06-013 (4) Location.....................................................................
�. Permit No. .................................................................
Application for other than a Dwelling
Permit Granted........................................... 19.........
To ..............................................................................
NOTE:IN ORDER THAT THIS APPLICATION MAYBE ACCEPTED,THE DATA CALLED FOR BELOW MUST BE SO SET FORTH THAT
WE CAN DETERMINE FROM THE APPLICATION AND THE ACCOMPANYING PLANS WHAT THE EXISTING CONDITIONS ARE AND
WHAT THE FUTURE CONDITIONS WILL BE.
Plans,in duplicate,must be filed with this application before a permit will be granted,one of which,upon issuance
of the permit shall be kept at the site during the progress of the work.
New............1�
Addition........❑
..�..�...� , Type.................... Map...................., Parcel..................... Alterations ....❑
aTwwaT
Repair............❑
CITY OF NORTHAMPTON Demolition....❑
MASSACHUSETTS
DEF�TQf gU1Lt;;trlr'tF
I cauon for other than a Dwellin g Permit
(To be filled out in ink OR on a typewriter) /
To the Building Inspector:
Date.. � ....�!(f....... 19-ff. ..
Application for a permit is hereby made accordi�e following:-
1. Location Street and No................ .5.. v .................................
2. Nearest cross street........... ............G-ozzelt�f.... ;5.;(................................................... . Lot No........
.. ....:.....
3. Owner's name...........14.. ...... . .......Z"PC m .fm.Y1........ Address .......1�.�.Llyd.�IS7•.��T,j.!/.t��A"A
4. Architect's name..... .ret7..:... ./ ..................... Address ..... .1..
5. Builder's name .... �i'Ohl✓... (e; Ac............................. Address
6. Use of building, Present.........�dr............... Proposed .........�rY.l.¢S.rBt�....
7. Building fronts on how many Streets?............low-6..1.............................................................................................
8. Is building in fire district?..............�%16............. .................................................................................................
9. Size of building,Width in ft. ........., a..............I Length in ft..Al2.................. Height in ft....Z/.................
10. Distance of building from Street Line...A .../ left lot line L/Q.. right lot line...T0.. rear lot line.
L/ .....
11. Type of construction(check one): 1--A 1-B .......... 1-C .......... II.......... III.......... IV.......... V..........
Stories B 1 2 3 4 5 6 7 Roof
Story heights in ft.
Thickn's of walls in ins.
Material of walls
Material of floor/roof G
Design live load
Design dead load
Occupancy or Use Cp//vJ�jb (ill0
No.of persons/families
No.of stairs D
12. Soil under footing is................ �......G tll t. .. .........................................................................................
13. Depth of footing below grade.................Q.r..5........ ft. Will piles be used?..........12 .................
14. Area of entire building(Present plus new) .............................................................. .................... sq.ft.
15. Type of roof-flat....................... pitched.... ............ Material of roof covering......'�1..-.� /.il----- h
16. No.of elevators V....... Method of heating P�t eki System Fuel := l
17. Are live loads noted on drawings? .....r a.... Are all other structural conditions noted on drawings?...AV. .......
18. Building(will be)(is)equipped with sprinklers?...........0.4................ With sprinkler alarm?.............&.42........
19. Is building to be used as a factory,workshop or mercantile or other establishment employing 10 or more persons?
............................0...........................�1(�.................................................................................................................
20. Is building to be used as an office building,dormitory,hotel,family hotel,apartment or boarding house,lodging
house or tenement house having 8 or more rooms above the second story?.................I.2.1?................................
21. How many exits(per floor)to street? ..................... ............................................................................................
22. Is building a"Place of assembly"as defined by the General Laws? ..........�o....................................................
23. Will building conform to the General Laws? .....G�l t°5.......... Building and Zoning Ordinances? ......! z°.............
24. If a garage,distance from nearest building? .................,�/r1................................................................................
25. If an addition,alteration or demolition,when was building erected?..............4 114-j..............................................
26. Estimated costs:--
The undersigned certifies that the above statements are true to the best
General$.......... 09.4.. of his/her Ynowledge be f.
Plumbing...........Z,;�rgp ?D............
Gas Piping....................................... Signature of owner,architect or engineer
Sprinklers........................................ WRITTEN DISCRIPTION OF WORK TO BE DONE
Heating (Use b nk half of reverse side,if necessary)
Electric............API.. ........ ............ ,�... . Pl.y....lthy. X11....1�6!/.l l kf..................................
Other........... ...............................................................................................................
Total$............ .... ..„.....�/........... ...............................................................................................................
PA_YNT SN P
310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION
10.99: continued
Issued by the Northampton Conservation Commission
Signs s . _
This Order must be signed by a majority of the Conservation Commission.
On this
25th day of January 99
19 before me personally
Mason aronn
appeared to me known to be the person described in,and who executed,
the foregoing instrument,and acknowledged that he/she executed the same as his/her free act and deed.
Notary Public My Commission E pires
The applicant,the owner,any person aggrieved by this Order,any owner of land abutting the land upon which the
proposed work is to be done,or any ten residents of the city or town in which such land is located,are hereby notified
of their right to request the Department of Environmental Protection to issue a Superseding.Order,providing the
request is made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee
Transmittal Form as provided in 310 CMR 10.03(7)within ten days from the date of issuance of this determination.
A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission
and the applicant.
Detach on dotted line and submit to the Northampton Conservation Commission prior to commencement of work
................................•---.......•-----..........................................................................................................................................---.......---•
To Northampton Conservation Commission Issuing Authon---
Please be advised that the Order of Conditions for the project at
File Number J has been recorded at the Registry of and
has been noted in the chain of title of the affected property in accordance with General Condition 8 on 19
If recorded land,the instrument number which identifies this transaction is
If registered land,the document number which identifies this transaction is
Signature Applicant
411,194 10 CMI: - 42; 423
emergency or routine replacement. The stockpiles equipment shall include
materials to repair silt fences,haybales, or any other devices planned for the
control of erosion at the site.
POST CONSTRUCTION SUBMITTALS & WORK IN BUFFER ZONE:
27. Upon completion of the project, the Applicant shall submit a certification that all work
has been done in conformance with the provisions of the Order of Conditions and request
a Certificate of Compliance.
If checked: [X ] YES
Certification shall be by a Professional Engineer.
6
21 In accordance with General Condition 8 on page 5-2 of this Order, this Order shall be
recorded at the Hampshire County Registry of Deeds by the Northampton Conservation
Commission prior to commencement of work on the site.
22. All revised plans, referenced within this Order of Conditions, shall be approved by the
Conservation Commission and incorporated into this Order by reference and shall be
followed during the course of construction.
23. Ongoing conditions that shall not expire with the issuance of a Certificate of Compliance
are as follows:
(None).
PRE-CONSTRUCTION REQUIREMENTS:
24. Prior to the start of any site work, excavation or construction, a preconstruction
conference shall be held on the site,between the contractor conducting the work, the
site/project engineer, the applicant, and a member or agent of the Conservation
Commission, in order to ensure that the requirements of this Order are understood by all
parties. Prior to the pre-construction meeting, all erosion control devices must be
installed, also.
25. In the event of an emergency,problem, or the need to discuss site conditions with the
Commission or its agent, the contact person for this project shall be: John Bennett(days)
and (evenings &weekends);
REQUIREMENTS DURING ACTIVE CONSTRUCTION:
EROSION AND SEDIMENTATION CONTROL:
26. Areas of construction shall remain in a stable condition at the close of each
work/construction day:
A. Erosion controls shall be inspected at this time, and after each rainstorm.
B. Any entrapped silt shall be removed to an area outside of the buffer zone and
wetland resource areas.
C. Any breaches in the siltation barriers shall be repaired prior to leaving the site for
the day.
D. All erosion controls must be maintained or reinforced to meet specifications in the
plans and this order and shall be replaced as necessary.
E. An adequate stockpile of erosion control materials shall be on site at all times for
5
14. This Order of Conditions shall apply to any successor in interest or successor in control;
15. The owner of the property described in this Order, must advise any potential buyer of the
property that any construction or alteration to said property, including brush cutting or
clearance,may require approval by the Northampton Conservation Commission.
Any instrument conveying any or all of the owners' interest in said property or any
portion thereof, shall contain language similar to the following:
"This property is subject to the Northampton Wetlands Protection
Ordinance and/or Wetlands Protection Act.Any construction or
maintenance work performed on this property requires an Order of
Conditions, and/or a Determination of Applicability,-,from the Northampton
Conservation Commission";
16. The contractor is as responsible as the applicant and property owner for any violations of
the Orders of Condition and penalties under the law, while all activities regulated by this
Order are being performed.
17. A copy of this Order and associated plans shall remain on site during all construction
and/or building activities. The project manager and all equipment operators shall be
familiar with the approved plans, and shall be informed of their location on the site.
This location shall be accessible to all contractors whenever work is occurring on
site.
18. All required permits must be obtained from the Army Corp of Engineers (Section 404,
Water Quality Certification), Planning Board, Zoning Board, Department of Public
Works, or Building Inspector prior to the start of projects involving fill within any
wetland resource area;
19. No disposal of soils or other materials shall be allowed within: a 100-year floodplain; 40
feet of the 100-year floodplain elevation; any wetland; or any area within 100-feet of a
wetland, unless such areas are specifically approved by the Commission, in accordance
with 310 CMR 10.00, and City of Northampton Ordinances - Chapter 24;
20. Any change or deviation from the Notice of Intent,plans and/or Order of Conditions
approved by the Commission,prior to or during construction, shall require the applicant
to file a request for an amendment with the Conservation Commission. It shall include a
written inquiry as to whether or not the change is substantial enough to require the filing
of a new Notice of Intent.
After making a positive determination, the Commission shall conduct a public hearing to
amend the Order or to issue a new Order, if a new Notice of Intent is required.
4
title of the affected property. In the case of recorded land, the Final Order shall also be
noted in the Registry's Grantor Index under the name of the owner of the land upon which
the proposed work is to be done. In the case of registered land, the Final Order shall also
be noted on the Land Court Certificate of Title of the owner of the land upon which the
proposed work is to be done. The recording information shall be proposed work is to be
done. The recording information shall be submitted to the Commission on the form at the
end of this Order prior to commencement of the work. The Commission usually will
record the Order in the Registry of Deeds. It is the applicant's responsibility to
insure the Order is properly recorded.
9. A sign shall be displayed at the site not less than two square feet or more than three
square feet in size bearing the works, "Massachusetts Department of Environmental
Protection, File Number 246-441."
10. Where the Department of Environmental Protection is requested to make a determination
and to issue a Superseding Order, the Conservation Commission shall be a party to all
agency proceedings and hearings before the Department.
11. Upon completion of the work described herein, the applicant shall forthwith request in
writing that a Certificate of Compliance be issued stating that the work has been
satisfactorily completed.
12. The work shall conform to the following plans and special conditions:
PLANS/TITLE DATED SIGNED & STAMPED BY:
"Corrosion Control Facility for the City o 12/98
Northampton, MA, C-1,"prepared by
Anderson-Nichols.
All Plans and information on file with Northampton Conservation Commission
SPECIAL CONDITIONS:
13. The Commission and its agents shall have the right to enter and inspect the property at
any time to monitor for compliance with the conditions of this Order, the Act, and
Wetlands Protection Regulations: 310 CMR 10.00 and Chapter 24 of the City's
Ordinances: "The Wetlands Protection Ordinance". They shall have the right to request
and receive any data or documentation that is deemed necessary for evaluation of
compliance.
3
w
Therefore, the Northampton Conservation Commission hereby finds that the following
conditions are necessary, in accordance with the Performance Standards set forth in the
regulations, to protect those interests checked above. The Conservation Commission orders that
all work shall be performed in accordance with said conditions and with the Notice of Intent
referenced above. To the extent that the following conditions modify or differ from the plans,
specifications or other proposals submitted with the Notice of Intent, the conditions shall control.
General Conditions:
I. Failure to comply with all conditions stated herein, and with all related statutes and other
regulatory measures, shall be deemed cause to revoke or modify this Order.
2. The Order does not grant any property rights or any exclusive privileges; it does not
authorize any injury to private property or invasion of private rights.
3. This Order does not relieve the permittee or any other person of the necessity of
complying with all other applicable federal, state or local statutes,ordinances,by-laws or
regulations.
4. The work authorized hereunder shall be completed within three years from the date of
this Order unless either of the following apply:
(a) the work is a maintenance dredging project as provided for in the Act; or
(b) the time for completion has been extended to a specified date more than three
years, but less than five years, from the date of issuance and both that date and the
special circumstances warranting the extended time period are set forth in this
Order.
5. This Order may be extended by the issuing authority for one or more periods of up to
three years each upon application to the issuing authority at least 30 days prior to the
expiration date of the Order.
6. Any fill used in connection with this project shall be clean fill, containing no trash,
refuse, rubbish or debris, including but not limited to lumber,bricks, plaster,wire, lath,
paper, cardboard,pipe, tires, ashes,refrigerators,motor vehicles or parts of any of the
foregoing. The applicant is prohibited from using demolition materials, asphalt,
large chunks of concrete,tree stumps and limbs, and general refuse;
7. No work shall be undertaken until all administrative appeal periods from this Order have
elapsed or, if such an appeal has been filed, until all proceedings, before the Department
have been completed.
8. No work shall be undertaken until the Final order has been recorded in the Registry of
Deeds or the Land Court for the district in which the land is located, within the chain of
2
310CMR 10.99 310 DEP File No. 246-441
I I
To be provided by DEP)
Form 5 } City/Town Northampton
Applicant Department of Public Works
Commonwealth Y Map# 6 Parcel#_13
of Massachusetts
Order of Conditions
Massachusetts Wetlands Protection Act
G.L.c.131,§40
and the Northampton Wetlands Protection Ordinance
From Northampton Conservation Commission Issuing Authority To:
City of Northampton City of Northampton
Department of Public Works Department of Public Works
Name of property owner Name of Applicant
125 Locust Street,Northampton,MA 01060 125 Locust Street,Northampton,MA 01060
Address Address
This Order is issued and delivered as follows:
[X] by hand delivery to applicant or representative on February 2, 1999.
[] by certified mail,return receipt requested on (date)
This project is located in Northampton at Haydenville Road(Route 9)
The property is recorded at the Registry of Hampshire County
Book 1054 Page 143
Certificate(if registered) N/A
The Notice of Intent for this project was filed on December 28, 1998.
The public hearing was closed on January 25, 1999.
Findings:
The Northampton Conservation Commission has reviewed the above-referenced Notice of Intent and plans and has
held a public hearing on the project. Based on the information available to the Conservation Commission at this
time,the Commission has determined that the area on which the proposed work is to be done is significant to the
following interests in accordance with the Presumptions of Significance set forth in the regulations for each Area
Subject to Protection Under the Act(check as appropriate):
[X]Public water supply []Flood Control []Land containing shellfish
[]Private water supply [X] Storm damage prevention []Fisheries
[]Ground water supply [X] Prevention of pollution []Protection of Wildlife Habitat
Total Filing Fee Submitted$Exempt State Share$ City Share$
('/z fee in excess of$25)
Total Refund Due$ City Portion$ State Portion$
(1/2 total) (1/2 total)
1
Massachusetts Department of Environmental Protection
e �r DEP File Number:
Bureau of Resource Protection =Wetlands
WPA Form 9 — Enforcement Order
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
D. Appeals/Signatures (cont.)
In a situation regarding immediate action, an Enforcement Order may be signed by a single member or
agent of the Commission and ratified by majority of the members at the next scheduled meeting of the
Commission.
Signatures:
delivery peSignature ied mail number
wpaform9a.doc•rev.7/14104 Page 4 of 4
i
Massachusetts Department of EnvironmentaLP—rotection.
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 9 — Enforcement Order
(� Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
C. Order (cont.)
❑ Complete the attached Notice of Intent (NO]). The NOI shall be filed with the Issuing Authority on
or before:
Date
for the following:
No further work shall be performed until a public hearing has been held and an Order of Conditions
has been issued to regulate said work.
® The property owner shall take the following action (e.g., erosion/sedimentation controls) to
prevent further violations of the Act:
Submit a Request for Determination of Applicability or a Notice of Intent to the Northampton
Conservation Commission detailing the work that has been completed to date and any work that the
applicant would like to complete within the resource area or buffer zone to the resource area
Failure to comply with this Order may constitute grounds for additional legal action. Massachusetts
General Laws Chapter 131, Section 40 provides: "Whoever violates any provision of this section (a)
shall be punished by a fine of not more than twenty-five thousand dollars or by imprisonment for not
more than two years, or both, such fine and imprisonment; or(b) shall be subject to a civil penalty not
to exceed twenty-five thousand dollars for each violation". Each day or portion thereof of continuing
violation shall constitute a separate offense.
D. Appeals/Signatures
An Enforcement Order issued by a Conservation Commission cannot be appealed to the Department of
Environmental Protection, but may be filed in Superior Court.
Questions regarding this Enforcement Order should be directed to:
Bruce W. Young
Name
413-587-1263
Phone Number
M-F 9:00 -4:30
Hours/Days Available
Issued by:
Northampton
Conservation Commission
Conservation Commission signatures required on following page.
wpaform9a.doc•rev.7/14/04 Page 3 of 4
f
Massachusetts Department of Environmental Protection 4 t'
Bureau of Resource Protection --Wetlands DEP File Number:
WPA Form 9 — Enforcement Order
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Findings (cont.)
❑ the activity has been/is being conducted in an area subject to protection under c. 131, § 40 or the
buffer zone in violation of an issuing authority approval (i.e., valid Order of Conditions or Negative
Determination of Applicability) issued to:
Name Dated
File Number Condition number(s)
❑ The Order of Conditions expired on (date): Date
❑ The activity violates provisions of the Certificate of Compliance.
❑ The activity is outside the areas subject to protection under MGL c.131 s.40 and the buffer zone,
but has altered an area subject to MGL c.131 s.40.
❑ Other(specify):
C. Order
The issuing authority hereby orders the following (check all that apply):
® The property owner, his agents, permittees, and all others shall immediately cease and desist
from any activity affecting the Buffer Zone and/or resource areas.
❑ Resource area alterations resulting from said activity shall be corrected and the resource areas
returned to their original condition.
❑ A restoration plan shall be filed with the issuing authority on or before Date
for the following:
The restoration shall be completed in accordance with the conditions and timetable established by the
issuing authority.
wpaform9a.doc•rev.7/14104 Page 2 of 4
Massachusetts Department of Environmental Protection 4 a!
� -� �� � DEP File Number:
Bureau of Resource Protection - Wetlands _
WPA Form 9 — Enforcement Order
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. Violation Information
Important:
When filling out This Enforcement Order is issued by:
forms on the Northampton June 13, 2006
computer, use Conservation Commission(Issuing Authority) Date
only the tab
key to move To:
your cursor-
do not use the Harry Culver
return key. Name of Violator -
284 Williamsburg Road
IV rab Address
1. Location of Violation:
retrun °"
Harry Culver
Property Owner(if different)
Parcel off of Haydenville Road
Street Address
Northampton 01060
City/Town Zip Code
� 41r
2. Extent and Type of Activity (if more space is required, please attach a separate sheet):
Altering Riverfront Area and buffer zone to Bordering Vegetated Wetlands
B. Findings
The Issuing Authority has determined that the activity described above is in a resource area and/or buffer
zone and is in violation of the Wetlands Protection Act(M.G.L. c. 131, § 40) and its Regulations (310
CMR 10.00), because:
® the activity has been/is being conducted in an area subject to protection under c. 131, §40 or the
buffer zone without approval from the issuing authority (i.e., a valid Order of Conditions or Negative
Determination).
wpaform9a_doc•rev.7/14/04 Page 1 of 4
B 6 �asaacEfnsctta
. e
DEPARTMENT OF BUILDrNG INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. ' 01060
WORKER'S COWENSATTON INSURANCE AFFIDAVIT
�r6 14c
(Lilermjttee)
with a principal place of business/gee at:
(phone#) I G I
/ (Suret/city/statr/ap)
do hereby certify, under the pains and penalties of perjury, that:
Q) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
ansudnce'Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Insurance Comparry/Policy Numbcr) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Laurance Compary/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(-Hach additioml shwa ifnoccaary to inchrdc informarioa prstai to all ocatmctors)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:plcaae be awue that whilo homeowner-who cmplay pazow to do mai�mnsrrtrcuoa cr rcpa-w work on a dwelling of
not mnty than throe units is which the bomeowoer raid-or on the vounds alrputxawi thereto arc not gcoerany oo=dcrcd to be
employes under the worms oomp=v4oa Act(GL152=1(3)),application by a homcovmir for a license or permit tnay evidcaoe the
legs!o-tus of an employer under the Wodroea compomation Act
I understand that.a copy of thin St acmrm may be forwarded to tho Dcpumscoa of Industrial Aecide d&Offi0c of Iaxua000 for tha
coverage verification and that failure to sw=cov=p under section.23A of MOL 132 an lad to the impoidiou of criminal pwaltia
o0oustiag of a-fine of up to S1,300.00 mdlor kaprisomment of tip to om ynr and civil pemltia in the form of a Stop Wodt Order and a 1
fwm of S1oo.00 a day against.tna
For dgwtnomtalttae ooly
pcXmit Number
` �!.Z`�• Mao Lot#
Si ort.icensotiVeriniacy oft.
5e� IP
LIMIT OF WORK
1140_
____----
IN. -
394.60 5 g se s grncL 2^ CURD LOT F ,
i'
e 384.97 T`tP•) �G
eP 1 384.3 STOP ( 27 ALES & Sll
!! 15• Locust SEED DETAIL OWC
!{ 6
38446 TED FEED `� lU7,'6 90 �*
! 2" HDPET p� OF � p� J
WATER ( tl ell L,
1vd
O 384.64 \ CD
7640
•_ d i
( f
12' 1 cus t I
364.3.,K
o ! / •
B-4 00 CO I.
(
B-2
Y a�U. T DRYdtEth SEE
y P1Kt oo i PRECAS C_3
I 12 locust ` PR P IN 1 DETAIL. DWG.
>-I 384.10 t� ♦.00
J �J 5' CONCRE ` F F 38A.00 _ + 1• 9rnd.
384.31 { it135 WALK 106378.2c
6 u. +
P 3 4 9 38.49 9` locust B`3�
c 1 83.9e Q'1{ ' GAL HOLDING
38<.01 , t• - 1500 SS MH
384.17 ' li' i TANK w/ACGE
.-�- +
\Locust SEE NOTE NO
1
sign 14, 9
c o I 384,4s { "6 40
g B-1 ! t I; ( 9rnd.
p 363.93
' O 14' WCu5t ' L
1�
` 1 t 1
o L 4` CONCRETE
WALK I' I
j 7 384. 2
( 9rnd, 14•.locust / ' {
/ rr
3g�t.06 j � i �,✓�
I I
384
! 384 NSIQN j
1^ P ( )p 4( locust l J �a2.zs FUTURE EXPA I
(15"20 0
t,
N. Cu SAMPLING
ONES (2,;TYP
st 4^ p.t. WATfjR SUPPLY {
{ 1364:79 LINES
83.50 A-1124
!, F,PAVED " -- --
o A-1
LIMiT O ROAD
p i( X965 3761 IP
- 9rnd.
140.00'
1' MIN. ( / _ _ — -M-80'20'45" W /
p
4 GATE VALE 103'
37 8.00
(•r{P') grnd. #376.13
( 'LIMIT OF
OVERLAY
SEE NOTE No. 18
(
D 83 38143
!!! �B UBROKE� OFF)
I �
10. Do any signs exist 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 col=a to be f112,,d in
by the F-�.daing Dc-»rte=nt
Required
Existing Proposed By Zoning
Lot size Zq� W ZgO3 5/4'
Frontage / Z"
Setbacks
- side L: R: L: eM2 R: *10
- rear
d
Building height z, i
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paced park-_,-2g) (y
# of Parking spaces 2
f of Loading Docks
Fill:
(vol-ume -& location) Z>
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DA'Z'E: -Z-7- � APPLICANT's SIGNATURE
NOTE: Issunnoe of a zoning permit does not relieve an ftpplio46is burden fo oo pty witta all
zoning requirements and obtain all required permits from the Board of Health. onservation
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE #
.. i
Fi l e No.
ZONING PERMIT APPLICATION (510 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: W&jd&! &— IBC -
Address: PP $ry 34 .�yAj pj Al 19f34Lephone:_
2. Owner of Property: 9 AA.A T- - T1.11" VT
Address: �� ylyy v Telephone: *s' �Sgy� - 15_1¢
3. Status of Applicant: Owner Contract Purchaser Lessee
_Other(explain): !/I,Plfbllq "AIQ /
4. Job Location: r I I.bl do b
Parcel Id: Zoning Map# & Parcel# District(s):
(TO BE FILLED IN BY THE'BUILDING DEPARTMENT)
S. Existing Use of Structure/Property 4mm 12L
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
C drvsldh cam( &A. U
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 KNCAN– 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 DON'T KNOW YES 1
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , date issued: 2 -2.99
(FORM CONTINUES ON OTHER SIDE)
File#MP-2000-0031
APPLICANT/CONTACT PERSON WARNER BROS INC
ADDRESS/PHONE P O BOX 395 (413)665-4051
PROPERTY LOCATION 459 HAYDENVILLE RD
MAP 06 PARCEL 013 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED VjJT '
Fee Paid
Buildiniz Permit Filled out
Fee Paid
TUeof Construction: CONSTRUCT CORROSION CONTROL FACILITY
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
T OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: ?
Approved as presented based on information presented. ZCil) U N L y
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 Commis
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.
� e
DEPARTMENT OF PUBLIC SAFETY
CONSTRUCTION SUPERVISOR LICENSE
Number: Expires: Birthdate:
CS e53376 1211811999 1211811948
Restricted To: 8B
KENNETH G MORIN
"�'``7 KINBERI Y LN
TURNERS FALLS, MA 81376
File#BP-2000-0308
APPLICANT/CONTACT PERSON WARNER BROS INC
ADDRESS/PHONE P O BOX 395 (413)665-4051
PROPERTY LOCATION 459 HAYDENVILLE RD
MAP 06 PARCEL 013 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
TTypeof Construction: CONSTRUCT CORROSION CO TROL FACILITY
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 LZOWING 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 Commis
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.
459 HAYDENVILLE RD BP-2000-0308
GIs#: COMMONWEALTH OF MASSACHUSETTS
Man-Block:06-013 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category'NEW COMMERCIAL BUILDING BUILDING PERMIT
Permit# BP-2000-0308
Project# JS-2000-0364
Est. Cost: $630000.00
Fee: $0.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Groin WARNER BROS INC
Lot Size(sq.ftl 2101334.40 Owner: City of Northampton
Zoning: SR Applicant• WARNER BROS INC
AL.--4a9 HAYDENVILLE RD
Applicant Address: Phone: Insurance:
P O BOX 395 (413) 665-4051 Workers Compensation
SUNDERLAND 01375 ISSUED ON.0912311999 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT CORROSION CONTROL FACILITY
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Final: Final:
Rough Frame:
Gas Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 09/23/1999 0:00:00 $0.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo