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16 FAIRVIEW AVENUE
10 THE FLORENCE SAVINGS BANK Mm DiE FigsT Atlezicix0 TITLE IiJs. Co. - atIL(
To the best of my knowledge. Information and belief. I hereby report that I have examined the premises and that this Inspection plot shows
the improvement or improvements as located on the premises described, that the improvement or improvements are en+ , lot tines.
that there are no encroachments upon the premises described by the improvement or improvements of any adjoining • _
that there are no easements of record affecting the tract shown hereon, except, as shown. � N 17-- " .
J
I ‘1%; I further report that the premises shown on this plan is not located within a Flood Hazard Area as shown on t
Department of H.U.D. Federal Insurance Administration Maps.
Iti tFY t"
I
:== 2 gg;y A 1 978 r . 1 ' `
raa
10, Do any signs exist on the property? YES NO A" ,
IF YES, describe size, type and location* • '
. , - -.....
- .
Are there any proposed changes to or additions of signs intended for the property? YES NO X
,
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 IC
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
... for use by the Building
_
D ,.. , artment
-- EXISTING - PROPOSED ..;-.--- '''";- = -. 1 . .; - .`fr: - .
Lot Size See /firlierteg t2
tg
Frontage
- .
Setbacks Front ,.77 . - 3 a' ' . .
- - -
L.,_,.
Side L: ar R: k.5 c/ , L: at " R:
Rear
,. . . .
Building Height ' - ' /ry" - - if i V '
.,... .
Building Square Footage - c23.>404.
. . 3 4/3(, V"(
% Open Space: (lot area
minus building & paved ?go%
- --i-p,
park ,.-,..., _-
. . telsi-- *,-,--- -,-,---,..._ --..v.-:. - 7.;"‘-7.--...-t- . --i
# of Parking Spaces
/ E , • -''..- 7.7-
# of Loading Docks
Fill:
(volume & location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge. , .
.....
)// 1.....)
Date: 17 Applicant's Signature 4 '42 : 4 /1 9 * 6 1)-----/ , -
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning
requirements and obtain all required permits from the Board of Health, Conservation Commicsion,
Historic and Architectural Boards, Department of Public Works and other applicable permit granting
authorities.
WADocurnentsWORIVISkoriginanBuilding-InspectonZoning-Pennit-Application-passive.doc 8/4/2004
R CEJvb
APR - 9 2012
/ -1
File No.
DEPT.. T nom! "r .R v� I
kit f G k 1 0. • t AFT 45 � R' E` f, fi c. F..
Please type or print all information and return this form to the Building
Inspector's Office with the $15 filing fee (check or money order) payable to the
City ofNorthampton
1. Name of Applicant: Aiz . a/7/J� 1„2/ V
Address: /6 .r7"0/4 t/ /6r/ Telephone: 5 rV
2. Owner of Property: 4/I - #'
Address: ,"rR,'# ' /e4/ /0,e- Telephone: — /f'O.
3. Status of Applicant: Owner )( Contract Purchaser Lessee Other (expla in) V -
4. Job Location: /Gr )Ut!° tt/
- '�-,.s r-,-- �"'� � ''s*�va -..^ „mss- .s` _�� .-.,� +,=tea ����,2•,,��rrE- ---_ °." ... ,�
k' V."� t' c: got- `'.,_
5. Existing Use of Structure /Property: •s //1 ie (Wet �i$?. o e
6. Description of Proposed Use/Work/Project/Occupation" (Use additional sheets if necessary):
' AS'id e LS7r4 G e7 eocki,e n/a ;Vs-' . £ e - - -
MaA . .ge,C5u. /D FAkc ,, i D S i71ua red- e 7 ' vQ Ze-fax
6.7
7. Attached Plans: Sketch Plan K ` ' ' Site Plan • Engineered /Surveyed Plans
fi
"l es"
8. Has a Special Permit/Variance /Finding ever been issued for /on the site?
NO x • DONT KNOW YES IF YES, date issued:
_ _ IF YES: Was the Permit recorded at the Registry of Deeds?
NO DONT KNOW YES V
IF YES:. enter Book Page and /or Document #
h 9.Does the site contain' a brook, body of water or wetlands? NO X 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)
W:1DocumentsWORMS\original \Building- InspcetorVoning -Permit- Appiicatiou passive:doc 8/4/2004
File # MP- 2012 -0105
APPLICANT /CONTACT PERSON WATERMAN PAUL D & DONNA L
ADDRESS /PHONE 16 FAIRVIEW AVE (413) 584 -1902 0
PROPERTY LOCATION 16 FAIRVIEW AVE
MAP 38B PARCEL 212 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT 3.-s�ej
Fee Paid 0/5
Building Permit Filled out
Fee Paid
Tvpeof Construction: ZPA - DEMO & REBUILD GARAGE LARGER
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 PRESFjNTED:
Approved LVAdditional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER : § 39L' - 9 NO)
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* d/Z. 9h6
Nfftu+c5
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 Permit DPW Storm Water Management
Signature of Building Official Date
g g
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.