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25A-151 MINN THIS PLAT NOT FOR RECORDING PURPOSES >3� �r.9 31 Pte• 195 4P 0 SHOE D v kn ctl �9 1- Fo RC H (O W001D B INE AVE To:FLOILEAlCe 5$�Yf14G$ 9Af4K IrLAWYOR3TITLC IN5,CO. I H1:fiESY REPORT THAT I HAVE EX MINED THE PMMISES,AND WED ON EOSTING MONUMENTAT10N,ALL EASEMENTS,ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GF40UND AS SHOWN AND THAT THE BUILDINGS APE ENTIRELY WITHN THE LOT LINES.I FURTHER REPORT THAT THE PROPEKN IS NCT LOCATED IN A FLOOD PRONE AREA AS SHOWN ON FEDERAL INSURANCE MAPS FOR COMMUN,TY NUMBER DATED: �'Y -�9 NOTE= THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES SUFVEYOR: NOT CONSTITUTE A PROPERTY SURVEY, _ MORTGAGE LOAN 1NSPECT70N PLAT we l� iJaRTHAMPTO W , MASS. &sR aD4vNE-Z Za 034605 I4ARGAz1s.T S• QAP-rawtc;zL Fkhard J.LaBarge,Sr„Fieglstered Professional Land Surveyor 110 IGnq Sweet,Northampton,10assachusetm 010W 10. Do any sins 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 77ds cobzmn reserved . D �use.by the Dugdi g t, 1 G PROPOSED Lot Size - Frontage a Setbacks Front /0 C t job¢ Side L: ,2Sff- R: /orf L: aS�'f R_ : /4f Rear Building Height ' 3ofo- s y , Building Square Footage l85o S.P. %Open Space: not area y3 minus budding Et paved parking -. #of Parking Spaces ._. ` y . rr of Loading Docks . r Fill: Nliq (volume Et location) 12. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: S�S�°y Applicant's Signature NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply with alt zoning requirements and obtain all required-permits from the Board of Health, 8imervat on Commission, EGstoric and Architectural Boards,Department of Pul is Vdoriks and otheraapplicable permit ranting authorities. 000 pdf i � U � u U Lln ( I 1j , U 'U I J 0\I - 1 2004 ' File No./Il _&,V i Pleae ty or pmt ©rmation and return this form to the Building Inspector's Office with the $15 filing fee (check or money order)payabte to the Office Uty of Northampton i. Name of Applicant: �gaac_ h`OD�S Address: I°•o. 43 ox /070 /�HffEiPsT g" 0/0oV ,Telephone: -5-3 2.2. Owner of Property: Address: .,HNe,;f sr� 0/° Telephone: s3�-SYS� C�•� 3. Status of Applicant Owner Contract Purchaser Lessee Other(explain) 4. Sob Lo lion: 3 �`�° GJoe �O; e. sf- . 5. Existing Use of Structure/Property: 2 /.;VVVIAY /4AW22VA 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Of G°N dClp♦ �x�sr�.uG /�1'T!G ,S,�i9c.t /Nr'O Qv�' ,Q6"p��o/Y � J/�vCr F.�N/7, $oTi� /YEp/tJS of �G/S'�-S cy/GL ,�C� /NT�/9�tJ�R� /IiEX/9?/yE' T� �/SST/itlG 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 DONT 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 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-2004-0174 APPLICANT/CONTACT PERSON HAYDENVILLE WOODWORKING&DESIGN INC ADDRESS/PHONE P O BOX 1070 (413)253-3229 PROPERTY LOCATION 38 WOODBINE AVE MAP 25A PARCEL 151 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FO �ILLEQUT ee Building Permit Filled out Fee Paid Typeof Construction: ZPA-CONVERT 2 FAMILY TO 3 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 PRESF;NTED: 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 GOT ZONING BOARD PERMIT REQUIRED UNDER: § CO—2- , %•2 lo. / fA 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 Co 'ssion � 3 zoo 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.