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36-153 (4) qtr a �II D z m > � o rn r _ Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. '2'� ^©�'� Alterations ti NORTHAMPTON, MASS. J o�J / 3 19_L Additions ' APPLICATION FOR PERMIT TO ALTER Repair / `� Garage 1. Location / W ead S /�6A P ElwzaW CG Lot No. 2. Owner's name Pr T E K bo E T'r C t-�E IZ Address l t!S W©o?n S R o Kt� -T L 02 E kC1-fM* 3. Builder's name S6 to-kT"t-4 -?DVe:p w ELL Address q K f-Mtf RWF-f.T67a MJ�,° Mass.Construction Supervisor's License No. 06,5910 Expiration Date_�� to 18 4. Addition //�� + a-A y-00� 5. Alteration *y t'+�� �AL<JE�fL S�aw1 0°� i�N'��N� �a C btL tH�enit t IV{O �aw��lu Y par�! 5-6cae 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage , ` �A No.of cars Size 10. Method of heating iQ 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost: 1 8, (000, 00_ 1 The undersigned certifies that the above statements are true to the best of his, her know d belief. Signature of responsible appicanl Remarks u Xa -to U L KQ W YZ �� S � 4-0-c'K _ I V/ n • � rr 1 1 � V t 1 t _i�i O 1 � ,-- - -- - - - - - °- N Ct 4 ® �Q Ct 4�F ION Lo O ' Q 10. Do any signs exist on the property? YES NO v . IF YES,describe size,type and location: Are there any proposed changes to or additions of signs intended for the property?YES NO t IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This colua to be filled i.n by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - front - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg ' &paired parking) # of Parking spaces # of Loading Docks Fill: 4vol-ume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my kn wledge. DATE: 7 APPLICANT'S SIGNATURE NOTE: lon no of as zoning g permit does not relieve an a li nt's burden to 0o witi�,.�Il zoning uire ants and obtain all required permits f th Board of Health, Conservation iCommission, Department of Publio Works and other app lo le permit granting authorities. FILE # APR 51997 c; File No. DEPT OF S!. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION , 1. Name of Applicant: ' o q-6T-t-A�( �- Address: WL 13-� ' Telephone: t Z y 7 Z Z-6 2. Owner of Property: "E >n'F. ++-CVO'elz Address: 18 lib d-s lZo4 J� Telephone: 56S 16 5 ,3 3. Status of Applicant: Owner Contract Purchaser Lessee i/Other(explain): 10 �- 4. Job Location: �6,1 - Parcel Id: Zoning Map#-26 Parcel# �� District(s): (TO BE FILLED I''N11 BY THE BU LDIN/G DEPARTMENT) 5. Existing Use of Structure/Property 4,0 ��Ieu icR__. 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): vim' ('3 J Go y ti c, 0..ro dt 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 PermitA/adance/Finding ever been issued for/on the site? ee NO DON'T KNOW v 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 L"' 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 # 962115 9 ��pp� 5 APR Ah' IC /CONTACT PERSON: Z�"�4Z" AD... Dom,, /PHONE: ,C-6'Eofs�, 1N�� ;r;�ras TY LOCATION: MAP PARCEL: ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERK UT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE Fef. Paid r �- THE LOWING 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 Conservatio 0 '' 6 f Signature of Building for ate NOTE:Issuanoa of ek zoning permit does not relieve an applloantAs burden to oompty with all zoning requirements and obtekin all required permits from the Board of Health, Conservettion Comm[ssion, Department of Publio Works and other applioabie permit granting authorit[es. 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