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24A-034 N 35'x'25' a N via lillizi. z . a N 3331'79'E c Z G v m N$ D OD-U 1 WAD D f C: FF � D m m Or 0 -- 5 3439'13'W rc >m NA � H cu N C Z CO O 0 0 -10H v r Z n� 0 Amo "0 D -mmo> - -0 -D smi�g r�ZZ-p D M o_.=io ;u� 8��O wg> v < I r D a �j*1 N c Pw I Z8; :5; i 4(nCF4e en N I i 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 N0�_ IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, o over 1 acre 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 j » � for use ne the Building '1`" �rj �( ��V �u...�G� �CJ De artment EXISTINC PRO 'OSED REQUIRED BY ZONING Lot Size Frontage ' 1 7 Setbacff Front 3lJ �b Side L: R: L: R: L: R: { Rea�� �.!) C4 Building Height Building Square Footage fi o6 %Open Space: (lot area �J minus building &paved parking #of Parking Spaces #of Loading Docks rF—i l l; N(volume& location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: Applicant's Signature NOTE:Issuance of a zoning permit does not relieve an ap 'cant'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. W:\Documents\FOAMS\original\Building-Inspector\Zoning Permit-Application passive.doc 8/4/2004 t i '/ -eC File No. m/0/7 93 ectwns _ Electric,P . .. °r amt�i°r iA,a'n 4NING PERMTT APPLICATT0N.1010:2)` :- Pleasetype or print all information and return this form to the Building Inspector's Office with the $15filingfee (check or money order)payable to the City�(o�fNorthampton 1. Name of Applicant: 21kuk � Address: 3 S", t VC P S T6 K- �` 'a Telephone: ��� 3 d3 r� nn j 2. Owner of Property: i't t Address: 3') Vt ( �`�'V' " ��� ��1 I' Telephone: 3. Status of Applicant: Owner tract Pu! r— ch Lessee Other (explain) ( 4. Job Location: Parcel Id 'Zoning Map# Parcel# - Dlstrict(s): In Elm Street District - - In Central Business.District 7. TO BE FILL1E/D IN BY-THE BUILDING DEPARTMENT) . 5. Existing Use of Structure/Property: 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): G fl-46 �� C 7. Attached Plans: Sketch Plan Engineered/Surveyed Plans 8. Has a Special Permit/_variance/Finding ever been issued for/on the site? NO I QON'T KNOWIL� YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO �� ON'T KNQW YES IF YES: enter Book Page and/or Document# 9.Does the site contain a brook, body of water or wetla s? NO 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) W:1Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004 File#MP-2014-0093 APPLICANT/CONTACT PERSON MCCUTCHEON DAVID J ADDRESS/PHONE 263 SYLVESTER RD (413)587-4570 Q PROPERTY LOCATION BLACKBERRY LN MAP 24A PARCEL 034 001 ZONE URA(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildiny,Permit Filled out !c7 1K�.ti Fee Paid Typeof Construction: ZPA-2 LOTS SLA(3,FCcT TO MIJEL QRA 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 INF MATION PRESENTED: bApproved 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 Commission Permit DPW Storm Water Management /"1-1� S IE 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. BLACKBERRY LN MP-2014-0093 COMMONWEALTH OF MASSACHUSETTS _ CITY OF NORTHAMPTON GIs# _ 3390- Map: 24A Black: 034 ZONING PERMIT Lot: ©01 Permit: ZONING PERMIT APPLI APPLICATION PERMIT Category: Zoning Permit Permit# MP-2014-0093 PERMISSION IS HEREBY GRANTED TO: Project# JS-2014-001991 Est,Cost: Contractor: License: Expires: Fee Charged:$15.00 Homeowner as Contractor Balance Due:$.00 Owner: WILLARD GEORGE E&MARY D #of Fixtures Applicant: MCCUTCHEON DAVID J DigSafe# AT. BLACKBERRY LN UseGroup CanstClass ISSUED ON: 16-May-2014 AMENDED ON. EXPIRES ON: TO PERFORM THE FOLLOWING WORK: ZPA-2 LOTS-subject to table 350 attachment 6 URA 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-2014-006550 08-May-14 5058 $15.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov GeoTMS®2014 Des Lauriers Municipal Solutions,Inc.