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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 73 3) Alterations
NORTHAMPTON, MASS. c � 19 Additions
' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location Lot No.
2. Owner's name Address
3. Builder's name Address
Mass.Construction Supervisor's License No. G S D-.Z :2) G 7 �k Expiration Date r,7(;., ,2-491 rl
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 cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of re ponsible appicant
,temarks
r
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? NO
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
Thie columa to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minas bldg
' &paved parking)
of Parking Spaces
%f Loading Docks
Fill:
(volume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: �, -�/ APPLICANT's SIGNATURE _ C
NOTE: 1saLianaA of a zoning permit does not relieve an npplioanra burden to oarffipty with all
zoning requirements and obtain call required permits from the Board of Health, Conservation
Commission, Department of Publio War" and other applicable permit granting authorities.
':` FILE #
61996
File No.96
ZONSNG PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: �266 Telephone: A �(�
2. Owner of Property: t��
Address: A-
,2 ��- Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): ! y �
4. Job Location: jll� �:-,
Parcel Id: Zoning Map# &61'� Parcel# 616) District(s):��/'L
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
41;7
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 PermitIV2dance/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 # � t
6 1996
AXPLICANT/C-ONTA CT PERSON:
PROPERTY LOCATION: /' __ �IC�J'l c � A,G�
MAP 134, PARCEL: ZONE
THIS SECTION FOR�OFFICIAL USE ONLY:
PERNUT APPLICATION CHECICUST
ENCLOSED REQUIRED DATE
MNTNC�FORM FULED OUT
Fee Pnod
-Fee pnifi
e _
THE LLOWING 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 f onservation o ssi n
IC Signature of Building Inspecto ate
NOTE:Issuance of a zoning permit does not relieve an applloant's burden to comply with Anil
zoning requirements and obtain An11 required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applioable permit granting authorttles. —
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