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MORTGAGE LOAN INSPECTION
'-IIS PLAT IS FOR IDENTIFICATION PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY
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GARAGE GRAVEL
DRIVE
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2 STORY -
�r BRICK T PORCH Q
HOUSE
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WILLIAMS STREET
THE PREMISES SHOWN ARE SUBJECT TO AND/OR TOGETHER WITH THE
BENEFITS OF ANY AND ALL EASEMENTS, RIGHTS, CONDITIONS, COVENANTS,
AGREEMENTS, RESERVATIONS AND RESTRICTIONS OF RECORD.
TO THE SUN TRUST MORTGAGE AND THE CHICAGO TITLE INSURANCE COMPANY — ONLY
my knowledge, information and belief, from information supplied to me, I hereby report that the premises have been examined and that
is inspection plot shows the improvement or improvements as located on the premises described, that the improvement or improvements
a entirely within lot lines, that there are no encroachments upon the premises described by the improvement or improvements of any
joining premises, and that there are no easements of record affecting the tract shown hereon, except as shown.
H O
further report that the 'premises shown on this plan is not located within a Flood Hazard Area as shown an � ` l�l.�
epartment of H.U.D. Federal Insurance Administration Mcps, PAS
ommunity Number 250167 0002 A c5; LUSWM
ientification Date APRIL 3, 1978 DO
P.LS.
OWNER HUNTLEY W. SYDNEY STERN
HUNTLEY ASSOCIATES, P. C. LOCATION 85 WILLIAMS STREET
zrveyors • Engineers • Landscape Architects NORTHAMPTON, MASSACHUSETTS
30 Industrial Drive East JOB NO. DATE SCALE
Northampton, MA 01060 03-535 6/16/2003 1"= 20'
voice (419)584-7444 fax (413)588-9159
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 the property? YES NO
IF YES, describe size, type and location:
11. Will the construction activity disturb (clearing, grading, excavation, or filling) over jacre or is:it part of a common
plan of development that will disturb over 1 acre? YES NO j
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 Bu9ding
Department
EXISTING PROPOSED - i1t '
Lot Size j
Frontage
Setbacks Front L(
q C, ZO
Side L: S + R: fir. �) L: o R: << l 57
Rear
Building Height
Building Square Footage ,kSc L{
1—
%Open Space: (lot area -
minus building&paved
parking� S� Sii �� ��`t�� $4- �� �•
#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: n —Applicant's Signature
NOTE:Issuance of a zoning permit does not relieve an 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 a anting
authorities.
W:\Documents\FORMS\original\Buildin.--Inspector`Zoning Permit.Application passive.doc 8/42004
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File No41'906I�� , ;�' 2006
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Please type or print all information and return thsf_o__rin -
Inspector's Office with the $15 filing fee (check orrnoneyorder)payable to the
City ofNorthamp ton
1. Name of Applicant: _-
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Address: l �'J.�e� -v�. ���e� �,�1 Alt, a1 Telephone: L 13 5- ;L 2
2. Owner of Property: t , -�A-CA-j R H z L< l&Z k L*, _ 1:-� ;. ;ice✓
Address: l,l- (.'c..S S 11�/d�,►-6LXA Telephone: 4f/ 3— 5-S-6 6 -7-0 y
3. Status of Applicant: Owner - Contract Purchaser_ Lessee Other (explain)
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4, .lob Location:
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5. Existing Use of Structure/Property:
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
C41,"t( - G! K G. CTCr 7J 4j- _ ��i V e e- 6.-Q-....... n[?!L ti'. t J.fCMJS i tA.< Ge• F' e�"C',X. .
7. Attached Plans: Sketch Plan Site Plan _ Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document#
9.Does the site contain a brook, body of water.or wetlands? NO DON'T KNOW L/ 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)
W:�DocurnentsTORMS\original�Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
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File#MP-2006-0111
APPLICANT/CONTACT PERSON WALSH ANDREW T JR
ADDRESS/PHONE 9 FOREST AVE (413)522-7795 Q
PROPERTY LOCATION 85 WILLIAMS ST
MAP 3 lgit Z= URC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM ILLED OUT _
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-ADD SCREEN PORCH
New Construction
Non Structural interior renovations
Addition to Existinu
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 Pl �NTED:
Approved V 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: 5f/� St � o
Finding V 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
Signature of Bui ding 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.