25-015 (26) 10. Do any signs exist on the property? YES Vle 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: ,
21_ ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DNIED DUE TO
LACK OF INFORMATION.
Thi co 1umm to be filled i n
by in Building Drpartmeint
IRjuired
Existing Proposed E Zoning I
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Bui 0/ VT,
Bldg Square footage /I
%Open Space:
(Lot area minus bldg
&paved parking)
• f.
# pf -Parking Spaces
# of Loading Docks
Fill:
_(vol-ume -& location)
13 . Certification: I hereby certify that the informat 'ortained herein
G is true and accurate to the best of my knowl e
DATE: t1 Y APPLICANT's SIGNATURE
NOTE: issue a of a zon ng permit does not relieve pplioanrs b to Imply witb.$ii
zoning requirements and obtain all required permits from the Boar•Isith, Conse+'vtat1on
Commission, Department of Publio Worker and other appiioabie perPnting authorities_
FILE #
� t
File No.
ZONING PERMIT APPLICATION 1
(§ 0. 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Appli+ant: �' r r
Address, / Telephone:__
2. t.
Owner of Propety:
Address: -Telephone:,
3, Status of Applicit: Owner Contract Purchaser Lessee
her(explain):_
4 ,lob Location: A1'�--
Parcel Id: Zonq Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use o Stcture/Property.__�,
g. Description &noosed Use/Wor, roject/Occupation: (Use additional sheets if necessary):
7. Attached Fs: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the t)lld 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
& Has a tp,Permit/Variance/Finding ever been issued for/on the site?
NC____ DON'T KNOW YES IF YES,date issued:
IF YID- `the permit recorded at the Registry of Deeds? �'+
tS0_ DON'T KNOW 11 / YES
IF YES: Book Page and/or Document#
g, Does the htain a brook, body of water or wetlands? NO_ '6Z DON'T KNOW YES
IF YES,bzmit been or need to be obtained from the Conservation Commission?
Needs,)tained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
t
i
File#MP-1999-0010
APPLICANT/CONTACT PERSON Northampton Firefighters
ADDRESS/PHONE 5 Strong Avenue (413)584-0062
PROPERTY LOCATION 152 CROSS PATH RD
MAP 25 PARCEL 015 ZONE SC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
LZQNING FO ILLED OUT
Fee al D
Building Permit Filled out
Fee Paid
Type of Construction:
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Occupant Statement or License#
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
jZDenied as presented:
Special Pen-nit 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
Termit from Conservatio Commission
1141;76Q
Signature of Buildi ,Tcial 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.
i