Riverway Dock 2012-08-03
File # MP-2013-0016
APPLICANT/CONTACT PERSON CITY OF NORTHAMPTON OPD
ADDRESS/PHONE
PROPERTY LOCATION DAMON RD
MAP 18 PARCEL 012 001 ZONE
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:_Recreational Docks and Pathway
New Construction_________________________________________________________________
Non Structural interior renovations____________________________________________________
Addition to Existing_______________________________________________________________
Accessory Structure________________________________________________________________
Building Plans Included:_________________________________________________________________
Owner/ Statement or License 089537
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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
____________________________________________________ ______________________
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.