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36-189 (11) MAR 2s Scale 1 Buts Pit Road 125' F-40 5 I I I I fj 0. �`4 4-3 House BreezEway &. 22. -7 Garage 1 17' Piiret, 25iY :3ept.ic 1 24' Tank 17 2 C)' 30 Proposed Leach Fields 40' Pool 24 (Approx) r I i i I I I 7 i I Sack Fence 102' 1 �a I 1-- 125,' Back Property Line 45' a a o < n Z n �., �.. ....m ._ _•, X �. Cn � � a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. c 19 Additions APPLICATION FOR PERMIT TO ALTER Repair a Garage 1. Location Qd Lot No. 2. Owner's name Address 3. Builder's name Address -- Mass.Construction Supervisor's Licen No. tGl> 6 Expiration Date o2r, ---�� 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 d J all 14. Estimated cost:- /�/c ��, ^ �� C�t� �v✓c� — The undersigned certifies that the above statements are we to the best of his, her knowledge and belief. 1 Signature of responsible app icant Remarks 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 v� IF YES,describe size, type and location: 11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This Col.== to be filled in by the Building Depastaent Required Existing Proposed By Zoning Lot size j 1 Frontage Setbacks - side L: Z ZS�R: 22. L: SO R: Z�s' - rear O Building height Bldg Square footage 213 ? , �- %Open Space: (Lot area minus bldg &paved parking) r— # .9f -Parking Spaces f of Loading Docks Fill: 4vol-ume--& 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 �-2�- NOTE: Issuance of a zoning permit does not relieve an appii ant's rden to oompty with all zoning requirements and obtain all required permits from the Goa of Health, Conservation Commission, Department of Publio Works and other applioable permit granting authorities. FILE # 1AAR Z 6 W6 Fi 1 e No. PT OF St111 I)MIf I'oRf----M i`l I 01 '" ."'`ING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR P=T ALL INFORMATION 1. Name of Applicant: _._ - Address: ae Telephone: �/i::�' 2. Owner of Property:_ L. s,.cx r- 4 Address: t'� �/� Telephone: 3. Status of Applicant: Owner _j�Contract Purchaser Lessee Other (ex/plain): 4. Job Location: Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) S Existing Use of Structure/Property 6. Description of Proposed UseNdork/Project/Occupafion: (Use additional sheets if necessary): T - 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/Variance/Finding ever been issued forlon 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 1 960768 MAR 2 619% r PPLICANVC04TA T PERSON: PROPERTY LOCATION: ` MAP < PARCEL: ZZ,Z ZONE THIS SECTION FOR�OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FITLED OUT Fee Pnid 11itilding Permit Felled rint Fee Pnid NewCnngfrilction �s f ". V THE_F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: 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 Cons rvation Commi o Signature of Building Inspector DATE - NOTE:Issuanoe of as zoning permit does not relieve an applioant's burden to comply with all zoning requirements and obtain all required permits from tha Board of Health, Conservation Commission, Department of Public Works and other applioable permit granting authorities. Ay kD A CFD Gam' 00 o' W (D y 00 cvo � CCvc• yg � n CD a• e ccvv b b m r m g W ^ CD Con Q, rt F In a c o D ~ n° o o LQ off; + 6 A r. ••' F--' • S' Fv O p P C roil CD r ass d W CrQ os,r 5 0 0 ►ti ro cn , w F-L o• o o 5 o � � O rO On 'b 5 i i 5 i i Un tv erg. b Ul �d