Loading...
23A-157 (2) T .� n n� z a j 3 Z m r ` et) > _ � o x ! Z Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location i '� Lot No. 2. Owner's name C � Address ,q 3. Builder's name �� �� ��e! Address �. e v � - Mass.Construction Supervisor's License No. L-,-) 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 heating 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cosL- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app icant Remarks 10. Do any signs exist on the property? YES NO c� 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 colamm to be filled in by the Building Departmme Required Existing Proposed By Zoning Lot size Frontage Setbacks - side L• R: L: R: - rear Building height 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 knowledge. DATE: APPLICANT's SIGNATURE NOTE: Issuanoe of a zoning permit does not relieve an applioont's burden to oomph 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 # FLB File No. r ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address: ? l 21J Telephone: 5 / 2. Owner of Property: Address: 02 Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Street Address: %/ l l Parcel Id: Zoning Map# c-- Parcel#�Z_ District(s): (TO BE FILLED IN BY THE_BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (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 checking with the Building Dept or Planning Department Files. 8. Has a Special Permit/Variance/Finding ever been issued for/on th>site? NO DON'T KNOW �, YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? l C� 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) FILE #_ t' a" 3 !-� ti APPLICANT/CONTACT PERSON- ADDRESS/PHONE: - / > .- PROPERTY LOCATION: MAP PARCEL:_ ZONES THIS SECTION FOR-OFFICIAL USE ONLY: PERK HT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM ITELLE-1) 0111 ]Ritildin2 Permit Filled nut �+ o r y .Ei OLLOWING 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 n rvation C ission Z Signature of Building hispeefor Date NOTE:lssuanoe of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other appiioable permit granting authorities. U�0 b O �.MO.�• n 112 M Z „°� , 'b 0 'b 4. N p p r# b Un go CD w b cn. o " rr o y CD ~ � R� � n r F-r CD bd qQ g � 9 10 00 rr rz. R, Q rt 0 n qQ CD CIQ_ qQ CD C d s O n coo < ° �1 O CA o M CO b z � � � o c o cn r r- �, b d ���pp o. ° > -+ F s 5 0� �, ►d v rA j ON � o, Ks cr 5 C�7 w t.) �- g CY 0 5" °�° aQ s b° ao r 0 8 CD n v' o 0 0 aro (m o (JQ o y FD y Q C tz � 0' � b sy ® * Q n � 0 v� o W � ro �