32C-284 (6) a
..r
T �
Z Qm
r ^ o J
r!, z
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No, � ��'��� Alterations
NORTHAMPTON, MASS. C, , 19 ,1 Additions
1
APPLICATION FOR PERMIT TO ALTER Repair
f } Garage
1. Location 3 11 o-PA T�ei t� Lh o rft,�i ii n\-- Lot No.
2. Owner's name )V- c,v� �4-�� Address �F �� v"� V It
3. Builder's name )Aa � �`E,L > �Ce. toy e V Address Z�� ��i vim+- �r� 4R.
Mass.Construction Supervisor's License No. 0 1 � -2 Expiration Date it y 4 �'
4. Addition �N U
5. Alteration V-0 C-YA remC,C( 1 ✓tG
6. New Porch
7. Is existing building to be demolished? N
S. Repair after the fire
9. Garage C-) No.of cars Size
10. Method of heating
11. Distance to lot lines I
12. Type of roof
13. Siding house
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
i
signature of responsible app,icant
Remarks
ko G
5
T55
Lot'
To A-3
u—k
\ S►N1�
L
'JAL ve-5
e
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
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colamm 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)
# pf -Parking spaces
f of Loading Docks
Fill:
'4vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
.l
/1
DATE: fCV°��( Co APPLI CAN T's SIGNATURE C'cd-a-uy'2v
NOTE: Issuance of a zoning permit does not relieve an appl' ant's burden to comply %4l;17"401
zoning requirements and obtain all required permits from the Board of Health. Convervation..;
Commission. Department of Public Works and other applicable permit granting authorltlea;-_
FILE # ,
Fi 1 e No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: a' 'pup Lct-< Q-)+(-- V
Address: Zqo f Telephone: ,
2. Owner of Property: �IJ r��cx '� Dq ['Q!-t
Address: "ket,J AU-e, — V /1(tyyjk, Telephone:
3. Status of Applicant: Owner V Contract/Purchaser Lessee
Other(explain): (((ttt
4. Job Location: �Gk �
Parcel Id: Zoning Map# rte Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. D nption of Proposed Use/Work(/Project/Occu ation: (Use additional sheets if necessary):
C:` c)( \/Vlo \ Vlc U Y i ) V C2. L`Z�U7l.V o , LQ() i
S�or buf ' awl,e 't`c ` move hu-d door ILI L'-) 6 `tU7<)1e-41—
VV1 Il 6 v!� e Cl Yl I, eLJ
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/Vadance/Finding ever been . sued 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 DDocument#
9. Does the site contain a brook,body of water or wetlands? NO V 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
APPLICANT/CONTACT PERSON: 2k& e &,P waw
ADDRESS/PHONE: - ' C ��� J � 6
PROPERTY LOCATION:
MAP v��Itr`- PARCEL:
THIS SECTION FOR�OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED 01IT
Fee PA
]Rlvildin2 Permit Filled ont
Fee PAid
..Cnn-.tnjrtinn-
New Cnnqtrjjrflnn
*-
T kPOLLOWING 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 missi n
Signature of Building Insp r Dat
NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
n 'ti
fD y y O O C' O x
n n
cv O
co � 05* �AV 0 p cam* ,mid �a�m•e�
CD
co p {� Owl
cT C)
gL=
'R °» x
CDC cow. e 9C W �,
Fl� c w
n5t
2 = o
mod*
Iq
Q1 rMill
a C7 oc a o
� CD
znCD
5CD � � oo � Q
60 "
CD
ara
O � �
b �
yrot,
C
L/] 0 5 5 5
0 o•" 0 0
as o 0 ' 0 n5c'
o
W y N f 7 m
N r IT 5 as On °m O
uq r
o rv' o
cD cr. C
o Cm �' ac o �' ao C
' tz O Q.
o. 9
(IQ
CD
z