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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. /'� �% 1 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 16 A4 UI AUL' Lot No.
2. Owner's name E�J e-\ Address
3. Builder's name h p ��,���' � 3+� Address L� 1Q S.J
Mass.Construction Supervisor's License No. Expiration Date q—
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 1„fWl ��I � �'/S��l� . .vc, t 4El >` x�,jl�iit1�' yF'�i.' cr/-/
13. Siding house
14. Estimated cosL-
J,
fZj The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible app,ican!
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
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
Thin colua to be fij ed 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)
., f -Parking spaces
(of 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: i APPLICANT's SIGNATURE ��
NOTE: lssuano of a zoning permit does not relieve an applroant's burden to oomply with„alt
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other appiioabla permit granting authorities,::..
`.';, FILE #
I�Irir�
File
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: `{ C -,,ec s—i Telephone: 5�� ' _[/r
2. Owner of Property: Eve lU/✓ _ fZA1 171`'✓ n
Addr� t -� Telephone:
3. Status of Applicant: Owner L,.-'Contract Purchaser Lessee
Other(explain):
4. Job Location: ICAOI& `p
Parcel Id: Zoning Map# � Parcel#_3 District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property_ e e-)
C
6. Description of Proposed UseNVorklProject/Occupation: (Use additional sheets if necessary):
Am Lr Z2� Jaw
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 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 #
MAR 51997 ,/
APPLICANT/CONTACT PERSON: �- a ,5—Y Y'"(6--7 /
Al
ADI)RESONE:
PROPERTY LOCATION:
MAP , PARCEL: / ZONE.,
THIS SECTION FOR OFFICIAL USE ONLY:
PER HT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM EMIND ()ITT
Rnilding Permit Filled mit
t/
0 — t/
Rernndelin2 Interior
t
THF,�FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
f/Approved as presentedfbased 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 Conservati o m'
Signature of Building for Date
NOTE: Isauanoe of a zoning permit does not relieve an applioant'a burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commiaslon, Department of Publio Works and other applioabie permit granting authoritles.
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