45-042 960497
FILE #
APPLICANT/CONTACT PERSON:�'GGL16 leddGV2, 47ne
ADDRESS/PHONE:
PROPERTY LOCATION: ,
MAP PARCEL: E2 ZONE `Sty
PHIS SECTION FOR OFFICIAL USE ONLY: a9
PERMIT APPLICATION CHECKLIST •
ENCLOSED REQUIRED DATE
7.C?r iNG FORM FTT.T,ET) OUT
Fee Paid
Building Permit Filled nut
Fee Paid
Type of C'nnctrnetinn•
New C'nnctrurtinn
Remodeling Tnterinr
Addition to Fticting -r1Cf!✓" 1L
Arrecsnry Structure `_/ C4'� �
Building Planc Tnrluded•Owner/Occupant Statement or hence aA1/7/
3 Setc of Plans /Plot Plan
THE ALLOWING 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 from Conservation Co • ion _
Signature of Building Inspector Date
NOTE: lssuanoe of a zoning permit does not relieve en applioants burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Pubiio Works and other applioable permit granting authorities.
r•-t- E T rt 11 7 171- li -
J I �9
NW29 ► .
File No. 9om7
NOTHAPdA .AS
.. IIi . A ...O `
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 0 ko /cs2 t8 U i /la CP-2 —
Address: 0.__S ,9 t / E- St Telephone: ��3�� ._
2. Owner of Property: f'2 /9 U--)IC- O2 N t Q l
Address: 1/42_/MO /1 Telephone: ,5�6 3
3. Status of Applicant: k Owner Contract Purchaser Lessee
Other(explain): 6ot kif/2_
4. Street Address v O (c s �Qh'� 1�ck
Parcel Id: Zoning Map# 145 Parce# Yc District(s): 'S
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property �D(-�-)-/✓`
6. Description of roposed Use/Work/Project/Occupation: (Use additional sheets if necessary): •
acy esuLm. eo (2_ c H ..e4f,,e0( _ -6-er --n_a_e,ta.&;3-)
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 PermitNariance/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 Pc
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained k 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 X.
IF YES, describe size, type and location:
11 . ALL INFORMATION MUST BE COMPT,RTED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colmzm to be filled in
by the Bidding Department
Required
Existing Proposed By Zoning
Lot size
20 COO Sr"
Frontage ( Z
Setbacks - frnnt 2
side L: R:2 S L: R:
- rear /0°
Building height 2_5
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
l?oetn. Sr
# pf -Parking Spaces
•
of Loading
g Docks CJ
Fill:
(volume -& location)
13 . Certification: I hereby certify that the information c ained herein
;* is true and accurate to the best of my knowledge .
DATE:__J� /q.c APPLICANT's SIGNATURE
NOTE: Iss anon a zoning permit does not relieve en applioant's burden to oompiy with all
zoning requirements end obtain all required permits from the Board of Health, Conservation
Commisslan, Department of Publio Works end other applioable permit granting authorities.
FILE I
. K
z
T so
.71
z a
w 3 c ocn
.. ' Z n
? et
= , n — NZ
cn O
> -• --1
--1-1 m
o
pz
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.S 63 c 3 Alterations C'x T Roo
o)CQ Po&e h
:44%r NORTHAMPTON, MASS. Z� 19 Additions
" A' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. LocaZio �t� t�c 2-4 S pp 1 -et E. i 0---Ci- Lot No.
2. Owner's name +h K1 w n N wi£ (2 Address 1 2[0k. ba 'e
3. Builder's name C '(r.Z t CQ S 0 i (c((?— Address /Z S 09 14-)l4-r
Mass.Construction Supervisor's License No. O /Q17 I Expiration Date //? /'J9 7
4. Addition
5. Alteration
6. New Porch ( ent....1-1 FX0 Pc -c 4 ((--tegn,a--c,e_di, ? C.-
7. Is existing building to be demolished? k.}Z)
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines / •
12. Type of roof P �-Q ` 2 /9/fC "t
13. Siding house M V
14. Estimated cost
The undersigned certifies that the above ue to the best of his, her
knowledge and belief.
____X-1()- rr -`
Signature of responsible app., an!
Remarks