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25C-002 (4) tx 4 41�, tV T o , Hrvflt-r�+,+. 1�1 I i 1 r. �k�py „�ts`xeid.t-9Be�+ �?Si �'i� `�i .`�•s'°+� N .��1�,� / lei ' Ar I sir 3 s. I7 y w k� � llEl „ a it a Iit�lill � s. 1 .- -- t - y a P � 3 i-AA l 77 - V o b `C3 G why C A ty a 3 CY) C r�4 ..h O v, �v€ N Z m Cr y O C7 qCX Z 0. d o z M y r* Zoning V B Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.58(a"4 ao--+` Alterations a NORTHAMPTON, MASS. ZS P e i 1— 19� Additions APPLICATION FOR PERMIT TO ALTER Repair X Garage 1. Location /IS hj n jj r"L s s T Lot No. Z P LS G 2. Owners name bJ i 11j p►%A W E te N Address 1/$NA T N GMF E- ' 3. Builder's name 0)11)A r A Z T u Ms H A Address ?O, 8ok ►N i LEF D S Mass.Construction Supervisor's License No. 000_5i,5; Expiration Date Z - .15. 48 4. Addition 5. Alteration M►S e- gy toe R F 5P ISLs NE w "P&pL po"A n eCK QVI,a i„ Eaaui PbaeH QmIE 6. New Porch Fn a v0..4 i- 7. Is existing building to be demolished? NO 8. Repair after the fire 9. Garage V E S, No.of cars Z Size 2.7.=Q -' X "30 53 10. Method of heating C,►s sTra.i, 11. Distance to lot lines /'aa u r e?5' - 12. Type of roof A s p 4 p l f S 4 iw ti fe 13. Siding house A 6/b r 5-ros 2,64 23 64aa2. Gn,o�&2aan /57' _4WX_ 14. Estimated cost: The undersigned certifies that the above statements are true to the best of his, her knowledge aVdbe ef. Signature of responsible applicant Remarks PHINUSHOP ` � 10. Do any signs exist on the property'? YES NO m. 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 Required Existing Proposed By Zoning Lot size 10 160 57 H t0i5a 6 -Ff Frontage 70. 0/ -70- 01 Setbacks - side L: 15 R: 8%on L: 2s" R: Vo" - rear yo'-o'' Ila'-o" Building height Bldg Square footage V90 299a sl,FH %Open Space: Lot area minus bldg &paved parking) # -pf "Parking Spaces of Loading Docks Fill: (vol-ume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: APPLICANT's SIGN NOTE: lanuanoe of a zoning permit does not relieve an app) ants burden to oomply wit h,.•ail , zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other appiiomble permit granting authorities: . 7, FILE # I APR 2 5 199 d File No. T f. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: 61jigm Zr -Fogai .shp Address: P.0. 141 LKEOS 1-" Telephone: Sg fA- N o o S' 2. Owner of Property: h)JJ IArh M W rte-Id T1 Address: ItA No2TH f:MM97- Telephone: 585 oRy:?- 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): GFAIElLwL "yTr2, eMe-- 4. Job Location: 118 JV621W ST2 , tio.e Tw in/ Parcel Id: Zoning Map# Z6 G. Parcel# Z District(s): U R. 3 (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property Z OrAA r iLT /Z19sig�€ eia 4-- 6. Description of Proposed Use/Work/Project/Occupaabon: (Use additional sheets if necessary): J1,6 J f k2,LV- 1494E ..vs 42E4'dC, "SJA %�i2a AUAW .O� �6 Xiba.J* 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 PermittVadance/Finding ever been issued for/on the site? NO X 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? NO­X_ 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) ) .'x -. FILE # �i 1 7 Ak 2 51997 pry, QF;; �;T/CONTACT PERSON: �� '' ✓ PROPERTY LOCATION: . -) ak MAP PARCEL: 6;� ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERK HT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM M LET) OITT Fee Paid IRTyildin2 Permit Filled 011t - Od 5 IC OLLOWING 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 Permit m Con ery C fission Signature of Buil g Inspector Date NOTE:isauanoa of a zoning permit does not relieve an appiloant'a burden to oomply with all zoning requirements and obt=in all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioable permit granting authorlties. 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