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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
a APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 300 (2 4 C I Lot No.
2. Owner's name L- -i IC T- ff C l ' r9�} Address CC A.)�E! Ste, M U l�{ (c •�t��C'7_�,
3. Builder's name R, Acs-E)ol1 moaPhy Address bZ3 RCq SLIK 6-01LE-01D
Mass.Construction Supervisor's License No. 05 q33 3 Expiration Date 10-37- q,�)
4. Addition ;7TYy4Z.CVi ,t-
5. Alteration 15e4z,[
6. New Porch (W&f,
7. Is existing building to be demolished? ND
8. Repair after the fire VD
9. Garage -,ry Pc t utV/JVto No.of cars 41 t size ),7'
10. Method of heating �« lxsnN�r 1
11. Distance to lot lines
12. Type of roof A5441Jy7" _
13. Siding house -77�V
14. Estimated cosL- �01 00o
The undersigned certifies the above statements are true to the best of his, r
knowledge and belief.
Signature of responsible app scant
Remarks
APR 1 51997 ,
)PPT OF P!
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10. Do any signs ebst on the property? YES
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:
I1. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colnma to be tilled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size �� 1'� ►$ �QJ�}z ��
Frontage
36 OU
"
Setbacks - front 2 C)
- side L:_ R: V6 f L: LIA,I _R:06
- rear
Building height
S
Bldg Square footage
(6 lc
%Open Space:
(Lot area minus bldg ---
&paved parking)
# pf Parking Spaces 4- �4-
# of Loading Docks 0
O
Fill:
_(vol-ume-& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my know dge.
DATE: � —,'Z J APPLICANT's SIGNATURE /
NOTE: Issuanoe of a zoning permit does not relieve n a lioant's burden to oom wit
zoning requirements and obtain all required pp PIY mil
Commission, Department of Publio Works and other the Board of Health, Con sent s.
pplioable permit granting authorities.
FILE #
APR 1 5199 '
DM OF BC G INSPECTIONS Fi 1 e No. 9
f�0RTi ', f t(; iU60
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE I,OR PRINT ALL INFORMATION
1. Name of Applicant: 2" � )JAS F0 A
Address: � 504- qV (701(-(r6 UT-Telephone:
2. Owner of Property:
Address TfMvi q� Telephone:_D,;!i)DOu��'1�
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): 'tX�-CC'i 02
4. Job Location: �U rC�c�, Si. 1�iO��T��nWf 2' 1116
Parcel Id: Zoning Map# Parcel# 22 District(s):
(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):
Cco(\)OCWS( caw TC _�- 1p,�,nicq Occup
S0'r0�c 0(,uq 1--oaT PC(,C►T ►Vrcw ';�:c, e��S , '�E�U-m*3'2CL V(O'j�-7t
I C 4-C q rift' ((,+-C
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 i/ I 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 C/ 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)
i FILE #
E APR 15 0 7
._. T/CONTACT PERSON: �d�o2S77
DEPT OF 81_ kff /PHONE: e)C3 �T4� 3d I
PROPERTY LOCATION:
MAP PARCEL: ZONE / _/
THIS SECTION FOMFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Building Perrnit Filled nyTt
Fee Pnid
AcressnryStrurture
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION-
Approved as presentedfbased 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 APPEAL S L)oT�'/-7c,etc •i--)
Received&Recorded at Registry of Deeds Proof Enclosed l
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health,4 ell Water Potability-Bd Health
I fr ._ 0 rV on
9
Signature of Building Inspector at
NOTE:Isauanoa of at zoning permit does not relieve an appiloanYs burden to oompty with ail
zoning requirements and obtain exit required permits from the Moard of Health, Conaervextio
Commission, Deportment of Publio Works and other appiloabie permit granting authoritles.