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32A-240 (4) e' — .� — — - i fir' ' i i s t — . - - - - ! - -- — — I — t "' .� ,. -. -- a _ __ 3 ; 0 ..r re.".44.:.: i . " — — — — . i 5 { 1 f.. jj [[ r egg } # �l 2: 8g 11 ' --. 4 4... z , e k ..� s% ' 4 ; C s bba - `l b ,..: {4 , `°' - s P-- Y I -- . - f r„ - 1 , - Y `��# -'— - -9 Eir f - 1 - - 7 - _ t -- -- - — - - — 7 77 It _ /Iv' a , }- - -- -- _ __ -_ __ --L . 10. Do any signs exist on the property? YES NO K 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 X 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 Department EXISTING PROPOSED _ l!:!Y Lot Size ^ 7 , 1 D q 7 oz 0 Frontage 60 3-0 Setbacks Front 3 0 b 0 Side L: / a. R: T) L: 0- R: 3 c- R: Rear `� 5� fi /S ® _...2 Building Height Building Square Footage 1. f 7 © aj 7) % Open Space: (lot area` minus building &paved -7 6, ' ., -x � parking'" , V'"' # of Parking Spaces _ # 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. _ Date: /6 I Applicant's Signature it-A 1 — 4^— r _ • .7. 1 ;10: relieve applicant's b to comply with all zoning NOTE: 1 L' . IJJ�Y2LLYl:C of d Lzoning tl'GY Ytiil CA t'av t w.�ai i�� w..a.- .� a �.�..w��...,. ,� 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. W:\ Documents\ FORMS\ original \Building- Inspector1Zoning- Permit- Application- passive.doc 8/4/2004 '' OCT 2 8 2009 1 File No. P/Od5 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 of� Nor p 1. Name of Applicant: I (/l r 1 e, 10 ' Y l V Address: 1 O ^ E / ( ce S - 2 Telephone: 5 6- -?' 2. Owner of Property: I yl (� P (-k Address: 1 0 ci '3 r( g,Q Telephone: S k 7 3993 3. Status of Applicant: Owner ( Contract Purchaser Lessee Other (explain) 4. Job - ( o 5t-(a) f �� 51-- - 5- -- 74f4., ,,, . ;.7YZT' �,. , , .; es ^ � ' '+4. ,. g ' ?" . * �-- � ` - s1' - s —r 41k4,: l ,t a� . ' 6 e e 7 :•. �! � , ' 5� S _� P. 3s t ow ,;,,e. " " i ' a"*si ?; 5. Existing Use of Structure /Property: 'I V\ f 'Q. a (n Cc ,,(Jt V' , i d 6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary): Ca v- po t 7. Attached Plans: Sketch Plan V 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 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 4_ 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) WADocuments\ FORMSI original1Building- Inspector2oning- Permit - Application- passive.doc 8/4/2004 . • a THIS PLAT NOT FOR RECORDING PURPOSES 62'± Book 2227 Page 101 c #109 CO CO 50' Bridge Street To: The Assurance Mortgage Corp. of America & The First American Title Insurance Co. 1 HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES. AND BASED ON BOWING MONUMENTATION, ALL EASEMENTS. ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND TN.AT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT UNES.1 FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED IN A FLOOD PRONE AREA AS SHOWN ON FEDERAL INSURANCE MAPS FOR COMMUNITY NUMBER 7 5 01 A 7 il DATED: December 4, 19 9 5 NOTE - THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES SURVEYOR: 1d , , _ - _ . , i NOT CONSTITUTE A PROPERTY SURVEY. MORTGAGE LOAN INSPECTION PLAT , OF '� Northampton, Massachusetts / ! \ Prepared For Diane R. Todrin f LABARGE.SR. 134605 Scale: 1' Richard J. LaBarge, Sr., Registered Professional Land Surveyor 110 IGng Street, Northampton, Massachusetts 01060 r File # MP -2010 -0025 APPLICANT /CONTACT PERSON TODRIN DIANE K ADDRESS /PHONE 109 BRIDGE ST PROPERTY A4 �1�t 1 L 9 if THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FI ED OUT Fretd ' . / Ii- ' Building Permit Filled out Fee Paid Typeof Construction: ZPA - CARPORT(16 X 18) & ROOF OVER EXISTING WALKWAY 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 PRE D: 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: § go C/(0/7 ydc� Finding Special Permit Variance* J." PT' ic 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 Co sion Permit DPW Storm Water anagement 2-- - 2oo Signature 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.