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05-001 (20) • 0. Do any signs exist on the property? YES NO X no signs on leased parcel IF YES, describe size, type and Iocadon: — Are there any proposed changes to or additons of signs intended for the property'? YES X _ NO IF YES, describe size. type and location Any signs needed by law for safety - I ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. this co1¢xm to be fi1Lnd is by the Etti /dam g De-par t-stsz i 1 ,Required Existing Proposed By Zoning Total parcel is Leased area is of size 106.2 acres 15' x 30' rontage N/A etbacks - front N/A - side L: R: L: R: - rear u i l d i n g height The water tank Sprint would mount f is 142' high its antenna at 125' • Idg Square footage N/A Open Space: (Lot area minus bldg bp?ved parking) N/A II of Parking Spaces N/A i of Loading Docks N/A N/A i11: N/A {volume -& location) 3. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. NT SP:" RUMS L. D. ATE: ; Q7 APPLICANT's SIGNATURE ` ^ . 3 47 OTE: Lau oe � f tf zoning permit does not relieve can mpplioanVs b •en to - '•mpty with eel ?nirtg requirements and obtain ail required permits from the Board of Health. Conservation omm(selon, Department of Public Works and other applioable permit granting authorities. FILE Fil No.,7171 d A', ;! -; 1 ,71999 ZONING PERMIT APPLICATION (§10.2) PLEASE TYPE OR PRINT ALL INFORMATION Sprint Spectrum, L.P. a /k /a Sprint PCS 1. Name of Applicant: 9 Barnes Industrial Road - Address: Wallingford, CT 06492 _Telephone: (203) 294 - 5600 2. Owner of Property: Inhabitants of Hampshire County Address: 222 River Road Telephone: 3. Status of Applicant: Owner Contract Purchaser X Lessee Other (explain): L. Job Location: 222 River Road, Northampton, MA 01053 Parcel Id: Zoning Map# Parcel# (76 / District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) E. Existing Use of Structure /Property a water tank sits on the leased parcel 6. Description of Proposed Use/Worurroiect'Occupaton: (Use additional sheets if necessary): Sprint proposes mounting PCS antennas on the water tank and placing equipment cabinets below. Further detail is provided in the plans filed herewith. 7. Attached Plans: Sketch Plan Site Plan X Engineered/Surveyed Plans Answers to the (ollQwing 2 questions may be ubtatned by checking with the Building Dept or Planning Department Files. 8 Has a Special PerrnitVariunce!Fir,ding ever been issues for /on the site? NO DON'T KNOW X YES IF YES, dare IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW X YES IF YES: enter Bock _ Page and /or Document # 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) `/ File # MP- 2000 -0022 N U A/ F7;-(e. APPLICANT /CONTACT PERSON SPRINT SPECTRUM - DANIEL FINNEGAN ADDRESS/PHONE 9 BARNES INDUSTRIAL RD 800 - 966 -2820 PROPERTY LOCATION 222 RIVER RD MAP 05 PARCEL 001 ZONE RR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE C FORM F ED OUT ee Pai _ Building Permit Filled out .� Fee Paid ((7 <� :43w Tvpeof Construction: MOUNT PCS ANTENNAS ON WATER TANK & EQUIPMENT CABINETS BELOW New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan i Ornt/9 THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Appr ed as presented/based on information presented. Denied as presented: Special Permit and/o . Site Plan ' equired under: § 2' �f ' 8 � /0 . L/ : • ZONING BOARD Received & Recorded at Registry of Deeds Proof Enclosed Finding Required under: § w /ZONING BOARD OF APPEALS Received & Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w /ZONING BOARD OF APPEALS 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 Commissio Signature of : gr'g 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. i IIIIIIIIIIIMIIIIIIMNIIIIIIIMNIIIIINIIIIIIIII DANIEL J. FINNEGAN ATTORNEY BULKLEY, RICHARDSON AND G ELI NAS, LLP B 6) 1500 MAIN STREET, SUITE 2700 POST OFFICE Box 15507 SPRINGFIELD, MA 01115-5507 DIRECT DIAL: (413) 272 -6224 TOLL FREE: (800) 966 -2820 FAX: (413) 785 -5060 . . E-MAIL: DFINNEGAN @BULKLEY.COM