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31B-147 (9) a ? z 'v 70 D �i OvI cv � o ^� m X ee Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 1 q Additions APPLICa ATION FOR PERMIT TO ALTER Repair Garage 1. Location 13t 5> 47E- S ( ITPAM P-17ON Lot No. A 2. Owner's name �' --TE i�'G �rC� 1 L Ni�Vl�i Address�1�� �'8y�5 �D��1MPT0YV� 3. Builder's name y � v21 ��� Address (: -, Mass.Construction Supervisor's License No. Expiration Date ' 4. Addition ,/\ Acid-to FD< 1 —nev o of Ta X)L A 2 , 5. Alteration A5 Sfi0vJJQ 0A./ HE pj fig1j , 'S`? , ,Fg Flexj7 5 CH41y 6. New Porch ��) 7. Is existing building to be demolished? 8. Repair after the fire Nv 9. Garage No.of cars Size 10. Method of heating 4UT WAy7E(2 ' yinv 11. Distance to lot lines F—X tSf)A J(a 12. Type of roofQ 13. Siding house 14. Estimated cost The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. ignature o responsible appicanl Remarks 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 coluam to be filled in by the Building Dcpartment Required Existing Proposed By Zoning Lot size 5 i'ci2Lr SAwv" le'r) Frontage ,o-Z 5 2 Setbacks - " 21 ,25 - side L: 17 R: =S L: 17� R: 70. �s - rear as,-25 Building height Bldg Square footage %Open Space: c (Lot area minus bldg 7d 66 Z &paved parking) ( Jls> /// # �f -Parking Spaces AT� ✓ #- of Loading Docks Fill: 4vollime--& location) 13 . Certification: I hereby certify that the information contained herein �f is true and accurate to the best of my knowledge. DATE: iE�_- Z Z-16 APPLICANT's SIGNATURE NOTE:-i.- OTE: issuanoe of a zoning permit does not relieve an a li burden to oompty with all zoning requirements and obtain all required permits fro h oard of Health, Conservation Commisalon, Department of Publio Wor" and other applionble permit granting authorities. .,..`, FILE if ?AY 2 219% Fi 1 e No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: �1���1��'1 f3 p-- Address: .3z F/NF— -ST FI-005 ILL Telephone: S4?V 2. Owner of Property: Address: 35 /UGVJ SyV7'41 ST Telephone: Sys Sl�/D 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain):-rC�d�/TiQ/�?`�''c, 4. Job Location: 1�1 S T`AT5 .ST Parcel Id: Zoning Map# 3 113 Parcel# t 14--7 District(s): U 2a (TO BE FILLED IN BY THE BU,ILLD/ING�DEEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): f4rAodd 4- AJa to �,Om'f, "+'o ' kQX I L-L,60., p-r 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 PermitNadance/Finding ever been issued for/on the site? NO DON'T KNOW X YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW Y` 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 # IM'M 2 21996 Ai PPLICANT/CONTACT PERSON: >G A.DDRESS/PRONE: PROPERTY LOCATION: MAP PARCEL: ZONE �� _ THIS SECTION FOR OFFICIAL USE ONLY: PERNIIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED 01IT Fee pflid Fee PAid 3 Sets nf Plans I Pint Plan �. T � THE�;OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: ` V 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 I/ 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 Conservation mmissio Signature of Building Wector ate NOTE:Issuance of a zoning permit does not relieve an applloanYs 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 applioable permit granting authorities. — �.y 3 V QNN n �y w D ►+� Z rtiy "1 b ° b "" y N ° "o n A tD O O ♦��ap'eL o, on G � �' O �• � �i 0 co (n CD L • O �Oj' � � fy N �•'i (D (D brSQ g � � aQ 1 I t-h 3 0=R m 0 m rt o coo R y r �� cv o F H. 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