25A-109 (5) n,
FILE
-DEB 3 1997
APPLICANTJCONTACT PERSON:
-_,�:I3D`RES�/PHONE•
g.'
PROPERTY LOCATION: 2-D-'
MAP a' PARCEL: <% - ZONE f c
THIS SECTION FOR-OFFICIAL USE ONLY:
PERAUT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
,7()NTN(' FORM >J rr T F,n OUT
Fee Pairs
Fee Pain 6 L°
New C'nnctrnrtinn
Remnrieling Interior'/2t-d
Arlrjition to Fxicting
Arreccnry Structure
Bnilrlin2Plans Inrliiried-
X Sete of Pinnc /Pint Plan `�
TH
OLLOWLNG ACTION HAS BEEN TAKEN ON THIS APPLICATION-
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 o1'Deeds Proof Enclosed
Variance Required under: § vv/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
ermit f m Conse i �Conlmilsliola
Signna e of Building Inspector Date
NOTE: Issuance of a zoning permit does not relieve an appiioant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publia Works and other applioable permit granting authorities.
FEB 3
1997
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. ' -' f`` Alterations
NORTHAMPTON, MASS. %/ 19 Additions
a APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. 3��'1 3� `-') r 1 `:,t 1`= �, Lot No.
2. Owners name. Vofn W 1. Address FI l ti
3. Builder's name_?4 Vvi k Address
Mass.Construction Supervisor's License No. Expiration Date_
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? l . . ✓� t �' s` y �,�� �,t ��:i` aC:
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
The undersigjaedjcertifies that the above statcments,are true to the best of his, her
knowledge'andbelief.
$ aruie-oJ responsible app icani
Remarks ✓L I✓_. i t'fl/!� S �/ r!;'rr.>j lFkl A''0° ��1 i ' d dG' /+��Lti"t j>/L�
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07/26/00 WED 11:47 FAX 4135320636 GRAHAM & ALBANO P.C. Q1001
GRAHAM & ALBANO, P.0
ATTORNEYS AT]LAW
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ALFRED J.ALBANO,JR. TELEPHONE
ea ngQ4j2xR net 413-5865M
413-5323387
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mduolapjc8 a3 to.net 413-532-0636
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07/26/00 WED 11:47 FAX 4135320636 GRAHAM & ALBANO P.C.
Jul 26 00 11 : 42a p. 2
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DATE: PAGE:—��)t PLOT--/�l
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