29-392 (4) a
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,�-{ Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.5 n' 0 Alterations
NORTHAMPTON, MASS. y 7 � 19.� Additions
a APPLICATION FOR PERMIT TO ALTER Repair
Garage
Location ��✓/I,�Od�, W 00-0 1-)rt, Oofl-c---)G Lot No. C) 160
Owner's name �2116,L. t-)'-1A)4 J• I SO Address_ / Gl�iCsc-)G1 y19ji
Builder's name 'q//Y1 y��1�,�� �l/ Address S /T
Mass.ConswcUon Supervisor's License No. G Dc� JO / Expiration Date 6/-- Z
Addition /G :)( /6 /y
Alteration
New Porch
Is existing building to be demolished? t�0
Repair after the fire d
Garage No.of car's / Size
Method of heating 0;4S /y-d ))'�-.�
Distance to lot lines /%!L-O A/
Type of roof 11-J110%,/,�i L`�
Siding house G C AO6 r-- 7/V-4 t C//9d2&0'F'0
Estimated cost:
—
The undersigned certifies that the above statements are we to the best of his, her
knowledge and belief.
Signature of responsible app,ican!
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10. Do any signs exist on the property? YES NO 1_
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 corm to be filled 1.n
by the Pailding Department
111000 Required
Existing Proposed By Zoning
Lot size �j U X /00
co D
Frontage �z r I
Setbacks g v
-side L.Q R: 46�R:Q* J
- rears i
Building height `
�
Bldg Square footage , &0 1 l d(o uuq 4 � /0
%Open Space: �5�
*(Lot area minas bldg
&paved parking) /J 6
,Qf Parking Spaces
;k of Loading Docks
Fill:
'4vol-time--& location)
13 . Certification: I hereby certify that the _information contained herein
is true and accurate to the best of my kno ledge.
DIOE: J(// '� a`l�l� APPLICANT's SIGNATURE
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 npplioable permit granting authorities.
�� FILE #
t+ tf Fi1e No.
F
ZONING, PERMIT APPLICA27XON (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:- -3-';9m ?.--y
Address: SG /y>,4/g,jr� /VOS-}9A.-Telephone -
2. Owner of Property:- Cl9►2, L **' 7//\)/+ 2VJLJ-(// )
Address: 7 6Ewk-Wr.2,Q OK eOlZ lj,,IOUelephone:, �l,'--
3. Status of Applicant: Owner —L�C'ontract Purchaser_ Lessee
Other(explain):
4. Job Location: ._? ei'�OOIGl��ld� VY2 L rldje-;�.cJQ
Parcel Id: Zoning Map# Parcel# ., District(s):
(TO B FILLED IN BY THE BUILDING DEPARTMEN
5. Existing Use of Structure/Property V tip
6. Description of Proposed Use/Work/Proiect/O cupation: (Use add "anal sheets if nec ary): +
/ 7
7. Attached Plans: 1/" 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? NOZ 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
LPPLICA.NTICONTAACT PERSON:
LDDRESS/PHONE: G,
'ROPERTY LOCATION:
rIAP PARCE ZONE C/7
THIS SECTION FOR-OFFICIAL USE: ONLY:
PERAUT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee Pni
/ Pinn
i
HE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION-
Approved as presented/based on information presented
Denied as presented: C? V-e.0 I J � C C f.ak,.A(,VCA• CM t?CL"e j (0
ecial Permi andlor Site Plan Required under: § ,
_ G BOARD ZONING BO
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 mission /
gnature of Building In r ate `
)TE:Issuance of at zoning permit does not relieve an applioants burden to oompty with all
ming requirements and obtain all required permits from the Board of Health, Conservation
ommisslon, Department of Publio Works and other applioablle permit granting authorities. —