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23A-189 (3) THIS PLAT NOT FOR RECORDING PURPOSES 15I, 5 I, PG,ZZ4 ►'L.@K.Ce P.55 .30ej i - G W- & -r - Co 1 .-t . '�'y.i 6. cfrrz. P 6917-1- lie . - f,u t L.17 p4s ^y 14130 mow' I � Z ,Ap • #�'�P � jet PaRC� `� • A ti � P . ko (0 Z 39.5 To: FLORENCE SAviNGS QA►aK4 LAWYERS TITL2 INS.Co. 1 HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES, AND BASED ON EXISTING MONUMENTATION, ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES. 1 FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED IN A FLOOD PRONE AREA AS SHOWN ON FEDERAL INSURANCE MAPS FOR COMMUNITY NUMBER 2.5011.7 DATED: I I - -1 $ - 98 NOTE ' THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES SURVEYOR: _ • _ _ . NOT CONSTITUTE A PROPERTY SURVEY. If 1 MORTGAGE LOAN INSPECTION PLAT • opt OF '�, NORTH A M PTO N, M ASS. i , LARGE SR OWNER #34605 , E ST. OF 'PSEATRICE LA Mar • , '.. - 0S►f+t F SCALE: ( ' 1 =40 ' Richard J. LaBarge, Sr., Registered Professional Land Surveyor 0 110 King Street, Northampton, Massachusetts 01060 . 1 1 g ---C Ykiti " 011f JL AN tt VI 14110 05- (: I ris tzi9 - c? 1 <tr.-I.:4. Wc=iletSta 1 1 11/4 Fr ___........_, , , ,7 6 1 , , 0 ' ..... z T . _ I 4110.1) th El vkzczr-A(tsta ---■111111111MI ) I . . I I I i 1 a V e l: 1 0MA) <1.L Sort-S-LC. 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 (---" 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 column reserved fvr use' 3 i Biifd ng EXISTING PROPOSED t5f t< ai N'_.- - r�a Lot Size Frontage 13 1. '4 N6c2 C ...., Setbacks Front -h K o GFG A t. • 2e Side L: di ' 7 1 R: a 1 f L• 3/41-1: R: 5' ..' : r.S.-- R 1, Rear f c%b iC3C, r 2d Building Height "2-e .1. Z g : ,± 7 Building Square Footage .) .4 �op„ ifs i t 445. Nav , s % Open Space: (lot area t 2 , — ZC, % � , minus building & paved +SZA — �a parking ,'° # of Parking Spaces <� y - t' o �. v ...- ' ". �? - - .r� # of Loading Docks _ 0 O Fill: 7 (volume & location) - 13. Certi ication:1 hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: 2 J 2, `ice Applicant's Signature Al a1 A NOTE: Issuance ofa zoning permit does not relieve -- applkant' , rden to compl with all _ zoning . requirements and obtain all required permits from the Boar A of Health, Co . ervation Commission, Historic and Architectural Boards, Department of Public Works and other a plicable permit granting authorities. W:\Documents\FORMS\original \Building- Inspector\Zonino Pcrmit- Application passive.doc 8/4/2004 FEB 222010 ._. File No. ��U'"/6 1(T d " ti a U?c JS . .Ne� g + - g � qY c - � h �- _ -• 4t ^ +Y - ^uu4 A ix �,r a +K ¢�r,� �' ^' i IF' � ,.F i � f M) �F sn +* , h [3 a' 4 _ ' �F tit✓ '..YrTM OS' �•� ^4w..iv. z.... +» _'. "" ...:.., .. .,... ._ �..wwe_ ct+x- - .:...� .. `usn^^_: -fin rte' �::�•� «- ..SS"' w_� �"4;` Y Please type or print all information and return this form to the Building Inspector's Office with the $15 filing fee (check or money order) payable to the A City ofNorthampton 1 � 1. Name of Applicant: :314 - M - Address: Z S b_44 ( ZD Telephone: g-/IF Sgct c J 2S5 2. Owner of Property: CQ'frict , (,.r •f TL Al e 1 LLGS Address: 1 jib MMA FLC) Telephone: `/ I S , 99 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) CO'9T 4c c 2 4. Job:.Location: MVl ° 4 - I N 1 4- _ ,4,7 y.-�, t F . � .�gr � C 6J f t o- f 2^� -.. -s»r i' 3-t' I C +.} ..�4`. 3 ^ �q �' F J' i s 4 %:- JF s' '-• t , y 1- ' • t r "t , „+, "ate •s+' FSgcis � 3 '"" ^ ''+"' �. '%.-' " :o. a a . y ,_` 1 F` f F" .h e "°t E c y t �• u `� °"`¢'" r'•�.iy. "9'.,e°•, 5. Existing Use of Structure /Property: I✓ C /�C '" �" 6 6. Description of Proposed Use /Work/Project/Occupation: (Use additional sheets if necessary ): /W > 3.�nn A-D l C C7r6QC.y_, 6 7. Attached Plans: Sketch Plan Site Plan , fr" -- Engineered /Surveyed Plans 8. Has a Special Permit/Variance /Finding ever been issued for /on the site? NO , DONT KNOW ✓ YES IF YES, date issued: 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 Continues On Other Side) 8/4/2004 W:\Documents\FORMS \original \Building- lnspector\Zoning- Permit - Application- passive.doc -0 R File # MP- 2010 -0048 APPLICANT /CONTACT PERSON JAMES VAN NATTA ADDRESS/PHONE 403 SOUTH MOUNTAIN RD (413) 498 -2698 PROPERTY LOCATIQl ST THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE , ,ZC ONING FO LLED OUT Fee Paid J / Building Permit Filled out Fee Paid Typeof Construction: ZPA - ADDITION 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 INFORMATION PRES NTED: Approved VAdditional 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: § 33e7 r #146-7 5-400 604.4 Finding Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed 1' P 4 Other Permits Required: SP/0C` 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 Permit DPW Storm Water Management 2. !2.5/ 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.