36-068 (6) ALS
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The Additional 2 Flag Lot Detail Sketch
Berkshire
Design The Oaks Subdivision SK-I
Group,Inc. Northampton,MA
4 Allen Place Northampton, Massachusetts 01060
(413)582-7000 FAX(413)582-7005 SCALE: 1"=60' DATE: August 18, 2005
uoi i >> cuo•� l�:L7 41.SL5b410tS
KOHL CONSTRUCTION PAGE 01/01
•y
10, Oo any signs exist on the property?
IF
YES
YES, describe
sc -------- 7J0 —
sae,.typo end Ioeatien: ,. •
Are there any Proposed cha
Ages to or additions of signs intended for the propgrrp yes
lF YES, decribe size, Na
type and iocetion:
11. 15011 rite construction,attiVlty dWizb,(CJobring,grading,e:rlravatian:ot•fJ►ll
plain of developtitettt t>>gt will or over 7'acre? YES Mma ►ig?war 1'acre or is R part of a common
M0,
IF , fh en.a Northampton Storm Water Management Permit from fire DPW it regtiired.'
l2, ALL INFt]itlKATION'b1US j^gE COMPLETED,or PI-TaM CAN 8E DENIM DUE TO LACK OF M�OR1NA770F1
FIRE
rotsi�re. j0 04--.'0
FroriOage
SetbwiC! FrOTit Z 5 C✓///�� s/ F�1/n1 .�:
side 1-c /S M/N R: /S`/vl/�i . L ' R: /�: �.✓
�J /faro
li8ar Z } '/✓I rte/. 2 ^4
pullding Nett
�ullding Square Fcc�age
IA .
x?pan Space:(►ot area
mhus-budding&-*ed
i.
' �of Parfck+g Spaces /���. ^�j� •• ,
#a!Loscring.coda f J A ye r `�,::��••
`,,a l✓All
• wlume a iocatlon .
13. C anon:t hereby eei tify tfst the information 6DVUirted heMn is true and aaw A to the best of
rr7 knetirledge.
/�- C � lic3rt['s�lgrt9itur'® ,�
Date'
l�I07S:TsssuuscE of a avflingpermilt does not ceitwit appt3
pat's burden to comply wirer+a1L rut►tc.R
r�drewes"s and obtain aII regshcwd Pe rtariitu fraR►tlb Board o and of, r apprvable permit iasioa�.
FT,storFc and architeCturd Boards.Uepaftmeot o>~Pub7ic Worlds exid ether appfica6le p ��
aatlioritias,
• sMrloo•
+' � yee�hA.pp�tian-Da�o,�loi• '
W:1Doam�1M�°t't4hre1V3addfat` ,Oi'�Q�"
L
Jj Fide No.
_
Pleage6 bqp�e or print all information and return this form to the Building
- Inspectors Office with the $15 fading fee (check or money order)payable to the
City ofNortharnpton
1. Name of Applicant: /D a V 6 01<'o t-/Z-
Address:-31 �.r.✓I,��s s�� + Lz,. -,f.# cibsrTelephone: 171/3 -21'6 - c3Zi
2. Owner of Property:
Address: Telephone:
3. Status of Applicant Owner X Contract Purchaser Lessee Other (explain)
4. Job Location: /2,T .�
w
_._.� . . __. _:- _: __. ...�.___---_ ,..._. � i _,' _.mow. •- -
5. Existing Use of Structure/Property: 44 T
6. Description of Proposed Use/Work/Project/Occupation (Use additional sheets if necessary):
K .fc' S�, WriSSion/ c6 TH/S i'�.EVT£tT 2
vN SE GC��✓EG� DG 5 iT� TNES
1-1.4 V-15- sf
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special PermitNariance/Finding ever been issued for/on the site?
NO_X DON'T KNOW YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW 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 X date issued: .41241-1 2f,-70
(Form Continues On Other Side)
V':\DocumentslFORMSbri-inal�Buil ding-InspactorlZonin.--Permit-Application-passive.doe 8/42004
File#MP-2006-0018
APPLICANT/CONTACT PERSON Doug Kohl
ADDRESS/PHONE 31 Campus Plaza Rd (413)256-0321
PROPERTY LOCATION BURTS PIT RD-THE OAKS
MAP 36 PARCEL 068 001 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ONING FORM LED OUT ;0(40p ter, r
Fee ai
Building Permit Filled out
Fee Paid
Tvneof Construction: ZPA-2 ADDITIONAL FLAG LOTS W/COMMON DRIVE
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 PRESENTED:
Approved Additional permits required(see below) 4.102
PLANNING BOARD PERMIT REQUIRED UNDER: §,.91,-",1 6. 3
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan 'r
Major Project: ✓Site Plan AND/OR Le< Special Permit with Site Plan p T
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance* Cam
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 Contjission
l
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.