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24C-037 File 9 MP-2019-0017 APPLICANT/CONTACT PERSON VERIZON WIRELESS ADDRESS/PHONE 99 EAST ST (413)737-1131 PROPERTY LOCATION 395 ELM ST MAP 24C PARCEL 037 001 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 Tvoeof Construction INSTALL A WIRELESS TELECOMMUNICATIONS ANTENNA AND RELATED EQUIPMENT ON UTILITY POLE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Buildine Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACT HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRE TED: �E��M ATE Pt� N/ _Approved Additional permits required(sae below) I F PLANNING BOARD PERMIT REQUIRED UNDER: § 6�'J 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: Cub 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 7`/a--P-e-rmit from ElElm mSStreet Commission Permit DPW Storm Water Management Signaturf Building Official Date Now: 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. File No. ()1 p — j C1 J/7 M ZONEVGPERMITAPPLICA77ON §io.2) Pi type or print all information and return this form to the Building o' Inspe s Office with the$30 filing fee (check or money order)payable to the City ofNorthampton W4fel9d �g m ffl L- b PAS e� y 1. Nam pltcant - � ,.�y o y Address: ,t }.. `"�- `� 1 W Telephohd: L03 'FS�—!9{��I 2. Owner of Property: ✓ c ` �/'�` Gnnl 11 l Ty",I IGf, Address: LinTelephone: 3. Status of Applicant: vOwner Contract PurchaserLessce_11" Other(explain) 4. Job LocatioqJ LL(y ::-L 'MF/ {/ % M ee o #,6,) A),!. 4 Parcelld: Zoning M.p# a-q Parcel# 03-7 District(s): In Elm Watt Dlstrlct In Central Business DWAct BE FILLED ff IN BY THE BUILDING DEPARTMENT 5. Existing Use of Structure/Property: 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheetsifnecessary): VPfIZ� ln).fe i5 Q� Do!5 �L �0 S6 G P�V p✓v c Gn cv., V ik b, PAk 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 iswed: 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 _ 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 Cmdnues on other Side) W:\Daumrnu\FORMSbriginel\Building-Inapccto2Zonina-Prnnit-Applicatiompeseivc.dac &02004 10. Do any signs exist on the property? YES NO IF YES, describe sin,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. Will the construction activity disturb(clearing, grading, excavation, or filling)over 1 acre or is it part of a common plan of development that will disturb over 1 acre? YES NO 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 cohnnn reserved for use by the Building I PAMA L41'[NG ``PROPOSED REQUIRED BY ZONING Lot Biu ti Frontage ^^ nn Setbacks Front Side R: L: R: L: R: Rear N I1 n N Building Heigh V� rvlA ti IA Building Square Footage tiiA %Open Space: (lot area minus building Et paved n parking ✓ t g of Parking Spaces AA '' ^ 1 lV N M of Loading Docks nn YY A) 1n � Fill: / volume Its location) /V 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my Imcnv e-d7ge. �1 cv /��///� LL /n/ Date: '2 : / i,: ' D Applicant's SignaturN r NOTE:Issuance of a zoning permit does not relieve an app cant's burden to comply avitis aU 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. W1400n-Pmeivc.dac e/4R004 nR - r-r- e n. Qe�C7 t 5V'' n w . C CJ✓ 1 GENERAL NOTES NORTHAMPTON HS SC MA a cone cvecncvwxc u e^ VERIZON LOCATION ID: so ."""" n,, ,a M_ A. A. 470266HTE L-ETUll DEARTANT s� ATELLE'ano.ANDARTMEn�Q,ed, ;;O°«...-- POLE LOCATION: zOr IWTAUH1NO•""M " ELM STREET ixerAUAnoN rarer 0 a LOCATED IN FRONT OF ADDRESS: s V «,� 111.,E E 395 ELM STREET, NORTHAMPTON, MA 01060 `m '" HE POLE: MECO #52 NET&T CO #19 �NllINAT RE ....AIR ISTAINTEM IMN—I—INTERT AN—I.. D DISTAIRREMS HINTS SHOOLK AD'.1—1 AT DE, . T LARRE AN OR „ . ., 0` REARMANDE KILL 11 1.A--(TT i IS RAN IS IT �. . . s, , u�:(4a(P) e. e 2 -A NAIIENI 15 INTEREST TO 11JUSTREAST no...E Mm. ... . z Pu .TOKN„ON mom . 4 ¢ ° ,Pa,.......R AND.E Y RI.MANDR, . .PKNHATI III se MEN KNEE:.ISTAT w�. ernuciuw�iwieea: DART UTTITI RARE III KE009 ISTERALKI AN Y x �WJSE M To SOMMAT RK � NA iu'moM E,.rny®w WmKN RAS STATERS,N,ANTINOM,INTAINT,SESTRATINK A. LANE 'As RE NA_ w • ... ITE.::E,i,r„E aEm.E o11 .... © BEY PLAN Tema ,a.E.. 11 ss ED 11 -Ez SEES', '°c wEEE,,.wTM ao1, m mow. 12111, NA HAA As wm E E , , ` C-1 u �8 :g 08 O §`s 21781 c c ( )TEEL F,FG. 19 Dewar aowEx E UI xez ez»xlwy I (wroea) t75nxc cxiwm aowm e a.m m E. ue eEro.o.m.neE �. a .a.mai msI..ae � IND I'D"' LINIS aaE DWELLINGS n ELL ,ae r .' 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PEAR SETTL°GEE O FERNINATE"1 MET RRLOAD NOW FEEDERS AND GROUNDING lD UT.�T.METER - LFER TO x1A a R. coxDRD sEPxa REwwEMENTS Wm UnuT.PURMEVUP ALD MAL yE oiwL zic--�:° P mo m aRaxTAKES of CUMECOURNMD1'. ooPD�N.,E.m mcAE UNLIT.cwP r_ ANTENNA DETAIL �1 RTWL41 EQUIPMENT EDW m , c GENERAL WIRING DIAGRAM swE. vis - sGLE Nii. £o m c/Bp v [? KIP caw, BEx�PE Pp. i I u WEISI IE P sV ( BEEo FFF P,o _ III IPx (VINCLUs -THETS wouurwc BPEO,ET y UTY LE IS WOODEN un'wPE os.P,oiEgw.. . NET ELL w+sE SEE saa 1-1 E)SEELLSENTEN,—I RRH MOUNTING BRACKET DETAIL J r jwy5 Bop c swE wEs � ( cq W0 NO PERN B LASWE aPu. POLE,wELL .ouM , , o ON, INC E TONEEN Em Sx uE O.00. MEw�iuPs[Wo�ur o ANNEVI IS NdE,MAKEINW x uP ELL—R. nreL ExraE ARRANGEMENT POLES PYP POLEEiI RE IT MOUNT EFTECIFECATIONS /EEO i4-t%YVM1Eoi / Y N. 4 LED NEEDLE RE, LINE =PER SO El I ow(uu)PETER sEl.vn ONOTE .EE EuFn unM w AWS RRHDETAIL �z1 ANTENNA POLETOP MOUNTING BRACK =C. ET DETAIL o L w.. C-5