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36-232 (4) 1 1 \ c-6 I V 11 Qr c7 C-6 1 l � OJ 1 Q ICS f � ` s rZ5 .I ky � I • v X ca I r ...a1��QQ Pex' +/ Ic�nr sit E t P o/U) b� Srr h.4.A 0 .BX ' °Q CL0 vvq,w�we*wx)s n�t w+b,A •�7 M It� Pte ,.9.0 P , 61 Z 1 030 T ilk -� c ^ D 3 Z � N C4 Z rrm rfl Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 3 01 7 �a 333 Alterations NORTHAMPTON, MASS. !+ - f O 19 Additions APPLICATION FOR PERMIT TO ALTER Repair _ Garage 1. Location t A V-i b V - 60U.- r b V`e.Ve-4- ✓AC;, Lot No. 2. Owner's name fl, (a 4,--X o Address t e4 c iit- 3. Builder's name L"e-k C irv^r elf Address ( � l�cm,r A 'S� So ,' (ne ti W'.. Mass.Construction Supervisor's License No. 5 �.S �� Expiration Date 4. Addition 5. Alteration (,) cS-Q- E k t S �' C 6 in ter(CQ SL re�. ��L J tl h ( '-f 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 (It S P�4 13. Siding house V tit,t 14. Estimated cost:L"�D©� The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app icant Remarks FF�el'S )< (� (^) ��D � e �, ��� Cb�C Yoa� 5��: �� 8Xi5 . Zft P Fa LI ( " f� f ,I i f IC: ., �O � tC �°�.'L^fV1t? � l.c.� i T''1 d. ('�� �', 0 1 y y.r• ��C�✓LC �' t X r� s� `�(`}=�l �t u� 0"'k fj1.•l:. S C ��i�y�P( i�t A �l p �t�1 lu+g �+IJ 1 11U i l""k i C-X%S DOE- M NNE- that 41 Emig a"-, JIM* aw 00 A- - orq,", APT - � m� 4 L dot ilk w �� 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?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 c02ama to be filled is by the Balding Department Required Existing Proposed By Zoning Lot size b /l 7 Frontage ��0 ( c,( W-' Setbacks Sq ire o - side L• a`� R: S� IT - rear LL ff Building height a Lt Bldg Square footage 7 s�.Ffi. %Open Space: (Lot area minus bldg ' &paved parking) `? C # P'f.-Parking spaces _ ..i of Loading Docks Fill: -(vol-rime -& location) '13 . Certification: I hereby certify that the information herein . is true and accurate to the best of my knowledge..'' DME: / --10^�(, APPLICANT's SIGNATURE NOTE: lssuanoa of a zoning permit does not relieve an appl oanYs burden to oom w t zoning requirements and obtain all required p�Y' r io q permits from the Board of Health, Commission, Department of Publio Works and other appiiomble permit granting:authorRi s.r: di}t a r..n. FILE # DEG 1 21996 Fi 1 e No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: ca Address:/6 N, t A S�- �o�kg Cyr o'73Telephone: N/ 3) 5 �?^ 0`33 2. Owner of Property: "AY ( a vvN Address:# \6 [ lAA o1-1A,c 00 6,il � 00rTelephone: 3. Status of Applicant: Owner Contract Purchaser X Lessee Other(explain): 4. Job Location: �� D t ct wtovAul Oc�v� Parcel Id: Zoning Map# 0 6 Parcel# c>?3L-> District(s): 5PA,1125/0 (TO BE FILLED IN BY THE BUILDING DEPARTMENT) e- 5. Existing Use of Structure/Property ��( !2 ba t" 'X 6. Description of Propose Use/Wor�`Project/Occupation: (Use additional sheets if necbessary� i d e C 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 DON'T KNOW__y 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__X_ 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 # n (' 3 -•. 1 CAPPLICANT/CO8TACT ADD F S/ 'HQN .j Ole- PROPERTY LOCATION: vG, � MAP (p PARCEL: P ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERK UT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONIENC_FORM MIND MIT Fee PAid 11iii1ding Permit Fillefl Wit Arreqqn TIDE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APItICATIOM. X( 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 C mission i Z Signature of Building lnsp DaZ NOTE: issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health. Conservation Commission, Department of Public Works and other applioabie permit granting authorities. 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