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29-133 (5) T � z a r r u.s Zm c Z � o x : m � � i a i Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations a NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair r Garage 1. Location C- Lot No. 2. Owner's name Address ' / 3. Builder's name 61 Address +� Mass.Construction Supervisor's License No.&1900 (;l Expiration Date - Z, t 4. Addition 5. Alteration 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 cosL- / The undersigned certifies that e above statements are true to the best of his, her knowledge and belief r Signature of responsible appicant Remarks^.t%/i' Op/� /1'r/I+�r SidiH� - �v�> / y �r��•�� ��^!JC i�/ f��:v[ ✓S _ /c✓ C7/GG 1­3 /`/a �G G D�i�-CC G✓t�f..-t- �� 0 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 cola= to be filled in by the 8ai.lding Lbnattmen t 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 .r #' of Loading Docks Fill: 'Avol-ume--& location) 13 . Certification: I hereby certify that the information contained herein �f is true and accurate to the best of my knowledge. DATE: /0--/Q - f APPLICANT's SIGNATURE NOTE: Issuanoe of as zoning permit does not relieve an applloant's burden to oornp'y 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. FILE # f� rJ...� File No. 9 OCT ZONING PERMIT APPLICATION (§1 ' � r'cf - PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address: -7�1 �—_71" >�rA-rrV 4E? Telephone: _--L?y 7 2. Owner of Property: /�i n'�%� /� ✓!Y r ,r�1 /9���.� a Address: 7,71 z,_-37,,y _5'X Telephone: 3. Status of Applicant: _Owner Contract Purchaser Lessee Other(explain): 4. Street Address: Parcel Id: Zoning Map# Parcel# J District(s): Z�� IZ14)10 (TO BE FILLED IN BY THE BUILDING DEPARTMENT) S. Existing Use of Structure/Property X-11—l . 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): _ '�' L'-+COX-��O4:.Jf dO�/'S � �'��/is C-� "�`-.i T'+� .'isi rl` cPt:,C,./'� �'✓r-.S-�'.L :[/=d(/,i ,�c / CG= G:r-�'r-/!!�' G C'/t/,-�,�1-✓�/f"i f' �C�% C`/'�G'r�� � �f �.aC tr �f�/.t r_ %3` 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 PermitNariance/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) FILE # 3 2 6 APPLICANT/CONTACT PERSON: ADDRESS/PHONE: PROPERTY LOCATION: MAP PARCEL: IONE S THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE Fee paod 'Myflding Permit Filled wit Ep�,Paid x C Q THE,F6LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: 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 o ervation Co sio Signature of Building kspe6tor Date NOTE:issuance of a zoning permit does not relieve an applioant'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. �� .. q_,� -c \� `�`� r� �� �� C9 ►� �"' OZ p"�� p O G� chi "rri 00 CD � C!7 > sr n �' w 0') F� ( y a C) c� ° m " rtm '° `° m ° n o o i° � R � sN d ' :E, 0 CA o * O Wet b R � CA g :� L god owe O C4 7VLn d o o o o o as 5 a° o CL o IOTI CD 'TI qq Li o o o fD o b g. CD c c. c o oN d (m EA M vc CA