36-308 (4) MORTGAGIE LOAN INSPECTION
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LOCUS REFERENCE:
Book 6790 Page 0100 (Portion)
Plan Book 192 Page 84
TO: National City Mortzaae Co. --
AND:First American Title Insurance Co OWNER:
David M. Lepine
I hereby report that the premises shown on this plan are LOCATION:
not located within a Flood Hazard Area as shown on the Cardinal Way, Lot 4
Federal Emergency Management Agency's Flood Northam ton Massachusetts
Insurance Rate Map,
community No. 250167-0001A E. B. HOLMBERG & Associates
Effective Date April 3, 1978 LAND SURVEYORS
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10. Do any signs exist on the property? YES NO V
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 REQUIRED BY
ZONING
Lot Size 2
Frontage
Setbacks Front M4
( aa l Side L: V/A R: ,�/q L: /2 ' R: %0 ` L: R:
J Rear A1 1A NIA - �3 Sam �aT�
Building Height
Building Square Footage C/2 3 80 f z
Open Space: (lot area ZX�f v 7v
minus building Et paved parking !! / `a e
# of Parking Spaces
# of Loading Docks
Fill:
(volume £t location) z C`i/•�.JGC
12. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 3 -o-1,0 S 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
granting authorities. /�
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M AY 2 1 2003 File No. 11#P03 - 17t
�IN PERMIT APPLICATION(§10.2)
Plegs type or print all information and return this form to the Building
Inspector's Office with the $1 o.filing fee (check or money order)payable to the
/f City of Northampton
1. Name of Applicant:
Address:—/D 9 e4RQ1Ni44 Telephone:
2. Owner of Property: /w'cKef'pz
Address:�� � '�"� ��A f% Telephone:
3. Status of Applicant: Owner X11 Contract Purchaser Lessee Other (explain)
4. Job Location: /0 j G ' -0 A�y
Parcel Id: Zoning Map# Parcel# 0 District(s): �\
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: 4 g,2-4E
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
1Zsz
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 Y 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 V/ 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-2003-0171
APPLICANT/CONTACT PERSON BADORINI MICHAEL&DAWN
ADDRESS/PHONE 109 CARDINAL WAY (413)585-9001 Q
PROPERTY LOCATION 109 CARDINAL WAY
MAP 36 PARCEL 308 001 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-INGROUND POOL
New Construction
Non Structural interior renovations
Addition to Existing
Accesso1y Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED:
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
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commis ' n
Z41�C
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.
MP-2003-0171
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: a
Lot: 001 ZONING PERMIT
Lot:
Permit: ZONING PERMIT APPLI APPLICATION PERMIT
Category: Zoning Permit
Permit# MP-2003-0171 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2003-1667
Est.Cost: Contractor: License:
Fee: $10.00 Homeowner as Contractor
t of Fixtures: Owner: BADORINI MICHAEL&DAWN
Applicant: BADORINI MICHAEL&DAWN
AT: 109 CARDINAL WAY
ISSUED ON: 23-May-2003 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA-INGROUND POOL
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-2003-003518 21-May-03 685 $10.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2003 Des Lauriers Municipal Solutions,Inc.