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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. /tZ'Y Alterations
NORTHAMPTON, MASS. Z/6 I9i6 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1.
a Z �f � Lot No.
2. Owner's name 84JZA y A-j-)b t U6J N1 G rb rb� Address f Aw£
3. Builder's name OLiV,E2 I's t" j Address 76 Xlf ACC CJCIJtie— N To
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration MJ"t GL,0S'gf (41+u,f i'4j 940AOO7— /j-x'1J£ eJf0f& A*-- Cf–i&0 j /Ice rCr14 T'
6. New Porch /V a2yw/a-0s /rj
7. Is existing building to be demolished? NO
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 undersigned certifies a above statements are true to the best of his, her
knowledge and belie
Signature of respansible appicanl
Remarks
n
10. Do any signs twist 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.
This column to be filled in
by the Bn.ilding I?epartasent
Required
Existing Proposed By Zoning
Lot size
Frontage N G
Setbacks - front
- side L: /s R: R:
- rear
/mo (-
Building height Z G -
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking) JU , C -
-P f -Parking spaces
ffof Loading Docks
Fill:
4vol-time--& location)
13 . Certification: I hereby certify that the in ation contained herein
is true and accurate to the best of my k le e .
DATE: Z L"� S` APPLICANT'S SIGNATU
NOTE: Issuanoe of a zoning permit does not relieve an applioants burden to oomply with all
zoning requirements and obtain ail required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other npplioabie permit granting authorities.
FILE #
w. --------------
FEB 2 619%
File No
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: QL/yI�
Address:- -?6 rile✓) r-6 Telephone:
2. Owner of Property. i. 03(wr'7 N1 6/t-ox 1¢
Address.: z/ ���' -r Telephone: Sy y " sr3 3
3. Status of Applicant: Owner ---contract Purchaser Lessee
Other(explain): /' 7
4. Job Location: f
Parcel Id: Zoning Map# Parcel# ,V District(s):
(TO BE FILLED IN BYTHE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property lFeJI 5)f.•Je-'e— fl
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
r"yvtf fXrf77rJ(C Gt�lff ,v/}C4( jw-j - /744A—)6-' /aJ MAM,4 ;TC0rz"
fro2�-� lE��,,�+G /N�/Gor , 1',drf4cA e,d col-LI+,c ne-r �r/f,w 7. Attached 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 Permit/Vabance/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: _
(FORM CONTINUES ON OTHER SIDE)
1
FILE # 960673
( �
APPLICANT/CONTACT PERSON:
ADDRESS/PHONE:
PROPERTY LOCATION: / ;t'? .. --- )" > �
PARCEL: �,. ' h' ZONE ✓�/' E� _
THIS SECTION FOR-OFFICIAL USE ONLY:
PERNITT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
7.0NTNG F[)RM FRIED OUT 777717771,--1
L r
Fee PAid
File Pa*d
New Cnn-,t
riirtinn
3 . /Pint Pifin
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
Permit from Consery ommission
2, Z
Signature of Building ector Date
NOTE:lssuanoe of as zoning permit does not relieve an applioant'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. —
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