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17D-017 (4) t, cr) > o c_ = u. ..r Zoning Miscellaneous Additions, Repairs,Alterations,etc. / Tel.No. " t� � Alterations NORTHAMPTON, MASS. / 3 tej2 v Additions T APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location (ZS STr W T�L-C�j;IJCr— Lot No. 2. Owner's name bU &Mq P-0?- Address SAMF . Builder's name t' Address �^ Mass.Construction S up,.-rvisor's License No. Expiration Date 4. Addition 5. Alteration t fy STS UL N EW WU=6M - kt i Tl-i I IN(, R Q(fl 6. New Porch 7. Is existing building to be demolished? N o 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 14. Estimated cost- The undersigned certifies that the le star ents are true to the best of his, knowledge and belief. Signature `14 rrsp b(cappuca ..emarks __ 4 File#BP-1999-0928 APPLICANT/CONTACT PERSON GERSHUNY LISA GALE&EDYTHE M ADDRESS/PHONE 125 STRAW AVE PROPERTY LOCATION 125 STRAW AVE MAP 17D PARCEL 017 ZONE URB/WP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildi Permit Filled out Fee Paid Typeof Construction: REMODEL KITCHEN NEW FLOORING GYPSUM BOARD INSULATION FIXTURES HEATING ELECTRICAL ADD 1 ST FLR BATH TO EXISTING 3/3/00 New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• - Owner/Statement or License 3 sets of Plans/Plot Plan THE F OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: pproved as presented/based on information presented. 00*- 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 Board of Health Well Water Potability Board of Health Permit from Conservation ission Signature of Building Official Dat Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities.