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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. `f�S1 9 `7 Additions
APPLICATION FOR PERMIT TO ALTER" Repair
Garage
I. Location Lot No.
2. Owner's name /� Address 1 43-t, 5' s T
3. Builder's name ' ��T Y'✓'V1 asp S� ,,,j %A of Address
Mass.Construction Supervisor's License No. ' 3 c' Expiration Date
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 hearing
11. Distance to lot lines /
12. Type of roof �rr,-a D l!� O lcJ r`V e yj' G�o�y:� S�z ,z• ��
13. Siding house S,'if. � �k l Se cz .-zap f 5i JC /ilV&�`
14. Estimated cost:- ) o 0c, , Cz
The undersigned gertifj es that the above statements are true to the best of his, her
knowle be ef.
t4 66-�-
Signaqure of responsible appocan!
Remarks
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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 DUE TO
LACK OF INFORMATION.
This colt to be filled in
by the Building Department
I 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
&p?ved parking)
pf Parking Spaces
f of Loading Docks
Fill:
-(vol-ume--& location)
13 . Certification: I hereby certify that the information conta 'ned herein
is true and accurate to the best of my knowled
.1
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DATE: l 5 J APPLICANT's SIGNATURE
NOTE: laauario6 of mi zoning
g permit does not relieve an applioanYs burden to comply witfa,,all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
FILE #
ttpf
APR 1 51997
File i 9EpT Of St ?INST T GNI�' t TXNG PERMIT PLICATION (§10 . 2)
PLEASE TYPE OR T ALL INFORMATION
1. Name of Applicant:
Address: 3 v 7' as Ad Telephone: kC S 2 7
2. Owner of Property 6`r a/7 r
Address: 6 rG,u " Telephone:
3. Status of Applicant: Owner Con ract Purchaser Lessee
Other(explain):
4. Job Location: t /`,Q "z Iz-
Parcel Id: Zoning Map# Parcel —lam— District(s): _1eb)_i_
(TO BE FILLED IN BY E BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occup lion: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checkin4 I with the Building Dept or Planning Department Files.
8. Has a Special Permit/Variance/Finding ever been ssued 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 we ands? NO DON'T KNOW YES
IF YES,has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtain d ,date issued:
(FORM CON71N JES ON OTHER SIDE)
�.. FILE # 96211:8
M"P§ N �/ aONTACT PERSON: �L
ADDRESS ONE; Cpl C; G ���- - ?97
IEPT OF qP.
----PR-O#ERTY LOCATION:
MAP PARCEL: ZONE .�
THIS SECTION FOR.OFFICIAL USE ONLY:
PERMIT API ILICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee Pnid
IRYYiTdin2 Permit Filled Opt
"3
Ariditinn to Existing ( 6,-).
T� � v -
THE LLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION' `
Approved as presented/based on information pri sented
Denied as presented:
Special Permit and/or Site Plan Requin d under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Regi ry of Deeds Proof Enclosed
Finding Required under:§ w/ZONING BOARD OF APPEALS
Received&Recorded at Regi ry of Deeds Proof Enclosed
/
Variance Required under: § w/ZONING BOA-RD OF APPEALS
Received&Recorded at Reg" ry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Wat r Availability Sewer Availability
Septic Approval-Bd of Health N fell Water Potability Bd Health
!Permit from Conservation mission
Signature of Buil ' g ate
NOTE:Issuanoe of at zoning permit does n It reileve an app loant's burden to oompty with all
zoning requirements and obtain all requi ed permits from the board of Health, Conservation
Commisslon, department of Public), Wor and other applicable permit granting authorltles.
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