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23B-046 (152) V _ n• MI tti _ a > r�n0 �` �• v m � r Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. /'----�'7 I9LL Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location y�L1Crr S t") Lot No. 2. Owner's name T LAddress c�L i �r✓ 2ssi %- 3. Builder's name W1 Address Z-3 "s z- 4'4-fsta&,S AW, ( �yt1 / ,$1�l Mass.Construction Supervisor's License No. LS [ C 5£S 2 Expiration Date 4. Addition / y 5. Alteration lL1S l� ✓ G-tift is 6. New New Porch 7. Is existing building to be demolished? / 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost:- Y ' G c The undersigne ertifies tha e a e statements are true to the best of his, her k owledge ie7 Signature of responsible appicant Remarks 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 co1wa to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - 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: 4volume--& location) 13 . Certification: I hereby certify that the information ained herein is true and accurate to the best of my knowle e DATE: 7- / APPLICANT's SIGNATURE ?" NOTE: Issuance of a zoning permit does not relieve an iloant's burden to oom wlt P ply tfi,..aU... zoning requirements and obtain all required pet m the Board of Health. Conaervation Commission. Department of Publio Works and other a plioable permit granting authorities:- ,,:: FILE # :. JAN 2 7 !9y 7 File No. A � I ZONING PERMIT APPLICATION (§10 . 2) PLEASES TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address: Telephone: 2. Owner of Property: Address: � Z�1D,c'TJf,I l�'iGiTklephone: 3. Status of Applica t: Owner Contract Purchaser Lessee �ther(explain): ,�J% 4. Job Location: ( _ �,{7< c�j C ✓�(1(�'j �%;�% h Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupabon: (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 PermitNadance/Finding ever been issued for/on the site? NO DON'T K NO,::/ 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) FILE # JAN 2APPLICANT/CONTACT PERSON. ADDRESS/PHONE:_� PROPERTY LOCATION: � Ct ' MAP PARCEL: r ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERK UT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FITLED OUT Fep Paid 1RIlilding Permit Filled ont FeepAid ) 4�! -Rernndeling Tnterinr '46f--Z-- Addition tn F, Z Accessory Strurtitre c' THE F LLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: < 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 Conservatio ommi si 2 i Signature of Building for Date NOTE: Issuanoa of n zoning permit does not relieve an appiioant'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. ^ F 1 J b F"� A a z Vs n o 0 �c P' a. co w r* k OD 0 OD Lo �] cr R ° ebb En G rt N G 3 � (IQ E ro d r� =D 08 C� ° w2 = • r) 0 O PV q ° � � n A C �r ICI A ' `�' � I h F•• 7 v CD G 5 Q ° 0 n 0 0 rt CD ~ rt rt r--3 I" O Q 5 5 5 o' o' o y �. 0 ITI :3 M CrQ N) w ko J CA ql cm T 'Poo Po G y O lr = ? O to G 5 cu v, dQ 3 b 5y L * Q 12. . o Ln co 5' z