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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No 7J,i�� /' ' ? Alterations
NORTHAMPTON, MASS. Z(:" Additions
a APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location '1 N .1 t Y� ( 12t Y NO� tt( G A 1 i'Y�F� Lot No.
2. Owner's name UU1- Address f &Et
3. Builder's name Y� }�� rte .^ Address U Qtr 4° t J 5 i e.<; jr.-4 t- y
Mass.Construction Supervisor's License No. S 006, ;� y Expiration Date
4. Addition A0' x 100 � mrksaNrz.�i b(ock. / L,;.)("D Ku)F
5. Alteration
6. New Porch
7. Is existing building to be demolished? I'J O
8. Repair after the fire
9. Garage �/�!� No.of cars Size
10. Method of heating w C. ti L
r r
11. Distance to lot lines :,A-,- '34f I ka 0k_Su
12. Type of roof 4VA0,y mV
13. Siding house PJ O
14. Estimated cost- j at C 0 00
The undersigned certifies that the above statements are true to the best of his
knowledge and belief.
Signature of responsible app icanr
Remarks d, L.L. L" r t
10. Do any signs exist on the property? YES NO/ \
IF YES,describe size,type and location: (I)W,W,[)C=j-) I S( "/ c_ Fog R_ J
Nl\o t Lr 'Fd n yAj tit D-r R lk, 4
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 i.
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage lk 4"i
Y
Setbacks - frnnt
- side L: R: L:
- rear
,2 G��1
Building height
Bldg Square footage 3��GG, a20L�U
%Open Space:
(Lot area minus bldg
&paved parking) � " y
# of Parking spaces
#' of Loading Docks
Fill:
vol- me--& location)
13 . Certification: I hereby certify that the information contained herei.
�f is true and accurate to the best of my knowledge.
DATE: r- �y -�f f�� APPLICANT's SIGNATUREU'G
NOTE: lauuanoe of in zoning permit does not relieve an applioant's burden to oomply,V19UP
zoning requirements and obtain all required permits from tha Board of Health. Conserva'
iCommission. Department of Publio Works and other applioable permit granting authoritie
��_' FILE #
NOV 61996
a
File No.
S
i
ZONII±NG PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRSNT ALL INFORMATION
1. Name of Applicant: �p
r
Address: <��/ �i��<�GtS merit/ U,E'; ✓ C Telephone: 3 �j -3 -3 7
2. Owner of Property: MOER-! T, rO DTI
Address: /O�5- 5.Qq-7A /e�E� Telephone: 4113
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): �_ /� 1
4. Job Location: qV .7-ir/ as:k gl � 1U /�/r�Gf�lHrr✓� � -�rV�GfSf1°.1 � /"ARK
Parcel Id: Zoning Map# A� Parcel# 6 e7, District(s): C�
(TO BE FILLED IN BY THE UILDING DEPARTMENT)
5. Existing Use of Structure/Property ,SE[f STZf.' G- �F-
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
SE/-C Y,-. &C--
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 the site?
NO DON'T KNOW i�� 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_X 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 # 961691
6 G96
JJJ
,,TA1rT PERSON:
AFL i hS$/ ZONE - -
PROPERTY LOCA TION:
MAP o✓ PARCEL: ZONE r
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED ,,DAYE
$ %/ - yZ F 2
Type of Cnnstru�=
— Additinn to Existing
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
• Approved as presentedfbased on information presented
P Denied as presented:
/r Special Pfrmit and/oC�ite Plan Require.0 nder: §L) •/(,
y 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
Pe it from ouwv C on
Signature of Building inector Date
NOTE: lnauanoe of a zoning permit does not relieve an applioant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authortttes.