25A-185 (85) RANDALL E. ROBERTS
GENERAL CONTRACTOR
41 HEMENWAY ROAD LEVERETT, MASSACHUSETTS 01054
16 (413) 367.9385 LIC, NO. 042573
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.--31-�, Alterations
NORTHAMPTON, MASS. � I9 Additions
APPLICATION FOR PERMIT TO ALTER Repair
a
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 Shipping office, cut doorway, add slid.ing_ vinyl window, partition and
6.)NW)PMK
7. Is existing building to be demolished? no
8. 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 steel
13. Siding house st-eel
14. Estimated cost:- $3 ,0 0 0.0 0
The undersigned certifies th the above statcmc,Rps are true to the best of his, her
knowledge and belief.
Signature of responsible app,ic n!
Remarks I did a walk through review with Tony Patillo
+ he project is as we
discussed.
10. Do any signs exist on the property? YES X NO
IF YES,describe size,type and location: on building
Are there any proposed changes to or additions of signs intended for the property?YES NO X
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
All below information on file with Building Department7bis `°i— to be filled in
by the DtLilding 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 msnus bldg
' &paved parking)
-Parking Spaces
#
of Loading Docks
Fill:
(voI-ume--& location)
13 . Certification: I hereby certify that the inf rmation co ained herein
rf. is true and accurate to the best of my know ed
1 "
DATE: {/Z'l S -g,7 APPLICANT's SIGNATURE --
NOTE: Issunnoe of a zoning permit does not relieve an applioant's burden o oomp with all
zoning requirements and obtain all required permits from the Board of Health. Conaervation
Commission, Department of Publio Works and other appliomble permit granting authorities.
FILE #
S
f
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL :INFORMATION
1. Name of Applicant: Randall E. Roberts
Address:-41 Hemenway Rd. ,Leverett, MA Telephone:!( 413 ) 367-9385
2. Owner of Property: Enterprise
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 M 2�5- '-� Parcel# �! �� District(s): 6Z�L__.
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Bottling
6. Description of Proposed UseNVork/Project/Occupabon: (Use additional sheets if necessa ).
Shipping office. Cut doorway, add sliding vinyl win ow,
partition
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/Vadance/Finding ever been issued for/on the site?
NO DON'T KNOW X 21 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)
FILE # 9GO533
1
APPLICANT/CONTACT PERSON:_
ADDRESS/PHONE: 2 f ,31Y-
-- �_ l
PROPERTY LOCATION:
MAP 11)5 /49' PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FTT,T ED OUT t✓ f /� S
Fee Pain
lRyidding Permit MUM mit
Fee Paid V�� F..5 � IVO—
Tv13P of C'nnstrnrtinn-
RPmndelinu TntPrinr
Additinn to Existing
ArrPCCnry Strnrtnre `�LcY ,�
Riiildin-_aPlanc Tnrinde l-
OwnerlOrrnnant StatPmPnt irPncP# �'� °� 7
et
7T FOLLOWING ACTION HAS BEEN TAKEN ON THIS API. ICATION:
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
/ ermit fro Co sery ' n Commission
Signature of pector ---- Date
NOTE: Issuanoe of as zoning permit does not relieve an appllioant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commisslon, Department of Publio Works and other applioable permit granting authorities. —
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