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32C-104 (9) 70 'fl rr it: 'r7 0 .- ^n 77 ,� D 71 Z _ 70 o CA O ri z -1 m o a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 3 Z' -1'2776 Alterations 'r. NORTHAMPTON, MASS. /' /L� /D l9 9S' Additions r kti;4� APPLICATION FOR PERMIT TO ALTER Repair -4 Garage 1. Location _3 C) CG /7 `_, 1 / Aid F -7- -//t 'I/)70 v Lot No. 2. Owner's name k t�,AL/ b�/4P t( //�ii;-74 / 4fQ,iAddress .5 LS CA.( 5`i A/ -t/ 3. Builder's name 0-I C. am/7 ./-C' '�7/ ZA/C Address AA /. S 3� /4 )3 f) (1/OS.) Mass.Construction Supervisor's License No. a 3 Co /5-6 Expiration Date – 02`/ - /9 7(` 4. Addition 5. Alteration //1/.5-7;46-4.-- ,t0/61-4-c e-72 �/j itJ//V00,J T / v 6. New Porch --— 7. Is existing building to be demolished? 8. Repair after the fire A/O 9. Garage A/0 No.of cars Size 10. Method of heating 11. Distance to lot lines — 12. Type of roof 13. Siding house 14. Estimated cost:- � �.5 L� c c--- -' The undersigned certifi: pArrit above statements are true to the best of his, her knowle g - te�. L I- __ ' N//// Signature of responsible appicant a Remarks // / / / 7/ r 1 f 1 1 F i ■ i j CS { i 1 V • 1 i s r • i 1 1 1 4 t 1 s-ever 1.244, , — / ..... - - z ,,t 1 i < < 1 . ' am d- • 0_7k ' ' . :7 l " ,1 " / + 6CP r f ; k;, t- -I : O.A. �r,JDacl �J )rn 2d'' 0 � , � I f .o � G ,, r 10. Do any signs exist on the property? YES ✓ NO IF YES, describe size, type and location: I G"/ • �,�' �z.-/) 6: , / 41" y 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 cols to be trilled in by the Building Department Required Existing Proposed By Zoning Lot size ,L( 0 Frontage Setbacks - frnnt 3 (" - sides-11 L: C/f R: L 9f : R: - rear 7S Building height Bldg Square footage 700 sc/ %Open Space: (Lot area minus bldg 7�, &paved parking) ) v # of Parking Spaces t_r/D # of Loading Docks /14445" 14 Fill: (volume & location) 13 . Certification: I hereby certify that the informatio .• tained herein is t ue and accurate to the best of my knowle• s - DATE_ _ .e; j� ,,S APPLICANT'S SIGNATURE iv ApAw.(jr NOTE: ssu= oe of a zoning permit does not relieve an i'.p io'nt rden to oomply with all zoning requireme is and obtain all required permits fr-m th B • _ • of Health, Conservation Commission, Department of Publio Works and other applioable - •rmit granting authorities. FILE # Y i t d4 ^1 p I r^ I I rile No. :4 C Dt I jf B )Is; i7' ZONING PERMIT APPLICATION (§10 . ';1.i ' �' ..._ PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: d# C CclA/7;e, C 71011 -i (. Address: 0--3;T /56.41 i4 45-1 f Telephone: ,iSg -022?6 2. Owner of Property: !_—> hit i, e' P. Address: (Q ,111z rf. Telephone: pc,,,:____:4 _ ivil' 3. Status of Applicant: Owner Contract Purchaser Lessee . Other(explain): COA!J E'4-{'7,( 4. Street Address: '`. . a .%srrsor+ v■ ,i■ w. ■ ■ A I MM a I 3 Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property OL S. 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 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 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) r'" FILE I ' " "(?-4 °t APPLICANT/CONTACT PERSON: Gl C � C �''� �I,�� � __ ADDRESS/PHONE: ' I. . J _ ��_��di? _'S-Z° 2 PROPERTY LOCATION: ,5-C l /4 MAP � C- PARCEL: /e7 ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DA TONING FORM TILT ND OUT ///'' Fee Paid Building Permit Filled mit Fee Paid (17)Vi. 1 &< evo Type of Cnnctrnetinn- New Construct-inn Remodeling Interior /eL' _l�eiJ 7atc Addition to Evicting Arceccnry Structure Building Planc Included• r_� Owner/Occupant Statement nY 1 licence 1L3)5 Setc of Planc /Plot Plan \\\ T OLLOWING 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 �� ' ::it from . • ery•tion Commission �LJ ■ /1 r5 gnature of Bui i g pector Date NOTE:Issuanoe of a zoning permit does not relieve an =pplioant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioable permit granting authorities. 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