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P.O. BOX 221 , NORTHAMPTON, MASSACHUSETTS 0 106 1 • 413.584.7980 • FAX 413.585.09 10
10. Do any signs exist on the property? YES .1 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.
This —2== to be Pilled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size �r� b� SUVA
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lotarea minus bldg / A ,4
&paved parking
# o f Parking spaces
of Loading Docks
Fill:
4 Vol-lime--& location) )
X/
13 . Certification: I hereby certify that the infer atio i ed herein
is true a accurate to the best of my kno edge.
DATE: APPLICANT's SIGNATURE
NOTE: Ise n of zoning permit does not relieve an ioanr bu en to-0--amply wit
PP h,,aU
zoning re-4 it manta and obtain all required permits from the Board of Health, Conservation
iCommissi n, Department of Publio Works and other applicable permit granting authorities.
FILE #
ss t
91997
File No. O' l7 1
ZONING PERMIT APPLICATION (§10 . 2
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: okl r1(� G
Address: Tel phone:
2. Owner of Property:
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):. �\C l fuc )
4. Job Location: 01
Parcel Id: Zoning Map# Parc I# District(s):
(TO BE FILLED IN 13 C THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed k/Project/Occu ation: jUse addoonai sheets if necess ry):
�1d eu
7. Attached fans: 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: AAWJ
(FORM CONTINUES ON OTHER SIDE)
FILE # 962517
919
W
_,6A,,LPjALANT/.CONTACT PERSON:
Z�� /
DEPT or ' #6
PROPERTY LOCATION:
PARCEL: ,�� ZONE j ?�
THIS SECTION FOR-OFFICIAL USE ONLY:
PERNIIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Addition to Eyisting
Arryl�sncV Structure
ffivner/Ormynnt .Statement or License ii
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
Approved as presented based on information presented
X_ Denied as presented:
Special Permit and/or Site Plan Required under: § :5-. 1 c)./(-), 10, 1'
__PLANNING BOARD ZONING BOAR
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 Coat' Co ' on
6
Signature of Building Insogtor Date
NOTE:Issuanoa of a zoning permit does not relieve an applicant's burden to oomply with all
zoning requirements Bind obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
;f C
MAY 91997
0.
,iFas
qFile No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:_ L� �.�%���ill ��S.S �Cd/%/.S/� Gi�/�jf=S �p�'iU Akl
Address: Z-/Z 1, /�i/'C�, �/ Telephone:
2. Owner of Property: /��,� i?,C� G�iS�o �/��»��,• ����,,� r��o
Address: C�v>S ? � � Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
_Other(explain):
4. Job Location:
Parcel Id: Zoning Map#_j2 __ Parcel# �,� District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property_
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
SL, /`�fi
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 KNOIV 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)
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_L:::�—
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cols to be filled in
by the Building Depnrtrmnt
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)
# _pf Parking Spaces
f %f Loading Docks
Fill:
vo3ume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledg .
'1 r
DATE: ` //;¢ i//ZeZ APPLICANT's SIGNATU
NOTE: Issuano of at zoning permit does not rella applio is burd
zoning requirements and obtain all required permits from the Board o ea h onservtstion
Commission. Department of Publio Works and other applioable permit gran g authorities.
FILE #
}Y l FILE # 962223
MAY 91997
APPLICANT/CONTACT PERSON-h 14
ADDRESS/:PR' ;O �' ) O�� — IV 3!�
PROPERTY LOCATION:
MAP PARCEL:_,(-7 Z NE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERNUT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
lRididing Permit Filled ntit
New Cnnctriirtinn
— Addifinn to Existing
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
Approved as presented/based on information presented
_J,� Denied as presented:
Special Permit and/or Site Plan Required under: §-2 C!/ � ca"yW4—
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 o rvation C �1111 s i
/.2)7
Signature uilding
Insp& Dat
NOTE:Issuanoo of a zoning permit does not relieve an applloanYs burden to oompty with all
zoning requirements and obtain ail required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.