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32C-113 (14) 70 'C < n T t: o .J c rrl 3 0 c.,,C z n r,, "'s Z — :n O [7 0 r ,O C 1 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 5 6---<- 4(5,S- Alterations %r. NORTHAMPTON, MASS. 3/�7 19 Additions t, APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location ,c(1 Cyr n 7 Sr. Lot No. 2. Owner's name �'CLL e V).Q.. Address C9 G b n z ST- 3. Builder's name TtcAC)(.. ) ...:, i-_:'L,S--S Address -Sa Gni•e.S � Mass.Construction Supervisor's License No. 0.379 Tl(1 Expiration Date 7 9? 4. Addition \ 5. Alteration 1V e„ `) li (1'/ I _t i IINC 6. New Porch e-t-c1r) C+�v ��N 5�..�� O%c Lc--V.,_ Oc---C.,- \N 3 (k^'`--4 c 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 5 \k Q ) Can Y C�i Q Q cA`C_\- Q, ; S i AC: 13. Siding house \ —' �v.\\(` 0 14. Estimated cost- /4, oc cc The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. ------ea:4--,°'4 — "1/ Signature of responsible appicant Remarks ,„,,,,.,,„.:,. .••-• '-i APR 8 ' ,,..„ i ) ,',"'-: I ,' ';', 197'.1 AIN ".■ 4, . ., 1114 vlit - 1 , ,''' cj 5 t 3; e — ; 13 10. Do any signs exist on the roe YES NO ,( Y 9 property?� 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 column to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - front - side L: R: L: R: - rear Building height Bldg Square footage S e_ %Open Space: (Lot area minus bldg &paced parking) S # of -Parking Spaces SwYN e. it of Loading Docks Fill: (vol-time--& location) • 13 . Certification: I hereby certify that the information contained herein G, is true and accurate to the best of my knowledge. DATE: 'cD$'q`-j APPLICANT'S SIGNATURE NOTE: issuanoe of a zoning permit does not relieve an applioants burden to oomply WW1,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. FILE it • File No. 96k7116.313 ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Sc. Tr \-f\ Address: -3 S c C b[�,S m s >c>w l Telephone: U\T, " (.,- 9 SJ 2. Owner of Property: ?(K.N>...\ Address: j � Lo C\"Z Telephone: 3-7 4— (:44.2c 3. Status of Applicant: Owner _Contract Purchaser Lessee Other(explain): 4. Job Location: C ? Gan 2, Parcel Id: Zoning Map# 5.) C- Parcel# // 3 District(s): ��� C' (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property • 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): P x ;S�-; ' ; Lv AcLk�;) �� :-\\'o 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 y/ 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 i/ 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) FILE I "� `- t aC APPLICANT/CONTACT PERSON: jeatf ADDRESS/PHONE: 5 ) C �<� 2 �� '�u.� ''t� -' s• PROPERTY LOCATION: ' � ice � <� MAP 3_) C ' PARCEL: /f 5 ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DA• E 7.ONTNG FORM FILLED (MIT �' � a-)17 FeP Paid Building Permit Filled nut Fee Paid 4/0'!2 576` Type of Cnnctrstrtinn• New f onctrnrtinn j4-2 /, `e- Remndeling Tnterinr ��ALI14cti-ed/-ist Addition to Evicting Arceccnry Strurtnre Building Planc Tnrluded• Owner/Occupant Statement or/Licence /Gt'l Setc of Planc /Plot Plan d HIS FOLLOWING ACTION HAS BEEN TAKEN ON T APPLICATION: d 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: 'N..,, Curb Cut from DPW Water Availability Sewer Availability Septic Approval-Bd of Heal Well Water Potability-Bd Health it • re it• •,Vssion e-// je- Signature of Building` .- tor 'bate NOTE:Issuanoe of a zoning permit does not relieve an appiioant's burden to oomply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public, Works and other applioeble permit granting authorities. n ' `° rg v z o al rig ADD 2, z 2, > `2 2 '2 p �-3 w o N d :44/ •�O .» N N 1 1y1 v, < • O -• �y n.. �r , C)> o n !•k4j is- o� CF C4 q(1 C7 O CD a rj 5. 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