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32C-177 (6) > > 1 i •et .•...t 1: T: 1 v o rn z ^ > — 0 cA .s Z m N C r R � = F � et, ! Z � r..) O -3 X -i m r v O (I -I Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations %r. NORTHAMPTON, MASS. 19 Additions Repair �•- APPLICATION FOR PERMIT TO ALTER Garage 1. Location 3 c) p xtS f 5 i Lot No. 2. Owner's name C.-IAQ r1-( ` ?f 'ILI I n C Address a O1P'SYt T- 3. Builder's name 1 (acl�i 2_ Oa i A es-f Address Z 5' *In v..s P,-,rC( .,-;\� ..46 1 OK� Mass.Construction Supervisor's License No.Cam'_ cS n (t <? 3 Expiration Date c/� / q 4. Addition 5. Alteration ■ CZ._ �`=`L", 6. New Porch 7. Is existing building to be demolished? NO 8. Repair after the fire :\lo 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof AI Uin/ 13. Siding house 14. Estimated cost )7 93b The undersigned certifies that the ataive statements are true to the best of his, her knowledge and belief. , r11 • \ Signature . �t-.risible applcant Remarks Amairmor 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 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 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 # of Loading Docks Fill: (vol-ume--& location) 13 . Certification: I hereby certify that the information contained herein G is true and accurate to the best of my kno 1-dge. DATE: ' APPLICANT'S SIGNATURE A111 OTE: Issu: oe •t a zoning permit does not relieve an - :iv-ernes burden to oomply zoning PIY 11� g req i laments and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioable permit granting authorities. FILE # AN 291997 % File No. .,u ZONING PERMIT APPLICATION 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: �Lr vTr _ * - Address: - �Svu�t�s.r� SI 'r(b`7L ° elephone: 2. Owner of Property: C L-.12 Qa Vt-cA Address: Telephone: 3. Status of Applicant: , ✓Owner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# 307C- Parcel# 1 7'7 District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property eel c ; (— Q t7 - IAA 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): • 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 ✓ 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 ,N.---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) a (� t5, LI �� _� �F FILE # 9 6 218 1 L1 1 • APR 2 91991 . ._. 536-- - �APPLIC p T/CONTACT�ERSON: /I/CZ � 776Zee ADDRES�HQNE: �'C�' f c `�75- C�- e� �/G / F 4;20 i.5 PROPERTY LOCATION: :3 27 3O4 e -,� MAP �:�C- PARCEL: /7 7 ZONE THIS SECTION FOR-OFI?ICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 7ONTNG FORM FIT.T.FT) OTTT Fee Paid Rnilfling Permit Filler l.9311- Fee Pair! ( ))2 Type of C'nnctriirlinn• New Cnncfnirfinn A4{9 .A cz G ??'1 Rem nil piing Interinr Arlrlitinn to ETicfing C• ! Arreccnry Strurtnre 'Building Plane Included- Owner/Orenpant Statement nr ,irpnee 001 3 Sete of Plane /Pint Plan - THEALLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: I/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 Conse at' Signature of Building 7,4 tor /1 ate NOTE:issuanoe of a zoning permit does not relieve an appiloant's burden to comply with all _ zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Pubiio Works and other epplioable permit granting authorities. 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