32C-305 a
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Zoning
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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.s� �_ 6 `5 Alterations
NORTHAMPTON, MASS. ?� 1 9,1b Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location U AL L fi S l_ Lot No.
2. Owner's name b� L S /a6 W 5 (: I Address
3. Builder's name Dig U C j L d IL 7 1 t1'2 Address
Mass.Construction Supervisor's License No. l3 Expiration Date :3 !�8:
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 S 78 v le 1,V t.g
14. Estimated cosL-
lS�
/ The undersigned certifies that the above state menu a true to the best of his, her
knowledge and belief
f�
Signature of responsible app,icanl
Remarks
No
10. Do any signs e>ost on the property? YES NO LX _
IF YES, describe size, type and location:
Are there any proposed changes to or addition�of signs intended for the property?YES NO
IF YES,describe size,type and location:
11 . A_T.T, INFORKATI'ON MUST BE COMPLETED, oz' PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This color to bo fillod in
by tbo Banding Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved par]Eing)
Pf -Parking spaces
of Loading Docks
Fill:
volume -& location)
13 . Certification: I hereby certify that the information contained herein
G� is true and accurate to the best of my know d e. � -
I,
DAVE: -L-3 14 APPLICANT's SIGNATURE v
NOTE: Is-auan a of 6 zoning permit does not relieve rkn appnaant's burden to oompiy with ai{
zoning requirement- and obtain roll required permits from the Board of Henith, Conservation
Commission, Depsrtment of Pubiio Works and other eappiio$bie permit granting authorities.
FILE f
1�el 2 3 Fi 1 e No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE =,O OR PR-TNT ALL INFORMATION
1. Name of Applicant: (Av ( t�
Address: 3"� ��U�z ( j c Telephone:
2. Owner of Property: la'- -(` SR �} B� (( �•
Address: LC.IZ'/ s l Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain) �f e w'( 4 /� C 7-6V
V
4. Job Location: I (i Ll ' K ST.
Parcel Id: Zoning Map#
3-12d- Parcel# '�.�j District(s): :_,•���/�,.,,,
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupadon: (Use additional sheets if necessary):
T/c ( J° L 5 ( 61AJ elt, u!ti V( I /
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)
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FILE # � h 1 n �
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11 f
APPLICANT/CONTACT PERSON:
ADDAESS/PHONEs
PROPERTY LOCATION: �GG � � t��� -:. ,_>
MAP �'' PARCEL: C a ZONE
THIS SECTION FOR-OFFICIAL,USE ONLY:
PERK HT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee Plid
'Riiilding Permit Filled wit
743 9Je
Additinn to Existing erZ.'
THEELLOWING 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-Rd Health
Permit from Conservation C mission
Signature of Building his Date `
NOTE_lssunnoe of to zoning permit does not relieve nn applionnYs burden to comply with ail
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applioable permit granting authorities.
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