32A-138 (74) FILE I,. D[/�,n ci 3 ��{,qT
APPLICANT/CONTACT PERSON: if--)44/ (.�Jli`Zt'/l'Ll�� � �,r�X6 �✓`�a /
ADDRESS/PHONE: `t lard tw -ik� &*t .i• eo .5--
PROPERTY LOCATION: c,2,5—7774igt`-4D (/.e. z
3etr � C nucuct L`t.2.f.J
MAP LS.) - PARCEL: ✓ � LUNE CR
THIS SECTION FORAFFICIAL USE ONLY:
PERMIT APPLICATION CRECK IST
ENCLOSED REQUIRED DATE
7ONJNG FORM VII TVI) MIT ✓
Fee Paid
,t Foe Paid s nf�l�d *4 l�
Type of rnnctrnrtinn•
_... New(-orientation
u . r l • s e . - / ...Kv) .212 / ✓
_ L . .
Arreccnry Structure Gi-2,,r6.+-i
Bonding Plane Tnrhtde+ .... -
Ownor/flrritpant.Statement n T re / G_a..-311 _ —
4 Sets rif Plane /Pint Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: :P
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.§ wtZONI NG 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 from Conservation Commission
Signature of Building Inspector Date
NOTE:lssuanoe of a zoning permit does not relieve an applicants burden to comply with all
zoning requirements and obtain all required permits from the Eloard of Health. Conservation
Commission. Department of Public Works and other applloable permit granting authorities.
File No. 9lr/13k4v-- -•*
CFP „t'j �,j.$ j
ZONING PERMIT APPLICATION (,$1 "' f I 1
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: ftO L COWS 7A2UNTi Urt1 7 f✓e
Address: 1/ 0/4HPU5 PLA211 4 . /6615 LE)"Telephone: otS & _d .J ' J
2. Owner of Property: illi CIA 001 r 1,
Address: 3 / GAM P II5 444 )q $ WAW/C>Telephone: a 4 6 - 4 3 oti /
3, Status of Applicant ' \Owner _Contract Purchaser Lessee
Other(explain):
4. Street Address: H .A/ A) ' ric G r
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property_ I /X e ' C vW M Er;Xj Lt ' 2} !.
6, Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
(lN57Ruc7 . NL----W ArcrccS iQAn D ? A1s77It,(1 - / ( n=),4-rAT' r+
rAi rj y Zi d
7. Attached Plans: Sketch Plan 1. 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 PermiWariance/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 DONT KNOW YES
IF YES: enter Book Page and/or Document#
9, Does the site contain a brook,body of water or wetlands? NO fx 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)
10. Do any signs exist on the property? YES 'T 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 cola= to be filled in
by rhe 13fildin9 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
tie- (Of Loading Docks
•
Fill:
1 vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
4 is true and accurate to the best of my knowjlfdge.
DATE: /O y a-d41�I c APPLICANT'& SIGNATURE
NOTE: Lase noe a zoning permit does not relieve an ap lioant's burden to comply with all
zoning requirements and obtain all required permits fro the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
FILE I
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
'4- NORTHAMPTON, MASS. 16/ 7-0 19 Additions
APPLICATION FOR PERMIT TO ALTER
Repair
.w Garage
1. Location .zS M A f A/ S n eer Lot No.
2. Owner's name CI-1AMISPI CORE_ Address CU CAMPR& 101-A2-A Rb) 0A0)LEyr N f)
3. Builder's name L-IOFIL CoNcYfWr/dN LNC Address 3I G4-If/US PUI2l1 p /{A DLE Y
r� e _
�yA
7
Mass.Construction Supervisor's License No. a 631 I6 Expiration Date 5/ ,}y/ '7 d
4. Addition
5. Alteration COWS7RUCT J AAn> /0APPEA AOCCS5 7)advku/ AY
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
I1. Distance to lot lines
12. Type of roof
13. Siding house
�L/60 .ha
14. Estimated cost- 0
The undersigned certifies that the above statements are true to the best of his. her
knowledge and heli .
Signature of responsible appiicant
Remarks
/ Thomas Douglas
- / % /
" /
/ Architect
/ ?Seas Em
EX�� Nm1�s&Lrrlom
/ EI4VATVR I,
OHIO
ursnaur
/ :"7xuecrrtec.-r.
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