25A-094 . -NOTE-
T111S PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT
TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED.
BUILDING LOCATION ACCURACY IS NOT GUARANTEED
1\
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t ! '
s[✓�``� Vs [J d
X18 X51
I
TO: SPRINGFIELD INSTITUTION FOR SAVINGS &
LAWYERS TITrE INSURANCE CORPORATION
( TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF
I HEREBY REPORT T.11," I 'HAVE EXAMINED THE °REMISES AND BASED ON EXISTING
MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUN17Y # 250167
_ -N OTE-
SURVEYOP: ��. .lg THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
c AND DOES NOT CONSTITUTE A PROPERTY SURVEY
OF
-MORTGAGE LOAN INSPECTION PLAT-
�S
? icy NORTHAMPTON, MASSACHUSETTS
RAN DALL s PREPARED FOR
E. JOAN K. SAMOLEWICZ
v IZER y
135032 SCALE: 1 "=30 ' JUNE 22, 1998
HAROLD L. EATON AND ASSOCIATES, INC.
suxY� REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET - HADLEY - MASSACHUSETTS
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 1 or is it part of a common
plan of development that will disturb over 1 acre? YES NO
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 Building
D artment
EXISTING PROPOSED REQUIRED BY
S8 4f O ZONING
Lot Size
Frontage V 1 y 1 !
Setbacks Front
Side L: 4— I �— L: L4 R: R-
Rear
,
Building Height
1
Building Square Footage h r-
j
%Open Space: (lot area "
minus building Et paved
parkingf ��!v�.!C.�
f#of Parking Spaces E C
1 ,
#of Loading Docks
Fill:
(volume Et location) f`
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date:___ I Applicant's Signature 1 6,f
NOTE:Issuance of zoning permit does not reliex,Fan applicant's burden to comply--with all zoning
requirements and obtain all required permiks from the Board of Health,Conservation Commission,
Historic and Architectural Boards,Departi ent of Public Works and other applicable permit b antina
authorities.
N d7:1Documents',,FORNIS\orieinal\Building-inspector',Zoning-Pennit-Application-passive.doc 8/412004
File No.
� Mease typeor��c � 000rmation and return this form to
' ��' with the ----�
. �����- ~ �au� �.... ..� ������� K��������� ��«�payable to the
1. Name of Applicant:—
2. Owner of Property:_ voe
i Telephone:
3. Status of Applicant: Owner Contract Purchaser -lain)
�
C1 qfNorthampton
5. Existing Use of Structure/Property:
b. Description of Proposed Use/YYork/Project/Oczupation: (Use additional sheets iynecessary): -
I Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Vahance/Finding ever been issued for/on the site?
NO DONT KNOW_�_��' YES |F YES, date issued:
IF YES: Was the permit recorded at the Registry ofDeeds?
NO DONTKNOW YES ________
IF YES: enter Book Page and/o, Document#
9.Qoes the site contain a brook, body of water orwetlands? NO ZDONT KNOW YES ______
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs tohe obtained Obtained date issued:
(Form Continues on Other Side)
w:mocvm*"'s\ponxs'�ori.-iounouomnu'msp-.c,o+zvom,�-pcm/,'Arn,m/o"'pspi.e.uoc �J^ � 94o04
���
File#MP-2008-0001
APPLICANT/CONTACT PERSON SAMOLEWICZ JOAN K
ADDRESS/PHONE (413) 586-5418 Q
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM F ED OUT
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-DET 1 I X 24 GARAGE
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 F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF' 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 Conunission Permit from CB Architecture Committee
Permit from Elm Street Co Sion
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.