32C-281 (2) e
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �{-ZIP Alterations
NORTHAMPTON, MASS. �� ' 1925 5 Additions
APPLICATION FOR PERMIT TO ALTER Repair
p Garage
1. Location �C y� hQ L (,4IV� � Lot No.
2. Owner's name Cf fz 17-- Address /?'r-) (_U al 'L `- r
3. Builder's name n1 Address
Mass.Construction Supervisor's License No. tf -(s Expiration Date 2-12'7 rr�
4. Addition
5. Alteration
6. Alca*Porctt-- 1 F�1T1�•i(, i >�l f�
7. Is existing building to be demolished? (---D
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:- - �
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
—� Sign ure of responsible app icane
Remarks > �-�l� ? �� =��st`. (n(%,J c-AF- Rif`
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 col— 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)
#, .of, _Parking spaces
# of Loading Docks
Fill:
'_(vol-time--& location)
13 . Certification: I hereby certify that the information contained herein
rf_ is true and accurate to the best of my knowledge.
DATE: (f -��{? APPLICANT's SIGNATURE - -
NOTE: Issu noe of a zoning permit does not relieve an a-AP14cusnto 144r n to co#�WOY with all
zoning requlrements and obtain all required permits from the Board Health, Conservation
iCommission, Department of Publio Worker and other applicable permit granting authorities.
` ,; FILE ,
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b
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File No.
ZONING PERMIT APPLICATION (§10 , r}
PLEASE TYPE OR PRINT ALL INFORMATION rt
1. Name of Applicant:
Address: ?�:,,. J '�J',C - ��_ �t ��,�: Telephone: 7� G
2. Owner of Property:
Address: Lc (_ `1t f_ Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Street Address: cl 'U UV t is f�ry� 1l
Parcel Id: Zoning Map# ZC-- Parcel# District(s):_
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (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 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? 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)
960469 11
FILE # "
APPLICANT/CONTACT PE RS N:
ADDRESS/PHONE:
PROPERTY LOCATION:_ Aw
MAP-:L2 PARCEL: / ZONE 1�
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
MNTNC�FORM FIT LED MIT
NPw f nnstrnrtinn
RPmndt-line Tnterinr f '�
Additinn to F,xisti
Rnildin2 Plane Tnrinded-
TIC' OLLOWING 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
rmit f onservation Commission
-IS1 lding Inspector ate
NOTE:Issua of as zoning permit does not relieve an npplioant'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 appiioable permit granting authorities.
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