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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. el.No. Alterations
NORTHAMPTON, MASS. 19�L� Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location � ��� ' '— �' `" '�ei`'� Lot No.
2. Owner's name C(7 y`'77"-t,"r*L— ,!A"'!1"j 4L Address 0f`n-K) ST , /y vti)V
3. Builder's name ®• JS-6,w-j Address 4� V,C- Crrigyec -
Mass.Construction Supervisor's License No. (�� �? ow Expiration Date 5 is�9s
4. Addition
5. Alteration 13V) 0 V f►GF J i�^' x"��J7�+..►� -�Y'�'t �
6. New Porch
7. Is existing building to be demolished? N V
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating �r2z e-0 Are— 6-Af
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:-"7 3 I
The undersigned ce ' ies that the above statements are true to the best of his, her
knowledge an li
Signature of responsible appicant
Remarks ftf—
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 MAST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This col— to be filled in
by the Ba.Uding Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- 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 know e .
DATE: �J" �)� APPLICANT's SIGNATU ��
NOTE: Wsuanoe of m zoning permit does not relieve nn applioanirs 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 npplioable permit granting authorities.
FILE #
+ a ?
Li i E t
J P �
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: �/ l/ �� ^1
Address: .rte-0c-g CC/Q 5Yrc- Telephone: ,�y ' 2 z-
2. Owner of Property:
—yP rl-
Address: 7 ) 11, Telephone:
3. Status of Applicant: Owner ✓Contract Purchaser Lessee
Other(explain):
4. Street Address: ��'d �-/tt. I ` k— ✓�'L
Parcel Id: Zoning Map# Parcel# District(s): CI.
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 0XACc e /"-A-ttkj!/ j -
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
,7✓'c,d 0-1-
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 `� 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)
t
,
FILE # 960203
APPLICANT/CONTACT PERSON- -
ADDRESS/PHONE: X c
PROPERTY LOCATION:
MAPS/} PARCEL: J '7 ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
EPP Paid
3 Set
„cam
OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
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 fr Co servation Commission
ignature oto0ling Inspector Da
NOTE:tssumnoe of a zoning permit does not relieve an applioanVe 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 applioobie permit granting authorities.
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