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36-231 36 WINTERBERRY LANE MP-2004-0116 COMMONWEALTH OF MASSACHUSETTS _ CITY OF NORTHAMPTON IGIS#: 7309 Map: 36 Block: 231 Lot ZONING PERMIT : 001 Permit: ZONING PERMIT APPLI APPLICATION PERMIT Category: Zoning Permit Permit# MP-2004-0116 PERMISSION IS HEREBY GRANTED TO: Project# JS-2004-1342 Est.Cost: $0.00 Contractor: License: Fee: $15.00 Homeowner as Contractor L#of Fixtures: Owner: MOSKOWITZ STEVEN Applicant. MOSKOWITZ STEVEN AT: 36 WINTERBERRY LANE ISSUED ON. 26-Mar-2004 AMENDED ON. EXPIRES ON. TO PERFORM THE FOLLOWING WORK: ZPA-ABOVE GROUND POOL W/DECK THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Zoning Permit Application REC-2004-002695 23-Mar-04 1284 $15.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272 GeoTMS®2004 Des Lauriers Municipal Solutions,Inc. 10. Do any signs exist on the property? YES NO IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property? YES NO IF YES, describe size, type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED RETIIREID�Y" Lot Size Size Frontage i t2 Setbacks Front Side L: 10 R: ID L: R: L.: R. Rear Building Height 2 s�12� Building Square Footage % Open Space: (lot area minus building fx paved parking #of Parking Spaces #of Loading Docks Fill: (volume Et location) 12. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: 519-211A Applicant's Signature % NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comp�uh all zoning requirements and obtain all required permits from the Board of Health,Conservation Commission, Historic and Architectural Boards,Department of Public Works and other applicable permit granting authorities. OOO.pdf C 2 3 File No .�..,.� -fir- 7 409 Please type.or;print ' 1 information and return this form to the Building In ector's Office with hle$i lin ee (check or move order)payable to the P 9.f zJ P y City of Northampton 1. Name of Applicant: s�y�w 0S Address: Z Address: ?o �1 (2� _ _ Telephone: �JO�S 2. Owner of Property: Address: Telephone: 3. Status of Applicant: Owner _Contract Purchaser Lessee Other (explain) 4. Job Location: Ext� ' � ;�` x �� � rn.S�eet��rlct ;� .� g n.CemCa��$�ness Drstnci � �=�'��.- -'�� �.t�-�•� 3 5. Existing Use of Structure/Property: G 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): PZC> F- 1 r3S T lLPrT1 Ord C)p NC-a2�t � PAL 7. Attached Plans: Sketch Plan X Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW X 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 X — Obtained , date issued: (Form Continues On Other Side) oil ID u�' `T L � �b POOL SELO ) � Lc C T Z File#MP-2004-0116 APPLICANT/CONTACT PERSON MOSKOWITZ STEVEN ADDRESS/PHONE 36 WINTERBERRY LN (413)586-8513 Q PROPERTY LOCATION 36 WINTERBERRY LANE MAP 36 PARCEL 231 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE N1NG FORM LLED OUT Building Permit Filled out Fee Paid Typeof Construction: ZPA-INGROUND POOL 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 P ED: Approved 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: § 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 V-- Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Corn k's n 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.