25A-185 (77) RANT) ERTS
GENERAL CONTRACTOR
-` 41 HEMENWAY ROAD LEVERETT, MASSACHUSETTS 01054
(413) 367.9385 LIC, N0. 042573
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RAND-ALL ROBEFUS
GENERAL CONTRACTOR
For Our Use Only
RANDALL E. RO ER
GENERAL CONTRACTOR
-` 41 HEMENWAY ROAD LEVERETT, MASSACHUSETTS 01054
(413) 367.9385 LIC, NO. 042573
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RANDALL ROBERTS
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GENERAL CONTRACTOR
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. —19— Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 45 Industrial Drive Lot No.
2. Owner's name Coca-Cola Enterprises Address.
3. Builder's name Randall E. Roberts Address 41 Hemenway Rd. ,Leverett,MA
Mass.Construction Supervisor's License No. 042573 Expiration Date 8-25-96
4. Addition
5. Alteration Break area adding one ( 1 ) 18 ' partition to divide space into two ( 2 )
16. X X11jWi sections One ( 1 ) 18 'x10 ' office. Break area to be 18 'x22 ' (± ) .
7. Is existing building to be demolished?
S. Repair after the fire NO
9. Garage NO No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof S t e e l
13. Siding house Stool
14. Estimated cost:- $3000 .00
The undersigned certifies the above statem nts are true to the best of his, her
knowledge and belief.
Signal re of responsible appT
Remarks Myself or someone from Coca-Cola will walk through this with you if you
wish Construction to be 3-3/5" steel stud, 5/8" fire code drywall , fiberglass
insulation, steel door with closure, steel window frame, safety glass where
necessary.
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 ao7— to be filled in
by the Banding Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# .9f -Parking Spaces
erof Loading Docks
Fill:
(vol-dme--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DA=TE: APPLICANT's SIGNATURE_ hCt ! _ oc'v-k
NOTE: laaunnoe of a zoning permit does not relieve an applioa.,._ _.Arden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
FILE #
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File No. 7
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL ]EYFORMATION
1. Name of Applicant: Randall E. Roberts
Address: 41 Hemenway Rd. ,Leverett Telephone:_( 413 ) 367-9385
2. Owner of Property: Coca-Cola Enterprises
Address: 45 Industrial Drive Telephone: 586-8450
3. Status of Applicant: Owner X Contract Purchaser —Lessee
Other(explain):
4. Street Address: 45 Industrial Drive
Parcel Id: Zoning Map# '.�_i // Parcel# ;? District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Bottling
6. Description of Proposed Use/Work/Project/Occupabon: (Use additional sheets if necessary):
Break area adding one ( 1 ) 18 ' partition to divide space into
two (2 ) sections. One ( 1 ) 18 'x10 ' office. Break area to be 18 'x22 ' (± ) .
7. Attached Plans: Sketch Plan X Site Plan _ Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
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 X 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 X 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)
c� n6
FILE # L 4 �
APPLICANT/CONTACT PERSON:AL ���/
ADDRESS/PHONE: f
PROPERTY LOCATION: �� 1�'Ct' �-�2
MAP PARCEL: ZONE (f
THIS SECTION FOR�OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM EH LED MIT
Fee Pn*d
NewCnnstriiefinn
f
THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: <
Approved as presented/based on information presented
Denied as presented:
Special Permit and/or Site Plan Required under: § _
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under:§ w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability -Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
Permit from Conservation Commissi
Signature of Building Inspector/ bate
NOTE:tssuanoa of a zoning permit does not relieve an appnoant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities. _
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