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25A-185 (118) 10. Do any signs exist on the property? YES Pf-0N'ub 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 column to be filled in by the Building Department ��7-��i a� e.t.a�AT1 a,✓ r.vL� Required Existina Proposed B Zonin Lot siz Frontage Setbacks - fr nt - 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) i 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: Applicant's Signature: /�;- _ j I X1 NOTE: Issuance of a zoning permit does not relieve an applicant's burd n o comply with all zoning requirements and obtain all required permits from the Board of Health,Conservation ommission, Department of Public Works and other applicable permit granting authorities. IJ File No. > 7�� j al.►r Q ! L` + 1 ZONING PERMIT APPLICATION (§10 Z PLEASE TYPE OR PRINT ALL rNFoRMATIO '°�" - 1. Name of Applicant: L]oJ / Ste :_l�tJV ��_��/ ✓J5' rdi�� Address: S �,r�-�!� 4/� Telephoner� L 2. Owner of Property: Q5C Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser__Lessee Other (explain): 4. Street Address: `�� /�✓,EXJSj�P/r9 c_ �,P/y� Parcel Id: Zoning Map# Z571`9' Parcel# / D, District(s): �a r (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): Sr k c/—' )-RUAL- VPGoeAO C FOB S.�yOw Q�/F% G4�►O/�� /it/j cy2/O/Q �,CZivO 119/-70 11vs /7-b 'OO/= a�vG. 7. Attached Plans: Sketch Plan Site Plan _ Engineered/Surveyed Plans An to the following 2 questions may be obtained by checking with the Buildlnu Dept or Planning Department Files. 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON? 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 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) M ,o n 2 T � T � � m a wj 3 c Z rn rn Z m � r O X Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No..a — —S Alterations NORTHAMPTON, MASS. 74,11 19 If— Additions • Repair ' APPLICATION FOR PERMIT TO ALTER ._. n Garage 1. Location �1•�.Qv ,4� � 1✓%�Ccc�9—C,448 A6"0440WV J'-055. Lot No. 2. Owner's name G©Ce9- Coj./i Address_ 3. Builder's name Address /b � S Mass.Construction Supervisor's LicenL No. LS to cam--J-T- Expiration Date 4. Addition 5. Alteration T�,V- 6eA6 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:- Sn�oo O The undersigned certifies that the above statements are true to the best of his, her k wled a and belief. Signature of responsible app is nt Remarks FILE # x- 1005 1 _ -!� APPLICANT/CONTACT PERSON: A1 (�qtv l'ce- PROPERTY LOCATION: PARCEL. J l— ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE a7.QNTNfr FnRM FTT.11 XD MIT FPP Pskid FPP Pairs 0-,�T^�� J `1- TypP of rnnctrnrtinn- NPw rnnctrnrtinn RPmndi-lino TntPrinr Additinn to V rictinv ACcpccnry StrnrtnrP Rnilriinu Planc TnrinrlPrl• 0 inPr/nrrnnant StntPmpnt nr UrencP# 3 SPtc of Planc /Pint Plan TIr FOLLOWING 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 Per ' from onservation Commission igna e o Buil i g Inspector Da e NOTE:Issu of a zoning permit does not relieve an applioant's burden to oomply with 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. Vl O y CO 0 0 4 W S 0 .o 4 C Z LO a a c o o o 400 o o rA � � O z �4 oO 0 � '� o *Poll U �■I �1 3 A 0 6d to O c 0014 0 •�•1 gz �--� c-0i v 3 1 o � . °" AA U] U w bCA 01 ul COO LO ] ':3 K C6 8 0 o Q p � ^V O H y T� y� C O C R8 9 CIO 4 44ii M1 � N F A y to t2 '0 Z o � LO ba �•m.s.•� Z � a. Cj