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Irtstall4erM r p�sp�AY�Iy�1 A and WS10wes L TY115 cp vp Ceglfccate of Occupanc9 FILE I APPLICANT/CONTACT PERSON:11�044 J�ra.c GLtc� v 1 ADDRESSMHONE:/.)� -ez� f a V /L' PROPERTY LOCATION•-/� �- C Lt-0{L Y.Z� - � MAP S3 "C� PARCEL: /)� ZONE C-._ ['' THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLO ED REQUIRED DATE R,,*I,i*,g Prrmi Filled out FrePged o7D L P Cl �/ TI-M,-QLLOWIlVG ACTION HAS BEEN TAKEN ON THIS AP KATION: ` V 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 Registryof Deeds Proof Enclosed _Finding Required under:§ w/ZONING BOARD OF APPEALS _Received&Recorded at Registry of Dreds Proof Enclosed Variance Required under.§ w/ZONING BOARD OF APPEALS _Received&Recorded at RegistryofDeeds Proof Enclosed Other Permits Required: _Curb Cut from DPW _Water Availability Sewer Availability _Septic Approval-lid of Health Well Water Potability-Bd Health _P i[from o ery o Commiasiw CSL (J-- S ature of B g Inspector D e NOTE:Issuance of a zoning permit dues not relieve an s pplloana burden to eomply with all zoning rae ulr e sno is and obtain all raeuired prmits from the Board of Health. Conservation Commiselon. Department of Public Works and ether appliooble permft granting authoritles. File No. 7 ... ZONING PERMIT APPLICATION (§10 PLEASE TYPEq OR P=T ALL INFORMATION 1. Name of Applicant Wrpk4 J - A i)--1 Ujn F, Address:1�� �n S{', FA4AMAkj/v Telephone: ";-Aq 'IS-9/'(n 2. Owner of Property: ZAiC_ //'E7l)/lF,rL Address: � �i o.c"Z 'e9 Telephone: 3. Status of Applicant: Owner Contract Purchaser—Lessee r _Other(explain): 1'IAl^1,t.(ICt_. m44xoTst�ot,.;NU2- 4. Street Address: ,41E 96 n• /t /� Parcelld: Zoning Map# Parcel# �� i� District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Prop" ��4 C /('' - 6. Descdptlon of Propo1sed I�1``eNV9rIh/projecVOc upation: (Use arIldNonal sheets if gece55/ary): RF IQ CC W ,_t t O\ y n OlW$ Wt+ AIEw V 14 1 /2 T, [kt Iln �S All W"RC iu bF o.ielnRmfc h (. A"6'7 D il(ZmE [it"�1�Dy4 Y 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 b n 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? NODONT 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) 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_j/ IF YES,describe size,type and location: 11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. sai� mei® w a. r�i>an is by the Hnildiv9 xr�."te.ec Required Existing Proposed By Zoning Lot size Frontage Setbacks - side L: R: L:—R:- - rear : R:- rear Building height Bldg Square footage %Open Space: -(Lot area minus bldg &paved parking) # of Parking spaces S # 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 knowled DATE: 6`—/ ?-9S- APPLICANT'S SIGNATURE NOTE: Isauanoa of a inning permit does not rail... an ppildi.ra burden to comply with all soning raquiramanta and obtain all required permits from the Board of Health, Consarvation Commission, Dapartmant of Publio Works and other applloable permit granting authorities. FILE if D � 7 � A 7 r n U C � O 7 > A > z r.. > 3 Zoning Miscellaneous Additions. Repairs.Alterations,etc. Tel.No. V?-0'10 *Iterations NORTHAMPTON, MASS. 19_ Additions APPLICATION FOR PERMIT TO ALTER Repair y Garage 1. Location g 6 •FP1MSAh I Sfi . AJOk 0-L o 0 M A. Lo(No, 2. Owner's name �\\,R t C. ,,'-'c�� 5,P , Address y j o(CK�+f �4 3. Builder's name In/q4kK. /tX 2,Rrv1S_ (Cmr�ovri)AddressIs CAuyl Sf, r.A5'I '1A ++ O Mass.Construction Supervisor's License No. H Tc I I R I h I Expiration Date 4. Addition ,/]A 5. Alteration _w APAIACCPALh IA1O WS, 11, AI Otl fs 6. New Porch N6 7. Is exisung building to be demolished? N D 8. Repair after the fire A/D 9. Garage /IO No.of cars //5��/ Size 10. Method of heating csieee'yn 11. Distance to Im lines 1 12. Type c f roof 13. Siding house VWUY� 14. Estimated cost u The undersigned certifies that the above statements are we to the best of hi,,, her knowledge tcf. nA• 91 C, )I sol r L m.r o ble i gna Irerpann app•aon Remarks I k l ti ] l j i fl I OL IJP S5(-�Z81 ) ±n nI �tXwRiS