32C-224 (29) G
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SEP 2 6 1997
Electric,Plumbing,&Gas InsacctionS
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26-SEP-1997 11:30:53 Hampshire County Registry of Deeds Receipt No: 66939
Marianne L. Donohue, Register of Deeds
33 Kina_ Street
Northampton, MA 01060-3298
Name: CHARLIE WANG Add r. 69 GRANTWOOD DRIVE
AMHERST. MA 01002
Receipt Type: OR
Payment
Total Paoes: 0003 Fees Taxes
Fee: E 10.00 Cash: $ 10.00 $ 0.00
Tax: $ 0.00 Check: $ 0.00 $ 0.00
Misc: $ 0.00 Charge: $ 0.00
Charge Code:
Comment
ReceiDted By: BETH Status: PAID
DOCUMENTS: 970021567 to 970021567
-----------------------------------------------------7------------------------------------------------------------------------------
Type Page Doc Mref Consider$ Record Fee Excise Tax Stat Misc Fee Record Date Document# Book/No/Page Status
---- ---- --- ---- ----------- ----------- ----------- ---- ----------- ----------------- --------- -------------- ------
MIS3 003 0001 0000 0.00 10.00 0.00 0.00 26-SEP-1997 11:30 970021567 OR /5207/0305 INIT
Paae 0001 of 0001
i
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. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This col== to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks Z"
- side L:-f-S/ R:-21— L: R:
- rear p
Building height ,
Bldg Square footage i5r %�D
%Open Space:
(Lot area minus bldg
&paved parking)
# of Parking Spaces
f of Loading Docks
Fill:
4 vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge. 2 '
DATE: � � � APPLICANT's SIGNATURE
NOTE: Issu noe of a zoning permit does not relieve an api li ant' urd n to oomply witfa,.�pll
zoning requirements and obtain all required permits from the oard Health, Conservation
Commission, Department of Publio Works and other applicable it granting authorities.
FILE #
2 1997
File NAu; "--z
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: J,
Address: �� ,fir l��? elephone:
2. Owner of Property:
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other!(eexxpplain):
4. Job Location: /
Parcel Id: Zoning Map# Parcel# cP District(s)�:!
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
� w
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 PermitNadance/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 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)
y
FILE # ;
2 1997
APPLICANT/CONTAC PERSON:
ADDRESS/PHONE:
PROPERTY LOCATION:
MAP PARCEL: ZONE' ,
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
------ ENCLOSED REQUIRED DATE
Fee Pnid
4 Y5--
Building 'Perynit Filled mit
Fee pAid
Building Plans Included-
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
Approved as presented/based on information presented
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § w/ZONING BOARD OF APPEALSnQ
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-Bd of Health Well Water Potability-Bd Health
!Permit from Conservat* Commission p
Signatwe o i g for Dale
NOTE:lasuanoe of a zoning permit does not relieve an applioant'a burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other nppiioable permit granting authorlties.
' FILE # 96 0? 7 CJ
APPLICANT/CONTACT PERSON:
ADDRESS/PHONE: Dd
PROPERTY LOCATION:
AIAP s ,�(� PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMTT APPLICATION CHECKLIST
ENCLOSED REQUMED DATE
Fe
Type of Cnnstmrtinn-
CnnqtM1rfin 11
Additinn to Existing
1 —
THE FgeOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: `
pproved as presented/based on information presented
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
ding Required under:§ w/ZONING BOARD OF APPEALS
t/ Received&Recorded at Registry of Deeds Proof Enclose
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-Bd of Health We ater Potability-Bd Health
Permit from Conservation Commis o
Xcl
Signatur of Building Inspector Date
NOTE:lasuanoe of a zoning permit does not relieve an appiioanYs burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, CC-n--rVatl
Commisalon, Department of Publio Works and other applioable permit granting authorities