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17C-287 (5) { F, ..,._...._...._.»l r. I i `1� I -:� Z 77 � z > x Z m M Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions —� APPLICATION FOR PERMIT TO ALTER• Repair Garage 1. Location ` ) _j �� dam' Lot No. 2. Owner's name yt Vk- Addresses 'k` j �UC7 2fi�'u�CS 3. Builder's name ��#-1M.P _ Address Mass.Construction Supervisor's License No. r E 'uiuti_o�nDate 4. Addition �� (�,tQ I��C 5. Alteration 6. New Porch 7. Is existing building to be demolished? Q,Q tA,6 U z° 8. Repair after the fire ! 9. Garage No.of cars Size 10. Method of heating d i 11. Distance to lot lines 12. Type of roof 9:3 Z 13. Siding house Air w"1 14. Estimated cost:- The undersigned certifies that the above statements are true to the best of his, her knowledge belief. �9 ��CLL IA Signature of responsible app,icant Remarks x FILE # � OP J922 APPLICANT/CONTACT PERSON• ADDRESS/PHONE: syq _ b A PROPERTY LOCATION: MAP__L2 7 C- PARCEL: ZONE THIS SECTION FORAFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 7.0 G FQRM FILLED OUT Building Piwrnit Filled 1111t­ J >-2 71 Additinn to Ivy Ld�� � i. THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: < 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-Rd Health Permit from Conservation Commission Signature of Building Inspector Date NOTE:issuanoe of a zoning permit does not relieve an applioant's burden to oomply with all zoning requirements and obtain all required permits from the Board of Health. Conservation Commission, Department of Publio Works and other applloable permit granting authorities. r f nj�V Date Filed File No. ZONING PERMIT APPLICATION (fib*. ;) I . Name of Applicant: C) 22 �kou)..K , Address: Telephone: qZ LJ 2 . Owner of Property: . u ..e, Address : , Telephone: j 3 . Status of Applicant: _-6-wner Contract Purchaser Lessee Other (explain 4 . Parcel Identification: Zoning Map Sheetf1lC�yl Parcel# (Z � �d© 1 Zoning District(s) (include over ¢- (oe�.h�� ��p (42�� Street Address d , Required 5 . Existing Pro Dosed by Zoning Use of Structure/Property & -� (if project is only interior work, skip to #6) Building height _ -) %Bldg. Coverage (Footprint) n Setbacks - front 11;L - side L: R: L R: - rear �> Lot size w` :� 0 Frontage. Floor Area Ratio %Open Space (Lot area minus � building and parking) 7 Parking Spaces Loading Signs Fill (volume & location) 6 . Narrative Description of P o sed Work/Project: (Use additional sheets if necessary)(" C AA 7 . Attached Plans: Sketch Plan L Site Plan 8 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowled Date: _ a0 � � Applicant's Signature: Lk THIS SECTION FOR OFFICIAL USE ONLY: Approved as presented/based on information presented Denied as_ presented--Reason : Special' Perm't and/or Site Plan Required: n 'ng Re( 're Variance Required: gna ur. f Ildzng Ins.p-e for D e NOTE: Issuance of a zoning perrnh does not rcfiove an applicant's burden to comply with all zoning roqulroments and obtain all required pormits from the Board of Hoalth,conservation commission, Doparlrnonl of Public Works and other applicablo permit granting authoritlos.