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28-067 (3) > 2 T � � a � p Zoning ��- Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. � X22 Alterations NORTHAMPTON, MASS. �( S19 Additions APPLICATION FOR PERMIT TO ALTER Repair a Garage 1. Location 2 2� SyL_J�3 1 LCL CzoPrtt� Lot No. 2. Owner's name��t.1J 4 t SS7'?�" (�E Address 2 Z Ff S leL QCP(-M- 9,0 3. Builder's name QUA �� Address 36 S CAS(4jC— eE�Z Mass.Construction Supervisor's License No. O y 9 y y lk Expiration Date 6I 96 4. Addition A',U-P Ithb Cam- j —(2 S Z� Z)C i ST—"C K 5. Alteration 6. New Porch 7. Is existing building to be demolished? (1i 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 c sL- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app icant Remarks CONSTRUCT' e A SOLUTIONS I j; i CONSTRUCT ASSOCIATES, INC. • 36 SERVICE CENTER • NORTHAMPTON, MA. 01060 • 413/584-1224 FS 0 MLU M10 NS L"�:s c- 1;z - �'�A e- cc2 Ao7IG� "c�T LC LA CONSTRUCT ASSOCIATES, INC. • 36 SERVICE CENTER • NORTHAMPTON, MA. 01060 • 413/584-1224 i 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 Holm to be filled in by the Building Department Required Existing Proposed By Zoning Lot size l�f'\-C Q � Frontage Setbacks - frnnt - side L:-(O dA-R: (Cut L: R: - rear p O 4. Building height Bldg Square footage %Open Space: Lot area minus bldg &paved parking) '` # of -Parking spaces of Loading Docks N Fill: '-{volume--& location) �g _ 13 . Certification: I hereby certify that the information contained herein �f is true and accurate to the best of my knowledge. DATE: G��� 1 G(� APPLICANT's SIGNATURE_ NOTE: Issunnoe of a zoning permit does not relieve an applioant's burden to oomply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Pubiio Works and other applioabie permit granting authorities. FILE # File No. 7 J ZONING PERMIT APPLICATION (§10 . 2 PLEASE TYPE OR PRINT ALL TNFORMA=ON 1. Name of Applicant: �3 dz Qtr--R Address: 26 SLe-J(cra Telephone: 2. Owner of Property: �PA4.4a[L 41SS 3 tf-I-�N p, 1°�CZR Address: -':? Z-0' -&YLQ L Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee _jCdther(explain): 4. Street Address: `z2 Sr S`/L-U S' L2q) Parcel ld: Zoning Map# -` Parcel# District(s): > (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupaticn: (Use additional sheets if necessary): �o -V-3`A-2-i -Tb pct STAG '�� 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/Vadance/Finding ever been issued for/on the site? NO DON'T KNOW__4 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW C,-" 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 4--' 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) 960452 FILE # APPLICANT/CONTACT PERSON: ADDRESS/PHONE: PROPERTY LOCATION: ' MAP PARCEL: ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERK UT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE <--� Z ._3v�' �� ✓' THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: <' _IZApproved 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 P mit from C ervat' n Commission ignature of uil 4 lns Dye NOTE:lssuanoe of an zoning permit does not relieve an applioant's burden to oomply with all zoning requirements and obtain all required permits from the Board of Health. Conservation Commisslon, Department of Public), Works and other applioable permit granting authorities. � v III I z rape o o 7 17 7 F1 J U 5 c = � a w cn U `�` O •� c 0 w - I �mp1 o o o o A 05 o. ` a S S a� pa gal , ` L O Eno a � a lou �•I , A, � va � 0 o 0 y � Uz � S ' ul o t4-.u O4mm x U) o c V � 4-3 I «S7 O > O Q) O ro GA rrt". 7= bq FM�i x > ° o ? �' N lfl (� ro U) N � 5 A >,3: O A Ln d F i �O CO c jz O k Q0 C N N W U bq .. ' >O >O O �s rdo � M•41t6,0.• O c on