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