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<< File No.
DEPT OF BUILDING INSPECTRY'
''=ZONING PEF bffT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Blame of Applicant: H;7 /
Address: P)yj Telep one:
2. Owner of Property:
Address: `� ti-e Telephone: �t
3. Status of Applicant: Owner Contract purchaser Lessee
Other(explain):
4. Job Location:
Parcel id: Zoning Map# li7�C Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property I.s,l lc/ (fit
6. Description of Proposed Use/Work/Project/Occupation: (Use additional eets if necess ):
C_(,t el ua 3) L.0 .0e-a 'r;-F,, 0 1r^�
+n -3 rJ &bar-+LAA(-j-Ld--
7. Attached Plans: Sketch Plan 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--IY-- DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T 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)
s
10.' Do any signs wdst 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 calm= W ba tillsd In
by the Bulidinir DWPAX .t
Required
Existing Proposed By Zoning
Lot size 7,O0DS,r 9� %
Frontage 4;0
Setbacks frnnt `
- side L:_,2,,aR: _ L: R:, _ 16
- rear 70 r
Building height 3 t
Bldg Square footag �� j�37D`_: -`,3 '0� �d
%Open Space: '
(Lot area minus bldg
6pAya.-king)
�5/.
# of -Parking Spaces �l h
f of Loading Docks l Q O
Fill:
(vol-u.me -& location)
13 . Certification: I hereby certify that the information cont 1 herein
is true and accurate to the best of my k edg . �
DA APPLICANT's SIGNATURE
NOTE: lasua -4/m zoning permit dome not relieve n epplloan s u e Haply wit" .ail
zoning requlreme is and obtain all required permits tram the Board o! wits; Conservation
Commisslon, Department of Publio Works and other applioabla permit granting authorities.
FILE #
THIS PLAT IS COMPILED FROM i EDS,'PUNS AND OTHER SOURCES AND IS NOT
TO BE CONSTRUED AS AN ORATE SURVEY AND IS NOT TO BE RECORDED.
---BUILDING LACA ACCURACY IS NOT GUARANTEED
DEC I 1999
DEPT OF SUILD!NG INSPECT10Fy"-: f
hORTF�n,r�.�
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TO; NORTHAMPTON CO—OPERATIVE BANK 6
FIRST AMERICAN TITLE INSURANCE COMPANY
TO THE BEST OF MY WORMATION. KNOWLEDGE AND BELIEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND SASE0 ON EXISZING
MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT UINES.
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
COMMUNITY � 250167
�. Z%,- --NOTE- . _THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
5UR11EYQR' _ - AND DOES NOT CONST ITE A PROPERTY SURVEY
wORTGAGE JOAN INSPECT 0ti PL!T-
NORTRAMPT01i, MASSACHUSETTS
Rk"DA►LL PREPARED FOR
PHOEBE MITCHELL &DONALD PATRICK
rEY
i4 SCALE: 1 "-301 OCTOBER 22, 1998
yrc HAROLD L. EATON AND ASSOCIATES. INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET — HADLEY — MA55ACHUSE`I'T'
File#MP-2000-0071
APPLICANT/CONTACT PERSON COFFEY DONALD P&
ADDRESS/PHONE 242 NORTHWEST RD 527-7886
PROPERTY LOCATION 6 ORCHARD ST
MAP 25C PARCEL 161 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
CZONING.FOWED OUT
Fee Paid
Building Permit Filled out
Fee Paid
T eof Construction: CONVERT 2 FAMILY TO 3 FAMILY
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:
A proved as presented/based on information presented.
Denied as presented:
C` �pecial it and/or Site Plan Required under: §
LANNING 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 Board of Health Well Water Potability Board of Health
Permit from Conservation ission
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.