38B-129 (2) BUILDING LOCATION ACCURACY IS NOT - GUAR - ANT - EEO -
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BOOK 8454, PAGE 99
PLAN BOOK 167, PAGE 72
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COLUMBUS AVENUE
TO: APPLIED MORTGAGE SERVICES AND
FIRST AMERICAN TITLE INSURANCE COMPANY
TO THE BEST OF MY INFORMATION; KNOWLEDGE AND BELIEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY #250167
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110: 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 V"
IF YES, describe size, type and location:
11. WI1 the construction activity disturb (clearing, grading, excavation, or filling) ovec1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO V
iF YES, then a Northampton Storm Water Management Permit from the DPW is required.
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This column reserved
for use by the Building
Department
EXISTING PROPOSED '° - y
Lot Size
. z 3 ± ,dc1Z..E NA.
Frontage
" 3± t e---r +-t / t.
Setbacks Front 1 4 i
Side L: R: L: R: I.: R.
Rear S' I'
Building Height
3 5'1 PL-1E -S lA /C. ,c3J?7t- r /C
/ Building Square Footage _
I CT0TA L LIVi SPAce a e d9 Sq. t VAC-- -
% Open Space: (lot area
minus building & paved $ r.i. -- 4 ** -
parking
# of Parking Spaces ( it
# of Loading Docks I
e NI / C—
Fill : I D N jC
(volume & location) ,
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: - 1`/2.. 0 r Applicant's Signature e_inn `1 C/21:7
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,
Historic and Architectural Boards. Department of Public Works and other applicable permit granting
authorities.
- - innon -pa sive.doc S!4 :2004
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File No. ,';;; t
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Please type or print all information and return this for to . +m ' - '-
' - ..,ar-'1 , , .,,.-0106 0
Inspector's Office with the $15 filing fee (check or money o • er) . , _ z - 0 the
City of Northampton
1. Name of Applicant: t. H iz-J'! 1 -- C--12-0 s..S -1- . tno1Z.,e1 t - 4 <. .R 1Z,vt.a
14: 4411-121- .Y / 3 ./
Address: 4 4 - l C.O LvM 6vs A✓C) iJofa--t+44 P -Tv "Pe lephone: c i - Ieg -i 's < — E;LL'. 4,3-42.1-5 - zmi
2. Owner of Property: (, 13 /c'
Address: — j' „pi ( ( (JA.414 ) Telephone:
3. Status of Applicant: Owner V Contract Purchaser Lessee Other (explain)
4. Job Location: Litt C - VLvNt r3v ..s; War- NA PAP PA 24
5. Existing Use of Structure /Property: 'i-i 0 ivM PP 1 t✓l4 i7-v1 1Z st •OENe "
6. Description of Proposed Use /Work /Project/Occupation: (Use additional sheets if necessary):
T4 ice' 0 yr EX 1ST'tNA riLAGG{L't - V)' - j 12- 1t,'''v14 l lez— P1 --6 tc iT WET 14 j_,6Wtai
- 4 - - P,e r 0 -+ v/4"
P I1- Ji W 1)=z1 ✓1: 1- PAtL1L1r -J Li 14 4 of PAvrrG1 s - ra rjr. 11-- � ✓ES
j vGJ Cv(ZY! tVT -- 14-A - r WE w01v1. LII == TO 2Q '3 S!)irLY G1TL)t D "0e&;
-04 Low c_ v t3 E� - r4 AT 7S TN EIL'E r-J - J
7. Attached .Plans: Sketch Plan Site Plan Engineered /Surveyed Plans
8. Has a Special Permit/Variance /Finding ever been issued for /on the site?
NO ✓ DONT KNOW YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and /or Document #
9.Does the site contain a brook, body of water or wetlands? NO V DONT 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 Or Other Side)
7; oc::;ne;t,F .: S.07- i_inal'�ui:_ne .0.7-Lonna-FTnniT -A ii =non- ^.zsive_doc 8;z -'20D=
File # MP- 2008 -0088
APPLICANT /CONTACT PERSON CROSS CHERYL J & DEBORAH BRUCE
ADDRESS/PHONE 46 COLUMBUS AVE (413) 727 -8134 ()
PROPERTY LOCATIONh46 COL 1;
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
— ENCLOSED REQUIRED DATE
CONING FILLED OUT
Fee Paid �� f
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA - CURB CUT
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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFOATION PRESENTED:
'Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER : §
Intermediate Project : Site Plan AND /OR Special Permit with Site Plan
Major Project: Site Plan AND /OR Special Permit with Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
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 Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Signature of Building Official Date
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.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact the Office of
Planning & Development for more information.