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32A-152 (17) C. 3 do IFA OF Ib-,L 1hy 31t/l F,S +A f 1y OA FA Sri. Ri 1 Q 'c� Z IVA 0'19 A L-IA AA 1-0 Z ` �p 1 ---- ----- ------------------------------- r i i n ' 1 1 , I , i II 11 Na _ _ + I 1 ' i ` I , I , --- - - ----------------------- ----------- --------- VIA - -- --------------------- � 1 11 1 , 3 00 � rn I NZ . 1 Lj 9 ® ;A brill O b , ---- ---- -------- IVA iA z--11 II-i IPA FA ® r---------------------- -------- RRII--------------------- -------- ^IL LJ Al ® ri ►5, � � j iA q-19 . I . I VIA 1 I � > I � a I ; ION - YO ill t-19E va 0 Jonathan Lord 9/7/97 23,06 STRONG02 I 1 A F,S 9AA h-,S 3,A FA Alm 1 Qri v rr 70 y A L-0 On rIM cZ I 1 I I I I I I 1 I I ® 1 I c S, I I I , I I II _ I I �► I --- ---- -------------------------------- I s il�rrc " i XrL I , b --- - ---------------------------------------------- ------------ ---- =''�-- ----------------------------- r------------------ --------- II II �► I I Q' II N II II I I I I JA rig s. LJ -------------------------------5------- y ® ;A b-'p � � 0 ^i i, l .�. ---- ----------------', �\ L ON AA Z-A OA FA ® r---------------------- -------- Ir------------------°- -------- R LJ I N ® f, aL II I I II I I D i I � I r Yo 9-,9E w 0 Jonathan Lord 9/7/97 23106 STR❑NG02 a 2 v b o• � 3 0 oy Z m Z c= 0 r Z rn a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. SSG- 03 Alterations NORTHAMPTON, MASS. S 19F7 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 5" F7 5'T ar)t-4 c- N t?b a Lot No. 2. Owner's name —rk.1 ENr REAi T� Address 31 C41PRUS PLAZA lebJ A14&Z1 9/1 3. Builder's name I OH►— CON5-T12ocT16/4 Addr= LR/ C4,InPos P,t.AZA !'p,a1-j2y 1'1)A 616Sf Mass.Construction Supervisor's License No. GS 0YV08 Expiration Date 63 sl e 4. Addition 5. Alteration -1/'Y7ron o i2 6. New Porch 7. Is existing building to be demolished? 1116 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating r1A5 /:OkNA6 , 5-7'k497 11. Distance to lot lines 12. Type of roof J4�A-r 200F, Tr4k 6&AVE.4 sr�l�fAC 13. Siding house 14. Estimated cost- The undersigned certifies that the above statements are we to the best of his, her knowledge and lief. �° C < Signature of responsible app,icant Remarks (Zt� Df 'Narillailipto-n n a Q �:�snchdscllr DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 W0RICER'S CO TENSA`z`ION MSURANCE AFFIMAVTr T L I Lc (ti��/perali ltcc) vl�th a principal place of buswo-sslresidence at: RoA3� �/ � M a 010 5 _(phoocr ) (sty Uc�ty/st�lrJzi p) do bereby ccf-L ,, uEdcr she pz!ns and pcnalLies of perjury, th?-i �[) I am an employer provid g the following v:or'r_er's cornpensa�on cove Zoe for niy employees Wori6ng oo LES)'& `H�o COP \,V(- s z-411 (LnSurance Compaay) (PoLicy Number) (Fxpiraaon Date) ( ) I am a sole proprietor, general c000-actor or homeowner (circle one) and have hired the contractors listed below who have the follovring workers compensation policies'. (Name of C0n[r-3eWr) Q11>_suranc�-- Comp-.-ay/Poucf Number) (FxpLm6ou Datc) (No-mc of C0Onctor) 0n ur7IlCv ConipLuylpoGc/Number) (ExTp f2600 Dale) (N?Mc of Contactor) Unsure-- Cotapam,fpoucy Nur1� ) (Ezpiraaoo Date) (i,Iamc of Contractor) (Inau--ac°Compaa)/Poucy Numt'Lr) (E)cpit2Doo Data) �e6ti.�t r±>ccf irncoa-.,y Lafotm.Eca pc' to.11 oc�r�on) ( ) I am a sole proprietor and have no one worming for me. O I am a.home owner performing all the viorkk myself. _ ' cL NOTEu th.t rn pcto o do � of ont meet 11LO 1111'00 units in whic!a ibc b:tvro:yorr rcidc�er oo the Rcu;v zpp:i'v�ci tbc.-cto uz oeC Ecxs-..11y�e:idcresi i�be cmploym uneSeC tbo worker`s•lea:=tim Au(GLl52ss t(��aF?lz�'DOn by a boscocvn�r fnr a liecax cc pcsmii:.SY cviw-mac tLc Icgil clan..oCnn c:;sploy>c undcrtho Wor4colz Comgoaa.liool+cL I undcrzland th*t a ooyy of tbi. ,.< <©.y b z for wnzd«1 l.o cbo Dcpa.m.,t of lo.!utri.1/.�dm�l Offs oo of l—,—for d- covcrabc vcrifiatioa And thst Luluzc to con covc�undcc section 2SA of htaL 152 c o 1c.d to tba"impa. c°of aimmaA pcv.+lticl 000sistizlg of x fine ocup to S 1-500.60 mdloe i proocmn cj ocup to ozx)-=r.nd nyd P-1ti cs in the form oCn Stop Work Order and a fizmof5100_00 xdsy agaiaA.mc Signcd this da J�'`I - 1997 ForavatMo&-,l °c Permit Number C, L Mai! Lot tl signature of Li 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__Z IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This color= to be filled in by the Building Department 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) # o f—Parking Spaces f fof Loading Docks Fill: 4 vol-ume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowl ge. DATE: - � C APPLICANT'S SIGNATURE Zr t" NOTE: Iss an a of a zoning permit does not relieve an ap io is burden to comply wltt���pU- zoning requirements and obtain all required permits from thd Board of Health. Conservation Commission, Department of Publio Works and other appiioabla permit granting authorities. FILE # File No. 9 1 ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: L114- Address: 3/(Awns p�gZA 'cA, �i4nl Ii'1A _Telephone: 2. Owner of Property: /12Efv7` 1?,--X47Y Address: 3% C /. LE 4/'/ ,'o�Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: ]_ r7 5)R,ugc 57 /Y T01\1 nn Parcel Id: Zoning Map# J,�) Parcel# District(s): l j' (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property Z�0 1LDUlz 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): RAM o� ro M F_ /NT, 04 k717_101✓S A/✓/J t-Q V.S_7/euC7- snm PART�TiO/✓ Acroft�4JG ;o /-)/-A/V a//yG A' rili`a'771 keo& AS .00'f7 SiAIk 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 X 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 # f? -- 4 APPLICANT/CONTACT PERSON: ADDRESS/PHONE: �� PROPERTY LOCATION: MAP 22,d PARCEL: / ZONE `� _ THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fep Paid _. THE F LOWING 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 mmission /,�' Signa 'Date/ NOTE:kmuanoe al& zoning permit does not relieve an applioant's burden to oompty with all zoning requirements and obtain ail required permits from the Board of Health, Conservation Commission, Department of public- Works and other applioable permit granting authoritlas. "T2 �' 'o•r•a• w O Z O '�-t� O "d "y.. 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