''
L
�
�
A2 < ' g a"I a
cl ti
imCZ CT
p
o � o
r ry
OD
n 0 o oo
-+ as 5 � a °, •,, =$ '-
0 lw
Z3 0
O O
o ❑ o O
c7. c �. c c. �, ❑ O b� 5 .� o
O ao vo O cao
q
0 a. b
n
O Lrl
Ln
q n
D
v