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32C-284 (3) - NOTE -- THIS PLAT IS COMPILED FROM DEEDS, PLAN& AND OTHER SOURCES AND 15 NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND 1S NOT TO BE RECORDED. BUILDING LOCATION ACCURACY IS NOT GUARANTEED • . • 1 L 3 mytti as Ls I et ■; y J 1 G F,to,.rr fh2 Rc TO: COMMONWEALTH LAND TITLE INSURANCE COMPANY & APPLIED" MORTGAGE SERVICES CORPORATION TO THE BEST Or 'MY INFORMIATION, KNOWLEDGE AND BEUEF HEREBY REPORT THAT 1' HAVE DOWNED THE PREMISES . AND BASED ON EXISTING MONUMENfATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT UNES, EXCEPT AS .NOTED.. I FURTHER REPORT THAT THE PROPERTY • IS NOT LOCATED WITHIN A FLOOD PRONE .AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY # 250167 —NOTE — SURVEYOR -. THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY 4 ' AND DOES NOT CONSTITUTE A PROPERTY SURVEY y,; — MORTGAGE LOAN INSPECTION PLAT— NORTHAMPTON, MASSACHUSETTS it RANDS j PREPARED FOR - o• E. C HRISTOPHER GOLDEN Q IZER • SCALE: 1 " =20' - • JULY 27, 2004 (1 ° - HAROLD L EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND. SURVEYORS 235 RUSSELL STREET ' HADLEY MASSACHUSETTS if NO 1 10. ,�:Dc any signs exist on the property? YES IF YES, describe size, type and locations Are there any proposed changes to or additions of signs intended for the property? YES NO IF YES, describe size, type and tocation: 1 1. W ill th e 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 Managemen Permit from the DPW is requ 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column r es erve d for use. by th B u i ldi ng EXISTING PROPOSED . k - . P -- Frontage 3 Setbacks Front /o /d Side L: 8 R : .� L. 8 R: z,6 Rear 8 Building Height ° Y zs Z6 �E Building Square Footage 3`? O-S L �Y a % Open minus building Et pave Space: Plot _area - ` d 'o 0 ,F,7 __ _,,,.::::,c.,:;21 :,,,_:,:,s,,IL,, # of Parking Spaces # of Loading Docks ,- Fill: �_ U.4'.44 a'rxr" � (volume Et locat - _ . .a 13. Certification: I hereby certify that the inform co ntained herein is true and accurate to the best of my knowledge. Date: O 4 / 0 5 Applicant's Signature G� " N o E, Issuance of a zoning permit does n relieve an applicant's burden to c c�mpiy with au zo ning requirements and obtain all required permits from the Board of Health, Conservation Comm ission, H istoric -and Architectural Boards, Department of Public Works an other ap pli c ab l e permit ranting authorities. - \Docunents\FOF'.MSlor :1]al�Buil�iing- inspector Zoning- Pcrmit- Application- passive.doc S/4.20D4 'N \ j N _ ,4" ll • - p ' i �l/°� /� :, File No. $., -. g� �4" -k.- �i <- ua;,u� ss +�Kh ,i p s -. - ✓ : -ter b �, --- type or print all information and return th f orm t o the Build , uild Inspector's Office with the $15fzling fee (check or money order) payable to the City of Northampton • 1. Name of Applicant: 77"�� e �� Address: 6 fPl ✓► C -r / ?a . Telephone: `r " (L� `� 2. Owner of Property: C' f }"O I °��"� Address: 7 O"`"}' ") a !mot Telephone: Z 6 S ` N 2 3. Status of Applicant: Owner Contract Purchaser ''''' Other (explain) 4. Job Location: IAA o`""iv - i /"' "_ E . ,- --,,--,-,,,ii--- r s � z fin - e� x 0I a - � e mo o. 1 tri :ff "" - : � , � 4 � � $ �� $6� � � � -,- 5 5. Existing Use of Structure /Property: S1"^ (' '4 � '` � " • c ' 6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary): 73� / AA add ,‘ 4,7--- o .,, r13 J, 4 l��R it Zz 0 t'r+ctoS . . ex '-' -• �T . ✓ o&. 4' ht es- r { 74.4.43.K. ek ..1,4, . - ,. 9 0) T. Attached Plans: Sketch Plan Sit 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 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 W:1Documents\ FORMS \original\Building- Inspector\7. oning - Permit- Appiicarion- passive.doc 8/4/2004 File # MP- 2010 -0012 APPLICANT /CONTACT PERSON OLIVER ISELIN ADDRESS/PHONE 36 Service Center (413) 584 -1224 THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FO • ILLED OUT Feee �' Building Permit Filled out Fee Paid Tvpeof Construction: ZPA - CONSTRUCT 12 X 22 ADDITION & ENCLOSE EXISTING FRONT PORCH & DEMO GARAGE 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 INFO ATION PRESENTED: pproved 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 Commi ' in Permit DPW Storm Water Management Zoe, Signature o • uilding 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.