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--NOTE--
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT
TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED.
BUILDING LOCATION ACCURACY IS NOT GUARANTEED
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Sv�3..��:,C-r -cp +►..00 ��4�e'Laa4... '"/ 'ra .�._ __13. W.o.= ��.t- css vrin.�C
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TO: LAWYERS TITLE INSURANCE CORPORATION
TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
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 --NOTE—
SURVEYOR• �• THIS PLAT. FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
b of EGG.LOAN INSPEM Pty L T.--r
NORTHAMPTON, MASSACHUSETTS
R PREPARED FOR
-4 GEORGE W: KRIEBEL, JR.
SCALE: 1 "=20 ' NOVEMBER 18, 1999
`'� HAROLD L.' EATON AND ASSOCIATES. INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
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10. Do any signs ebst 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 column to tae filled in
by the Building Departm:nt
Required
Existing Proposed By Zoning
Lot size io 4
Frontage v 43 o (50
Setbacks a
- side L: R:,�M L: /S R:
- rear
Building height 9 19117, 3,7 M.4 x -
Bldg Square footage 1319 71
%Open Space:
Lot area minus bldg&paved parking) 9 7Z7 7170 50;10
# of -Parking spaces n
f of Loading Docks j
Fill:
{vol-ume -& location) .
13 . Certification: I hereby certify that the info a ion contained herein
is true and accurate to the best of my knowle g
DATE: ?// d APPLICANT's SIGNATURE owgt
NOTE: Issuanoe of a zoning permit does not relieve an a ioan s den to oompty With all
zoning requirements and obtain all required permits fro the Boa of Health, Conservation
Commisslon, Department of Publio Works and other appliomble pe v it granting authorities.
FILE #
Fi 1 e No 0-0 7
SEP 1 7 20032 G PERMIT APPLICATION (§10 . 2)
P E TYPE OR PRINT ALL INFORMATION
DEPT OF BUILDING INSPECTIONS
NORTHAMFION,MA 0106 pli � i� . ��
ame of Applicant: 4 Q
Address: //. W=6(-Telephone:
2. Owner of Property/: , 6>WA(�Y �W, �/z.�� �C�•
Address: ,��/A & OO �� Telephone: 7 ; ? —70 L Z
3. Status of Applicant: Owner Contract Purchaser Lessee
_Other(explain):
4. Job Location: _-5' A/,AX9xr A
Parcel Id: Zoning Map# Parcel# o� District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMEN
5. Existing Use of Structure/Property ��1���G£
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
wrcr, 40",40("6— 4XX-5Ti�G—
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/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW 74- 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 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)
. t
File#MP-2004-0029
APPLICANT/CONTACT PERSON David Gardner
ADDRESS/PHONE 13 Plain St (413) 529-0741
PROPERTY LOCATION 5 KING AVE
MAP 17C PARCEL 024 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
;ONIN ORM FILLED OUT
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA- 12 X 20 2ND FLR REAR ADDITION
New Construction
Non Structural interior renovations
Addition to Existing
Accesso1y 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
INF91CMATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan �pti�ieJ
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
Permit from Elm Street Co 'ssion
Signature of Build44 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.
MP-2004-0029
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 1660
Map:
(Block
Lot: 001 ZONING PERMIT
Permit: ZONING PER APPLI APPLICATION PERMIT
tCategory: Zoning Permit
ermit# _MP-2004-0029 PERMISSION IS HEREBY GRANTED TO:
tst—. Costo otect# JS 2004-0430
: $0.00 Contractor: License:
IFee: $15.00 Homeowner as Contractor
#
of Fixtures:: Owner: KRIEBEL GEORGE W JR
Applicant: David Gardner
AT.• 5 KING AVE
ISSUED ON. 18-Sep-2003 AMENDED ON. EXPIRES ON.
TO PERFORM THE FOLLOWING WORK:
ZPA- 12 X 20 2ND FLR REAR ADDITION
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-2004-000846 17-Sep-03 2142 S15.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2003 Des Lauriers Municipal Solutions,Inc.