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25C-013 (2) Q v m ZE _' c f M in Z � j > o n0 �. Z m 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. � a o OZ E.• R p� N U, x a � " Rw 5: E � n � z 0 � � � ° cam o c c a o °" obb (D o V/r► C ° i c y tl l 1 rr 0 �n n c o ° 0 = 05 ao 5 d on Fv o p 8 CD O N CrQ 0 b °, �a � o � r � tz cr W p �. 7 Z o O / C. r3 Q' C17 W N .r �� C7. p =. D . = 11 "17 CY b y i N �-, w oil ITI Li ►.d �'' c c c c 0 F° 0gQo . c. c o tz s A CD C7 o . ao o L ao c °o CL O N Q o � LA m o