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21-004 (2) /.Z e 7-'/ 7 7 ANDY ALL NENi BT THESE PRESENTS . That v, Boost J. Rivard and Nary A. Rivard, husband end wife, both • of Rastha Hampshis County, Massachusetts, yslepattsamaodert, for consideration paid, grant to Stanley F. Hocsulerskif*nd wgnie C. Mocsuiewski, husband and rife, both of Hadley, County of Bratpshire, Commonwealth of Nasssohueetts, to held as tenants by the entirety and to the survivor of then , with niarrantg raurna,Qa 4 4 , , + 4 4 • • (P...rlpdon ..d al..m►raa..,. Those two tracts of land located on the Easterly aids of ' Sylvester Road in Northampton, . County of Hampshire, Commonwealth of Massachusetts, bounded and described as fellenat TRACT 11 Beginning at an iron pin on said Esatorly side of Sylvester Road, located at • the Southwesterly corner of land of Donat A. Rivard and Lena L. Rivard; thence running S. 19° 30 W. along said Sylvester Road, fifty (50) feet to an iron pin; thence running • S. 70 30 E. along other land of thee* grantors,,ona hundred (100) feet to an iron pin ;thence running N. 19* 30 t. along other land of those grantors, :fifty (50) feet to an iron pia at land of said Donat A. Rivard et ux; thence running:. N. 70 30' W. • along land of said Donut A. Rivard et ux, one hundred (100) feet to the iron pin at the point of beginning. TRACT 2t Beginning at an iron pin on said 11;aaterly side of Sylvestet.Road located at the Northniesteriy corner of land of Donat A. Rivard et ux; tberte running S. 70° 84' E. along;].and of said Donat A. Rivard et ux, one hundred (100)•reet to an'.iron pin at other .land of these grantors; thence running N. 19 30 E. along ether.land of those grantors ,fifty (50) foot to an iron pin at land formerly of 'John Vogel; thence running SOathwestsrly along.land of said Vogel to an iron phi on said Sylvester Rot;d.ieoated thirteen and ninetyfive hundredths (13.95) toot. Northerly of tho point :ef'beginning; thence running S. 19 80 1. thirteen and ninety.fLve hundredths (1345) feat to the iron pin at the point of beginning. The within pnomises being • portion of that .property doodad to theatre grantors by deed of George/2v Boyle, dated Nay, 4, 1943, duly recorded with Baapphire County Registry of Deeds in Book 978, Page 185. • • • C•;: t C :1 I c:r y .. q U•IIMN N IItk AY CC v I G 1f MP 'O0n°21 e' hEtbtsar_..•_ _ .._hand sand seals this.__._ -..._.__.__ day of NaY.&'ar 19_.58 � r Oumma*uesil(t et tassari;u*rtta Naetpahtae ss. Novatrbsr 2 q, 19 59 ■ Then personally appeared the above named Mary. A. Rivard and acknowledged the foregoing instrument to be hoot free act and deed, be me 0star strafe Net r, w — uaannouyao act try avr.a.. wa,sw Jan. 15th, 1960 x Dec. 1 ;'1958 at 2 o'clock and 25 mins. P.H. Recd, Ent'd & Exam ►d. Book 1287 . -- 479 • 7458 p MAN ALL. LIEN HY THESE PRESENTS !� S'7. — 7 / • That vo. Donut A. Rivard. and Lens L. Rivard, husband and wife, both of Easthaselrlon , Hampshire Jr. County, Massachusetts, • . ka6tpta110r -4'i. for conaideration paid, irant to Stall,: F. Mocsulewski/snd Agnes C. Moesu3ewski, hueband•and wife, both of Wadley, County of Hampshire, Coamoawealth of Massachusetts, to hold as tenants by•the entirety and to the survivor of them, sfS , . with marrantg rnnrf ntca ' the land in Northampton; County" of Hampshire, Cosstonvealth of Massechuastts, with this . buildings thereon, located on the Easterly side of Sylvester Rood, bounded and tDr.rt,tk, sad enn nbran.r. It ..s1 described as fellows: . 4 Beginning at an iron pin on said Easterly side of Sylvest Road, nhicb pin is thirteen and ninety -five hundredths (18.95) feet distant Southerly fret land formerly of John Vogelithence running S. 70 20' E. along lend of Donat J. Rivard as Mary A. Rivard, one hundred (100) feet to an iron pin; thence turning and running S. 19° 80 W. along ' • • ether land of the said Rivard*, one hundred (100) feet to as lam piia; t'henoe turning . and running N. 70 30 N. along other land of the said Rivard*, a distance of one hundred (100) feet to said Easterly side of Sylvester Road; thence turning and running N. l9° 80' E. along said Easterly side of Sylvester Road, a distance of on hundred (100) feet to the point of beginning, containing ten thousand (10,000) square feet. t Real estate taxes on the within premises, assessed by the City of- Nrrthaapton for the > year 1958, ire to be pro -rated as of the date of the. within deed. For our title, see deed of Donat J. Rivard and Mary A. Rivard to Donat A. Rivard and Lena L. Rivard, dated February 23, 1949, duly recorded with Hampshire Couttty Registry • of Deeds in Boom 1045, Page 243. • _ _ rMn"m wu r„n..u%InIn • • • • i a . _..1 ' ' q ■ .. ., y r.- '., , / . • r'ni,..,,n. .,c. n,,. s ..... I, , ."r„ ,, . ,� � u . i v n ."r , i c ', .a ., yeti . " u l r • *MR • 19 our s • 4. day of __.__ •�e• J Waning sand and seal • this . G el .514 ".e e wer . a/- c•zk -• f•-• • gip Qtu u tattanrtatfll of latammipuette Hampshire is. Neattraber 1, 19 5e n 1 • Then personally appeared the above named �O Q, /Y�-v w..t? a r c�{r � s � r ,� zF . • i and acknowledged the foregoing instrument to be .G14tc-f' free act and deed, before me- . 4 /ra 's 1 Or, $ , r r, t.,.., a, - 1.06.6.44.44.34••• • w Oe - in ' saving i.2 06 �. . • Dec. 1, 1958 at 2 o'clock and 25 mins. P.M. Redd, t� r'acamtd.. • W % ` � t iiiiiii'ti tiv ° § = q. t w h �7 4.. `� 44 y j Q III 7 h ' , V,�� +� W ' O ff„ h Q , Mil a / , _7 i , / -1 " 1 I I Cr lLOZri `' ti... ti :...i > "--) \ ' 144 s ,....d ..a.y. iq _ \+ O' Y 1 VI 1 Q c z h \ ^ , 1 t I n S a 3 ~ , z F Q �I4 g� 1 1161i4114 - F B H � � S 1 ''''N O W ~ J O �' ■ I Ri= =_x ai18 a !' QQH• >./N y NI E li NI 1 e} • F 3 � h Y Q Q h �� oo ti li O s" v ` e u Si � r a 0 3 _ `J - • r j � € ., E W 192 2 C.:0 p cc . • �` s ma y / , 1 W= q ` K O z co La *_ ^ 4'.9 - •Pp� p O O W 4. • v 1 . r N_ r R 6 a W 3 £ b y} C O O m p F W 0 x 6fAIS 2F3ri 9M10118 �. :_ - - 4 - - - - 1 , -- 44 1 4 1 ____ _ ___ _ __ , •••, 1 \ li V 1 CS -.1.-- \----7 1 c - 1 1 \ 1 k 0 0 1 .-- '• 1 --._ -- -17 _ • XI) i ,0 I 1-- 0 cn f _ i...r) L.r Cr: c--c — -----..b ___ 41 i _ -- _ __ _ __ P\ 1 I '3. I i 1 • Commonwealth of Massachusetts City/Town of Northampton Percolation Test M . 1W Form 12 Perc o(ation test results must be submitted with the Soil Suitability Assessment for On -site Sewage Disposal_ DEP has provided this form for use by local Boards of Health. Other fgrrps may be used, but the information must be substantially th'e same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. important: When A. Site Information filling out forms on the computer, use only the tab Stanley Boszko key to move your Owner Name cursor - do not Sylvester Rd. use the return Stmt Address or tot # key. Northampton Ma 01060 0111 • City/Town State Zip Code 1 Julia Held 413- 575 -2374 FIFA Contact Person (1 different from Owner) + Telephone Number B. T est Results 6 -17-11 am 6 -17 -11 am Date Tune pate Time Observation Hole # 1 2 Depth of Pero 42" 40" Start Pre-Soak 9:25 10 :00 End Pre -Soak 9:40 10:15 Time at 12" 9:40 10:15 Timeat9" 9:45 10:18 • Time at 6" 9:52 1 D:21 Time (9 "-6') 7 minutes 3 minutes Rate (Min./Inch) 2 minutes per inch less than 2 minutes per inch Test Passed: ® Test Passed: Test Failed: ❑ Test Failed: ❑ Tom Martin (Turkey Hill Field Services) (413-527-5311) Test Performed By Dan Wasiuk Witnessed By Comments: Test 1 conducted between deep holes 1 and 2. Test 2 conducted between deep holes 3 and 4. All deep holes marked with PVC pipe t5form12.doc• 06/03 Pero Test • Page 1 of 1 • • • w 0 m n '111r 0 1 I o . HI ■ ',I N , I , N T c . v C? 'T1 C? 0 co N W Q ''.4 O > 0 0 p 0 rt ci , 0 °S ID co tr re. ..7a O N (I) A a o C CO 3 ..113 : n om ' . . a 01 a N A m 0 Cr c z „ - N 2 - - w = D. .< a GO E 4 -C as ca o z ;r oT n 3 W 3 N 0 rJ ' g = f-. -. 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If m W en tp m m 0 1 -+, to m o TC D ID .S Z E co - Co, . -dam' /, (D .' - si u, m* I ca = o C CD CU Q . = O o a) ? us N �' a O rP ® a) -ft ar m -, o rit m . o o c * C2 2 = a c Q Oa -' = 5.. a N.. q,.. r - . . m C , e . 0 . .. o @ F. o z 3 R. n 6 P to _ -•< = ; m 0 o =NM Sp � © 3 I ^ m ,�. � . o -) ❑ a d a -4 z C2. ` C '' m <i .$. O o N 5- i N ❑ c • a N s _ m ^ � a N 0 m z w ...• m @ 'iii o N o moo m N �@ o '� n r. ❑ r o v r ,2 9 o tD ca , � 1 m 1* .�i o --ft j 0 O 7C- ere n 1 co (c:1 - a C m r c 0 m Z1 o !2 �` i n _ ro a w MUIR El CD o to E '' e m o 3 • Z )m m v =� OT w 41 0 CO m 05 m `� CD m co ' CO p - o ° *@ ❑ c m m sm m o rn cn v `< o -< a o 0. e... m W n m CI. ❑ V/ X' N v = D m ip co @ a CO m 93 V, f17 0 0 fa co 5 y 0 0 m LU '� c`D m ® m V N Z et, @ Z m a. m o s • Book 1165 v�fl .hattg Ludt Yn UTh the granted premises, with all the privileges and appurtenances //‘f' thereto belonging, to the said Rn poop ero 'X 3 ■ and 1118 _ heirs and assigns, to their own use and behoof forever, itatitx xxer .1nac xatadx 4xnucato> xaatc •...... x • XTIOritt2tIttontlicitelptcalett =art xsekxxotbaaaisnaxttatc xxaA 2t xir txtietsfragbutikatteNx steel uiatzwhai y atosimexteitYRA : ttOrA ,x 1 xbwt i mmenc aitht. rsuxat eroxxIbmeat x amittbA witicmix x1, axxanexp otxJ!infoestedvialratmoiN kx'r " ' f anktilgiratikX0MCNIIMKOCITKVOXY Matt Pack t atixxasadxiot sigrtaictrxncxamilmk _ Wx14ikistrimftziottisackxoLfx fsi3c *aserx • xdoxxof lsix ... xxketxamtx texoctex most mover x asxirsxr3,ita>gt tufkoaxmotaatbx • Ib$i1.talk ..: .. s .:.. : . :. s ;;uxxstatICIZYX rgiU irgrXiMtbS x§t > e AM eli§cSO c xr ,... • Imams== tet x Jn witness wt errnf I, the said parah S. Bottum, otherwise known ! Sara 5 Bottum, a single woman, • hereunto set my hand and seal this — twentieth — day of April, • in the year one thousand nine hundred and fifty —f Our . • Signed and sealed in the presence of • `T • $ • , � p fbnmmnnurettl#1l of asoarilusetts Hampshire, as 4 19 5 4 �( r Then personally appeared the above named Sarah S. Bottum, otherwise known as Sara S and acknowledged the foregoing instrument to be her _ free act and deed, before me Softum, U/41.14 Bo s ate a.reailie Jutdw of the Peace My commission expires..._ ' ;f(�- -19 • Hampshire, ss. April 26, 19 54, at 9 o'clock and 4 minutes A. M . Received and entered with Hampshire County Registry of Deeds ti Book 1165 Page 212 I i i y �' 2 " KNOW • ALL MEN E3 THESE P B E S E N T S.. f I' 33 Z l That We P$tistine Z awailok and Amelia K.7.t3walick, husband and wife, both • f of 'Northampton; • • .Hampshire • County, Mao s hnaett , • ° latiatXtvasniakforconsidenUion paid,grantto Paul S.7.awa1lok and •Joan 0,7.awalick, • . ' • • Y,. / ., husband and wife, as tenants by the entirety end not. es tenants in common, both of. the Village of Three Rivers,' Palmer, Hampden County; Massachusetts;• 7 dtc . with tAplittitQB C+kL titkiatti c 'A per tract or parcel of land situated on the Easterly PA(E L (Deseripdoo aed seounhowees. it say) side ofthe highway leading from Roberta Meadow to Watt Farms in said Northampton, Containing about fifteen (15) acres, and bounded 4",ee, NORTHERLY by land now or formerly of Phelps and Dorsey; EASTERLY �"` • • by lend' formerly of Thomas Pomeroy; SOU HERLi by land formerly of . Cephes Strong;• and WESTERLY by said road. : i •. Being the seoond described tract in the deed of Joseph • ' ' Kulon to ue, dated December 5, 1946, recorded in Hampshire County . Registry of Deeds, Book 1012, 'Page 71. • The .consideration for this trarisfer•is less' than $100.00. t • Nola ne Zawali ck & Ame11'a K.7,pwalict. bush/ink � . and wife, . • . release to said granteesll rights of dower wnanT' sba3' d I * m d and other interests therein.. homestea . our t,.++ds'sadsea thi• twentieth say of Mav, ' ip65• , • . Q "LW .•-0., • ffi u!a>,u�t$smtiitt • .. Hampshire. May' : 20th, . 1965• Then personally appeared the aboveatamed_ ga{7 .1fl. _ 1itildk and J.m. to K.7awei4 ok . and acknowledge the foregoing instn&ment to bar • 'free act / • ._ be • . 4 ,rNawu 0' %: . � �` (Sophl .�N.Janik) ' 1174,64 .9.1.1. I • rr«. .,w • �.rr. _._._ ray 2.9.,.. __...._ a __65.... ' . a,�{ ` ( : • . May 20,. 1965 at 2 o'clock and 59 mins. P.M. Rec'd,. Ent .d de Exabft � may „ • k N °'� • • . • "N��4nn, . ,,, . • • f Book 1165 212 2134 a� • glint Mt • (1 • 'It thtst guseitts BOQK -// 4 FAGS\ 3/ t i, Sarah S, Bottum, otherwise known as Sara 'S. Bottum, of Northamrtoh, in the County'of Hampshire and The Commonwealth of Massachusetts, SEE BOOK -/i incoetiderationof one dollar and other valuable consideration, PAGE paid by Russell 1.. Pomeroy, a single man, of 60 Maynard . Road, in -said ' 'SEE Northampton, .. _ ....,. BOO ,.,/ P"Gf• the receipt whereof is hereby acknowledged, do hereby give, grant, bargain, sell and convey unto thesaid Ruses Pomeroy a parcel of land situate in Roberts Meadow,, in said Northampton, on the Easterly side of Sylvester Road, pounded and described as follows: Beginning at the Southwesterly oorner of the granted premises at the Northwesterly corner of land now or formerly of Phelps and Dorsey, and running thence Easterly along land now or formerly of said Phelps and Dorsey fourteen hundred and fifty- , three (1,453) feet, more or less, to land of George 1. Todd et als; thence Northerly along land of said Todd et els and land of this grantee six hundred and sixty (660) feet, more or less; thence Westerly along land formerly of M. T, Moody sixteen hundred and twenty -five and three - tenths ( feet, more or less, to said Sylvester Road; thence Southerly on said Sylvester Road to the place of beginning: containing twenty -four and seven - eighths (24.7/5) acres, more or less. Being the premises described in a deed from John Fogle (Vogel) to Henry B. Haven and Edward S. Bottum, dated November 15, 1903, and recorded in Hampshire Registry of Deeds, in Book 553 at page 205. see also deed from Emma J. Bottum to Walter A. Bottum and me, dated September 25, 1929, and recorded in said Registry in Book 555 at Page 153. bald Walter A. Bottum died in 1951, a resident of Pawtucket, Rhode Island. The consideration for this deed is less than $100. No stamps required. • _ • • January 24, 2013 City of Northampton Office of Planning & Development 210 Main Street, Rm. 11, City Hall Northampton, MA 01060 To Whom It May Concern: We are respectfully submitting this zoning permit application to verify that a certain tract of land located on Sylvester Road in Northampton, MA is considered to be a "Building Lot" by the city of Northampton. This tract of land is currently owned by Stanley Boszko of 110 Florence Road in Easthampton, MA and can be found in the Hampshire County Registry of Deeds Plan Book #168, Page 193. The 14.212 acre tract of land was surveyed by Almer Huntley, Jr. & Associates, Inc. on May 19, 1987. ` We realize that due to the necessary length of the driveway, and building site location_, more than 1 -acre of land will need to be disturbed in order to achieve our goal of constructing a single family residence. We expect this disturbance (including the driveway, leach field, and building site) to be more than 1 acre, but less than 2 acres. We are now in the process of obtaining a preliminary topography survey and driveway layout by a licensed environmental engineer to confirm that we can meet the city requirements with regard to maximum slope, etc. We understand that a separate storm water management plan will be required by the Northampton Department of Public Works, and will submit that plan after determining that this lot is indeed considered to be buildable. Based on discussions with Carolyn Misch, we would like to confirm that this piece of land does meet the MA Statutory Exemption (Zoning Act MGL Chapter 40A, Section 6) that would allow for the construction of a single- family residence. Although the cumulative road frontage far exceeds the minimum Rural Residential zoning requirement of 175 feet, there is a separate lot that fragments this frontage. Please find the attached documents showing that both side abutters, as well as the small tract of land located on Sylvester Road and surrounded on three sides by the this tract, were all reconfigured and /or purchased prior to inception of the Northampton zoning bylaws. Thank you very much for assisting us with this inquiry. We look forward to hearing from you. Sincerely, IF Scott & J er 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 ache 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 wilt disturb over 1 acre? YES X 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 , for use by the Building Department EXISTING PROPOSED REQUIRED BY ZONING Lot Size 2 ttc vS Frontage a L t 7. SZ Setbacks Front Side L: R: L: R: L: R: Rear N fri Building Height N /A Building Square Footage N / ✓a % Open Space: (lot area minus building It paved N/A parking # of Parking Spaces N/A # of Loading Docks N/A Fill: (volume Fr location) NIA 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: r - 2 y - / 3 Applicant's Signature NOTE: Issuance of a zoning permit does not relieve n applicant's burden to comply with all zoning 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- Inspector\Zoning- Pennit- Application - passive.doc 8/4/2004 File No. /VP -/ I L JAN 2 5 2013 ZONING l 11J[VII .i AP L CAT IO P n IONS 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 Northampton 1. Name df Applicant: Sc a-rr Address: 5A I - � ATFte Ln ST_ No�l:i11-A A�tp j7tlki M A Telephone: 4► 3. 3 ZQ • "c (:)1Uto O 2. Owner of Property: ST ANt_E7 3oSZl,o Address: ((O FT-ortC�,c.E. 2.1). PoisTriatMPTOr^ A44 Telephone: 1 1 1 % • .5% • A. 34, '? 3. Status of Applicant: Owner Contract Purchaser X Lessee Other (explain) 4. Job Location: Parcel Id: zoning Map# Parcet# L9 District(s): In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure /Property: LAN — N o S T euerUQJ 6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary): PL eA�SE. S A ctt ED boc.c„ku..A.rr �C�oK� (A_ -; Co,�S� w e c,‘ 7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans X 8. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO DONT KNOW X YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW X 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 X IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained • • •: (Form Continues On Other Side) ALL ' eitNAI. R L io W:\Documents\ FORMS\ original \Building- Inspector\Zoning- Permit- Application- passive.doc SW 04_ NC�+t 0-0 La 8/4/2004 kf r x ?DO _ 100 A wel y F2c7 .AsA. Q ,-,,,xsnLC. Cir /nr .4T)Plet t City of Northampton " Massachusetts t # DEPARTMENT OF BUILDING INSPECTIONS r 212 Main Street • Municipal Building Northampton, MA . 01060 •1 E Scott Keiter 51A Hatfield Street Northampton, *MA 01060 21 -004 January 31, 2013 Dear Mr. Keiter, I have reviewed your zoning permit application regarding the property on Sylvester Road in Northampton, listed by the city as Map 21, Block 004. This property is in the RR zoning district and does not have the frontage required for a building lot without a special permit from the planning board. You ask if the subject parcel is protected as a nonconforming single family lot. Based on the information you have presented, this parcel does meet the criteria for exemption under the city zoning ordinance and is a legal building lot. § 350 -9.4. Single -lot exemption for single- and two- family use: Any increase in area, frontage, width, yard or depth requirements of this chapter shall not apply to a vacant lot for single- and two- family residential use, which: A. Has at least 5,000 square feet of area and 50 feet of frontage; and B. Is in an area zoned for single- or two - family use (A special permit must be obtained if one is required.); and C. Conformed to existing zoning requirements when the lot was legally created, if any; and D. Is in separate ownership prior to the City Council vote which made the lot nonconforming, and has maintained its separate identity. Feel free to contact me if you have any questions. Respectfully, Louis Hasbrouck e Building Commissioner City of Northampton (413) 587 -1240 Iasbrouck@city.northamptorl.ma.us File # MP- 2013 -0074 j6E Noi6S X PL A Pte' N APPLICANT /CONTACT PERSON SCOTT KEITER ADDRESS/PHONE 51A HATFIELD ST (413) 320 -9035 PROPERTY LOCATION SYLVESTER RD MAP 21 PARCEL 004 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT n y �j — j5 Fee Paid �jC �j f Building Permit Filled out Fee Paid • Typeof Construction: ZPA - SFH 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 INFOyMATION PRESENTED: Pq [ afM , ( 0 Ai Approved Additional permits required (see below) 5 — t t 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 Commission Permit DPW Storm Water Management rrt(3 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.