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36-112 (2) y T an T � v -o o• z M _ O R •� Zy m ft ^Z \\ V ._.y �• r. S� X L ^' m m Zoning Miscellaneous Additions,Repairs,Alterations, Tel.No. Alterations ti NORTHAMPTON, MA 1� Additions Repair ' APPLICATION�01 M7-e ALTER ,r D Garage 1. Location of No. 2. Owner's name I a c� Address / G 3. Builder's name c�C` Address Mass.Construction Supervisor's License No, = Expiration Date 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 cosC- - The undersigned ce the above s n are true to the best of his, her knowledge an lief. 1 Sig t re of responsible app icant Remarks �G C 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 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 minus bldg ' &paved parking) :of. "Parking Spaces # of Loading Docks Fill: '4vol-;ime--& location) 13 . Certification: I hereby certify that the info 'on cont ed herein G, is true and accurate to the best of my kno ed APPLICANT'S SIGNATU , NOTE: Iss oa of a oning permit does not relieve an plioant's rden to comply_with all zoning i,amants and obtain all required permits from the Board of Health, Conservation _ Commissi n, Department of Publio Works and other applloable permit granting authorities. FILE # psi File No. [��3 ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE O T ALL INFORMATION 1. Name of Applicant: Address: 'L - e one: 2. Owner of Property: G v .QiLc Address: , �c — Telephone: c� 3. Status of Applicant: Owner '" Contract Purchaser Lessee Other(explain): - 4. Job Location: ee- Parcel Id: Zoning Map# &44 Parcel# District(s): -Ze (TO BE FILLED IN BY THE BUILDING D PARTMENT� 5. Existing Use of Structure/Property � 6. Description of Pro Us ork/Project/Occupation: yse additional sheets'f necessary): 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 PermitA/adance/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 APPLICANT/CONTACT PERSON: ADDRESS/PHONE: PROPERTY LOCATION: MAP J6 PARCEL: f ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERNUT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 7,ON-INC-FORM FILLED OUT Fep Paid Addition to Existing ellided- Q THE,F'OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: V 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 X15—1-911,� Signature of Building lmpr Da e NOTE:lssuanOe of a zoning permit does not relieve an appiioant'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 appiioable permit granting authorities. — o �"' as �'"'•°`•� c� Cal b o o cr y 7�0 •.�.•� CD PV 0 O R n CD w in t-h � b C O O. n r• N O co riq CD o n o \ 1 o n I�..1 0 qQ tz qQ ti a n O =: 0 3 A A �. 5fD 0 Z CD n UQ ° � g m- R y -g, w b o y O c Z CA It or: o 03 Cc) qq �• � � � � I C17 � w N � � "r7 i iv 'z7 o � ❑ g. om CD cn o ao ao o ao o c " CD y d :r =r V) o' o a b Ln Ln _ o � o