Loading...
23B-046 (153) 171 v 3 c Z m p Z > —1 Z Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. "r 19 Additions % Repair APPLICATION FOR PERMIT TO ALTER Garage J ' 1. Location L�-�c ��"�- Lot No. 2. Owner's name $ 1 L Address �' ✓ ' 3. Builder's name Address r G� -� C (L 1 U'� Mass.Construction Supervisor's License No. Expiration Date ✓�- �l` 4. Addition 5. Alteration 6 `.'� 61i`4rn #� y A/Lx-6`'i /(/��' �E`Lfd/�'✓��"'-- ti 6. 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:- /G-%U 000 The undersigned cent' jes tha he above statements are true to the best of his, her Signature of responsible app,icanc Remarks 10. Do any signs exist on the property? YES `� NO t IF YES,describe size,type and location: Are there any proposed changes to or additions of signs intended for the property?YES NO L/ IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. Thia col— 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) A,Q f. Parking Spaces _. fof Loading Docks Fill: '=(voliume--& location) I3 . Certification: I hereby- certify that the informat ' contained herein, ., is true and accurate to the best of my g DME: % ? APPLICANT's SIGNATURE. t{" NOTE: Issunnoe of as zoning permit does not relieve an appl oant's burden to oomph/ w tt} zoning requirements and obtain all required permits rom the Board of Health.;,CanBervat Ion . Commission. Department of Publio Works and other- pplioable permit granting authorRies.r ,i� FILE # - %' �. i Fi 1 e No. BONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: 1 p_7 P'66 ' � ��fn-� Address/ �' ,Z �/ Telephone: /d , 2. Owner of Property: ( ` 1/ e� Z) Address: / ' $✓ Telephone: -1231 3. Status of Ap77her t: Owner -Contract Purchaser Lessee } (explain): 4. Job Location:�l�C1f,'2 #lam I �F/fib/l/�'Li� y � At . Parcel Id: Zoning Map# c, Parcel# District(s): (TO BE FILLED IN BY TH BUILDING DEPARTMENT) 5. Existing Use of Structure/Property - 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): -= �_j 4 niczz G L �„��<k- 2 /1✓,El�J CAL-&rz. /_X/1 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/Variance/Finding ever been issued for/on the NO DON'T KNOW YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DbNT 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 # 3 APPLIC R/CONTACT PERSON: l') ? ) l>#L` ADDRESS/PHONE: PROPERTY LOCATION: 2t;Z� MAP —A3 B PARCEL: 4?� ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FIT J ED QITT FP,- Pahl Iguilding Permit Fillei) lilt Arresqn -�- 1 THE,FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: Approved as presentedfbased 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 C fission , Signature of Building Inspec Date NOTE:Issuance of a zoning permit does not relieve an applicant's burden to oomply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applicable permit granting authorities. � � � � �C �. O. � O• � cn x � � F-' b n = ,... O G G. fD O• A � O �' � �. "A �' r.. J En cr a, CO o n Eg cCDD o rn m rt \ / ti Ch S ent ocro o c� j � 1 cn O A g a owe (j C2 � a � c O O a tz 5 ro o CY 4s llc� CD eb � � � �• � � n � � m WNW ti`s`<•F, C7 �• o � � .,y In r0 i •° i s i q 5 i o o �' o LK r/e