32C-151 (8) MORTGAGE LOAN INSPECTION*
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LOCUS REFERENCE:
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r Book 5208 Page 76
Plan Book 22 Page 37
Subject to and together with
right-of-way along Florida Avenue
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TO: Bankilorth Mortgage OWNER:
AND: First American 'Title Insurance Co. 119 Florida Avenue, Inc.
I hereby report that the premises shown on this plan is not LOCATION:
located within a Flood Hazard Area as shown on the Federal 119 Florida Avenue
Emergency Management Agency's Flood Insurance Rate Map, Northampton, Massazhusetts
Community Number 250167-0002A E. B. HOLMBERG &Associates
Effective Date April 3, 1978_ -_ LAND SURVEYORS
I also report,to the best of my knowledge,information and 87 UNION STREET,EASTHAMEWTON MA 01027-0945
belief,that this inspection plan shows the improvement or 37 DAMON POND ROAD,CHESTERFIELD MA 01012-0176
improvements as located on the promises described,that the
improvement or improvements are entirely within lot lines,and
that there are no encroachments upon the premises described SCALE:
by the improvement or improvements of any adjoining premises,
P, 40'
except as noted.I further report that there are no casements
of record affecting the tract shown hereon,except as noted. DATE:
September 14, 2001
JOB NUMBER:
01-148
THIS PLAN IS FOR IDENTIFICATION PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY.
AND IS NOT TO BE USED FOR CONSTRUCTION PLANNING OR LAYOUT.
10. Do any signs ebst on the property? YES NO ---;,< __•
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property?YES
IF YES, describe size,type and location:
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This coluam to ba I il.L-1 _..
by the Bailding DepnZCM.-t
Required N
Existing Proposed By Zoning
Lot size 3, go
/ e
i
Frontage
Setbacks zo - frnnt CS
7 9 R: J
1.5- - side L: Zzz R: 4,� L: I
2.1:> - rear —T
Building height
Bldg Square footage y
/3yy
%Open Space: _
(Lot area minus bldg �7
&paved parking) /2— U
# of Parking spaces
# of Loading Docks j
Fill: —
(vol-ume -& location)
13 . Certification: I hereby certify that the information contained herein
is true a d accurate to the best of my knowle e.
DATE: / 9.2 APPLICANT's SIGNATURE
NOTE: lsa unrvGe of a zoning permit does not relieve an applioant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health. Conservotion
Commission, Department of Publio Works and other applionbla permit granting authorities.
FILE if
_ •� Fi 1 e No. 3 U
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address:_2s1 rzp4dq�— �T pia Telephone:
2. Owner of Property: -s�AIVA✓ YF �Z 4WJLE
Address: III R04LLbA AVE Telephone:
3. Status of Applicant: X Owner Contract Purchaser Lessee
Other(explain): _
4. Job Location: 119 F_C.oM;-0A AVE
Parcel Id: Zoning Map# &02�% Parcel# / '� District(s): AW
(TO BE FILLED IN BY THE BUILDING DEPARTME
5. Existing Use of Structure/Property_Py6V7*L 1"iGj&
6. Descri lion of Proposed UseMork/Project/Occupation: (Use additional sheets if necessary):
JJ ZS fir- A66 Pr/oN 'ro ��►- Sid E cy':' QlA. Z-fcpv�S o'e Coot
ACSo /A�- z�� Sow Rcrvoyti,i.�.s To Ew�sTr�v�q f-k�,��atc�r,9�
AqV►,�-wry q✓n ` OSa�+P ��c.. /�Y�C -�
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW ?41 YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW 'C YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NOS_ 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-2003-0090
APPLICANT/CONTACT PERSON HOULE SHAWN
ADDRESS/PHONE 251 PLEASANT ST #IB (413) 585-8950()
011MINN-20' 'w'-*
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ONING FORM LLED OUT
ee
Building Permit Filled out
r
Fee Paid
Typeof Construction: ZPA-CONSTRUCT 2 STORY 25'ADDITION&PAVE DRIVEWAY
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 PRES NTED:
Approved VAdditional 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: § Y
SLOG' S1�%
,disc'
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
7
—
Signature of Building Offrcial 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.