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! OF NORTHAMPTON
+oar U
MASSACHUSETTS
ASSESSORS PLAN - -
)ANUANY 1. 1966 u r .'1•
e rcn nar .. .. .s .. '>' .. •r SHEET ..
NO
10. Do any signs ebst on the property? YES X 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 Cols= to be filled lII
by the Building Department
Required I
Existing Proposed By Zoning
Lot size 75-� �E�
S � Jo,coo
Frontage
2�
Setbacks v
- side L• R: L: R: 20
- rear
yU
Building height
J
Bldg Square footage
7L
%Open Space:
(Lot area minus bldg
I &paved parking
# of Parking Spaces
f of Loading Docks
Fill:
4vo1-ume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DA'T'E: �/ J� �((� APPLICANT's SIGNATURE
NOTE: Issuance of a zoning permit does not relieve an plicant's burden to comply wjt" .rpll
zoning requirements and obtain all required permits 1104m the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
FILE #
NOV 1 6 2000 '
Ei1e No.
'PT CVi3lE Fr, ir,'771rA;
PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: —J O C,nna rc n n fin c;-(��,.,
Address: Tom, 1. Telephone: �5`/ aC 5-9 !1-
2. Owner of Property: 1s�.el
Address: _� (�() Pull Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain)-
4. Job Location: G, _ (_> Lz
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED
)J IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property / h�;C ,'S
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
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 DON'T KNOlN _ 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 X 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)
File#MP-2001-0053
APPLICANT/CONTACT PERSON CANNONCARLSON JOANNE
ADDRESS/PHONE 668 RYAN RD (413)584-6548 Q
M 01%221
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FO LLED O T
Building Permit Filled out
Fee Paid
Typeof Construction: CURRENTLY A TRAILER ON LOT,CAN A HOUSE BE BUILT
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:
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 Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
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.