31B-050 (5) a
>
v
C �
D
m
Z p
5Qj2? � O
M
CA Z
n.e... N a -, 'n 0
m
� F
j Zoning
Miscellaneous Additions,Repairs,Alterations,etc. r Tel.No. � Alterations
NORTHAMPTON, MASS. 11 ! LC) 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
a
Garage
1. Location 1117 1-16- Sfi' Lot No.
2. Owner's name Sce r f Address I--V N (Y1�'LY t Q1ti 1
3. Builder's name L.FditJ S7'?2.-9wayt: Address 5"�.,,•J t s�/ /Zc/,Gc %1 Vii.T�is /5%
Mass.Construction Supervisor's License No.C 6V Expiration Date
4. Addition Ivy
5. Alteration NO
6. New Porch T13 0
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating t
11. Distance to lot lines
12. Type of roof R&M
13. Siding ho l
14. Estimated st
0,t _ U
The undersigned certifies tha he above statements are true to the best of his, her
know an ief.
Signature of responsible app icam
Remarks
.,
� 6j
»� : a }
� � »\2(
\ � |\�
X22(
� ��2 .
� ��� ��
. \\:/ . y
r2 '
> ? ��\ .� _ _ � �
. \ !ƒ� .y. y\:
.. . .
f. � �:��—
ssy!
� � !\«:
� 2�� `y {
/�� 222��� :� � �
� � !
�� �\� ����\3�
�
r
I-7P Lvoc:,� c,,,,,
Shp e-f r��
d,
C£�, � dcw>
1
z
C'V �
iu
r
.�� X01
r
wcso� 4-o R Q- pur,)9-7 .
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 colt to be filled in
J--,y the Bni.ldl-q Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage �� y
%Open Space:
(Lot area minus bldg
&paved parking)
,pf, `Parking Spaces
fof Loading Docks
Fill:
"4vo1-time--& location)
13 . Certification: I hereby certify that the information onta1nP�r7 herein
a
Is true and accurate to the best of my knowle y
DATE: APPLICANT's SIGNATURE
NOTE: Issuance 'a-Ca zoning permit does not relieve an applicant' bld-rdiih to comply with„ �1
zoning requirements and obtain all required permits from the Board of ealth, Conservation..
Commission. Department of Publio Works and other applioable permit granting autho.ritles:=
:,? FILE #
t '•yy
NOV 2 1996 File No.
s
� i
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Y lyi(1 E, A112, 5w1�i.
Address: �-U -- f(-(Ne)— Sr • Telephone: 14
2. Owner of Property: �Q f f (L,0 1J 6 e If (,--
Address: UN� n(1 - t?'�C?y�J 1 Telephone: L03 "2 - 64(o9
3. Status of Applicant: Owner Contract Purchaser L--�Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map#�'_VF Parcel# District(s): 711B
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
s � Fsj
42 e-
4-gyn
AL
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
"o - r� ►C � 4� �.� =rvs iC�s
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 PermitAlariance/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 # 9 6 1. 7 43
21
APP ,ICANT/CONTACT PERSON:
'A]JDRESS/I'$dNI
PROPERTY LOCATION:
MAPS � PARCEL: 1 ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
7.ONTNC-FORM MLED OUT
Fee PA*d 111&&W
Arreqqn
ti--—
r--
L-), ✓'
(
THE,POLLOWING 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-Bd Health
Permit from Conservation mission
Signature of Building Insp Date
NOTE:lasuanoe 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 Publio Works and other applicable permit granting authorities.
Q o�
�J CrJ
N
O C.J' cD p
Q' o, � 5!'' E' i ,R w o W O W
co '1 0 rt y
b `� o'
b 9 n
~' O ca fD o y
r r
rr
o
En
d rn rt
1-1 v' p� ° v' CAD ' (NppO rllr
IQ v' tfa �..it1
�
' � g. ' �
a �(IQ
y
En �• o
qQ
pFvoo� �
'"^ y
`1
� �' � 5' b
o fD .� 0 GtQ
z
o
n y �
C o p
O
W
r CD tz X 55 d
aka 5 aQ o �
0 co
Z 0 a
C7. �' �' cr a `17
o' bd �' ►C o d
Sy ® Q n
� t� o• �. o � � o
wr
rwr�rr irr
M11�■ai■�iiii
rir�rrrr.rir�r■r1r w�
�r
i ii �_ ■
I 1
CD
v