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31A-176 (7) File#MP-2018-0001 APPLICANT/CONTACT PERSON RUDDY DANIEL&BEATRICE C ADDRESS/PHONE 26 MAYNARD RD PROPERTY LOCATION 26 MAYNARD RD MAP 31A PARCEL 176 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: ZPA-VERIFICATION THAT SIDE LOT QUALIFIES AS A BUILDING LOT 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 AePriaJFf As A INFOJMATION PRESENTED: Con) t'ti LOT Approved Additional permits required(see below) 5EE 'Dm wtN4 DATED 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 C;4-- /4^" C4j -7 7_,-/ 1 '1 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. { e t � File No. ZONING PERMIT 010.2) Please type or print all information and return this form to the Building Inspector's Office with the$30 fling fee (chl3ck or money order)payable to the h City ofNorthamp�ton. :OE 1. Name of Applicant: N/V Y /V©/4s / .e9�� el �M✓ t'J Address: � /f///4 4 / Rt i Telephone:4`3 ZC "Z3S 7 2. Owner of Property: lr✓1 a/�y t- 1�vt 1 Address: 2 /� �J //ed. Telephone: 413 - z-t-2357 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain) 4. Job Location: Z6 /If A/A/AA ,d/47.1.) • Parcel Id: Zoning Map# =3/`.1 Parcel# /7.4 District(s): In Elm Street District - In Central Business District :.. = (TO.BE FILLED IN BY THE BUILDING DEPARTMENT): : 5. Existing Use of Structure/Property: pLW Tl R L 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):/gout VIALIPP-4-21::::".. AtAr41 );-, V .s:<; `- ©BA DENNY NOLAN REAL ESTATE 1 568 8. DENNY NOLAN SOLE PROP53.131110 MA 53 GOTHIC ST C7 ✓ 7 — f— /-]' 26841 NORTHAMPTON MA 01060-3047 - Date ! Pay To The a $'3t2 U z Order Of Ii Dams 1,n5ri. Bankof` erica 9.D0, ACH err 01100013e For Lirtti Ciy PIP `:0 1,000 L 38i: 0046 2999 5 3430 1568 Harland Oahe &)fat (Form Continues On Other Side) W:\DocumentalFORMSIoriginallBuild ng- ning-Permit-APPIication-Passive.doc 8/4/2004 V) CE- N V n N O O N d N p - Q N C' an 3N 1 cD O N -,II" . r�.� oe o o 3 o "',� Ct-C %J cn -- iQs N diiva n'S,o VI• o 1n Tcm <- ' N<` 6)S--- -t --.oi�� m m : z p U 1 P F-1 ( 6 -1 S o m d s C ^ t' 1 3 o Q 1 � , -C 4 1 .1 L 9,,- 2 2 F 0 0 0 0 0 0 u, o 0 o 0 o O o o.. 01 v p W 0 N m 3 _ D _ C O a -OO m 00 m O D. N T n N N