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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. , 7 g3 8`5 Alterations
NORTHAMPTON, MASS. �� �e� c 19� Additions
APPLICATION FOR PERMIT TO ALTER Repair
1 r
_ 1 ,/ / Garage
1. Location �S :7 �d"G4•- 1C, t Q�r• l "C nc q —� 1:1 Lot No.
2. Owner's name p60 C g -�� A4 4&-1 e r-.0r- �k �Address_ /
3. Builder's name f-Gnc1'r� 44 Address_gl " e4rJ 4,C
Mass.Construction Supervisor's License No. d7�,� �7 ,3 Expiration Date
4. Addition ��
5. Alteration Ic � ILIA .h4 1., 1�," k-4 LQ bl,* C2 1
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 cost:-
The undersigned certifies,`�at the above s�dtc ents are true to the best of his, her
knowledge and belief.
�X F
Sgnaiure of responsible app icon!
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 coin to be filled in
by the Building Department
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:
-4vol--ume-& location)
13 . Certification: I hereby certify that th4- t1Z
contained herein
rf_ is true and accurate to the best of my
DATE: 1�_Z�—q _ _ APPLICANT's SIGNATURE
NOTE: Issuanoe of a coning permit does not relieve aan den oo ply with all
zaning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
FILE #
a U x
F
File No.
96e!�9 `� 1
ZONING PERMIT APPLICATION 0§10 . 2 _
PLEASE TYPE OR P=T ALL 121FORMATION
1. Name of Applicant:_ N
Address: 61 e t'-;4 Telephone:_ S767— f crg t5
2. Owner of Property: C[>C Q — o let ���f--�' i"s'. S
Address: q6 �L�h -}� ��. r ��r � Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Street Address: S4r-t 0- C�4 QJo✓-
Parcel Id: Zoning Map#� Parcel#.�,'�' District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property
6. Desc 'ption of Proposed Use/Work/ProjeJ�t/Occupa 'on: Use additional sheets if necessary): /
An G1
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 KNOWX�,.,__ 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 r 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 # 960495
elA
APPLICANT/CONTACT PE ON:�� � �� j
ADDRESS/PHONE:!
5 q
PROPERTY LOCATION:
MAP �/ PARCEL: ZONE C t-
THIS SECTION FOR�OFFICUL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
lRytilding Permit MUM nilt
( 1f C1
i 'Ptc of Plan-, /Pint Plan
TBYVOLLOWING 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
ermit fro o set on Commission
gnature o ui Inspector late 7
NOTE:issuanoe zoning permit does not relieve an applioanYs burden to oompty 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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