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10. Do any signs wrist on the property? YES NO XXXX
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO XXX
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cola= to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size 21,689 7350.85 uoro
Frontage 125' No Change
Setbacks No change No Change
- side L• 20' R: 40' L: 6' R• 40'
- rear
No Change No Chang
Building height
No Change No Change
Bldg Square footage
& swimming pool area 6398.85 952.00:1
%Open Space: 15290.15 14338.15 sf
(Lot area minus bldg 70.497% 66.107%
&paved parking)
# of Parking Spaces
_ 2 .two) 4(four)
#' of Loading Docks N/A N/a
Fill:
{vol-ume•-& location) N/A N/A
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: issunnoa of a zoning permit does not ralleve an appiloanra burden to oomp:y wltl� all
zoning requirements and obtain all required permits from the Board of Health, Censarvation
commission, Department of Publio Works and other applionble permit granting authorities.
FILE if
JUL
Fi 1 e No.
e11l[,�iA'�Ir,.cpE�. ION_$.f
PLEASE TYPE OR PRINT . .P_'. .:NF0'J 1'y1TION
1. Name of Applicant: Anthony Gleason
Address: 88 Hillcrest Drive Florence Telephone: 413-586-4372
2. Owner of Property: Anthony & MaryAnn Gleason
Address: 88 Hillcrest Drive Florence Telephone: 413-586-4372
3. Status of Applicant: XXXX Owner Contract Purchaser Lessee
Other(explain): N/A
4. Job Location: 88 Hillcrest Drive Florence
Parcel Id: Zoning Map# 17A Parcel# 292 District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT).
5. Existing Use of Structure/Property Residential single family
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
We would like to exstend our driveway_to :left our current driveway
7. Attached Plans: Sketch Plan XXXXXX 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 PermiWadance/Finding ever been issued for/on the site?
NO XXXXX DON'T KNOWN YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook,body of water or wetlands? NO XXXX 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-2004-0005
APPLICANT/CONTACT PERSON GLEASON ANTHONY F&MARYANN D
ADDRESS/PHONE 88 HILLCREST DR (413)586-4372 Q
PROPERTY LOCATION 88 HILLCREST DR
MAP 17A PARCEL 292 001 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM LLED OUT
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-EXPAND DRIVEWAY
New Construction
Non Structural interior renovations
Addition to Existin¢
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
INFO ATION PRESENTED:
Approved 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
Pelt ut from Elm Street ssion
'� J JJJIII���
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.
q, W L ST MP-2004-0005
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 11597
Map:
Block:
Lot: ZONING PERMIT
Permit: ZONING PERMIT APPLE APPLICATION PERMIT
Category: Zoning Permit
Permit# MP-2004-0005 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2004-0089
Est. Cost: $0.00 Contractor: License:
Fee: $15:00 Homeowner as Contractor
#of Fixtures: Owner: GLEASON ANTHONY F&MARYANN D
Applicant. GLEASON ANTHONY F&MARYANN D
AT: 88 HILLCREST DR
ISSUED ON. 17-Jul-2003 AMENDED ON. EXPIRES ON.
TO PERFORM THE FOLLOWING WORK:
ZPA-EXPAND DRIVEWAY
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-2004-000150 16-Jul-03 953 $15.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2003 Des Lauriers Municipal Solutions,Inc.