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06-018 (8) LETTER OF TRANSMITTAL .. ., DATE rl I /'t /05 LOB Bo% 7e144 y - Cosi Ai W. P'-"1- CIy OF Nedduwrio, - Kuilptr. ++ 9 jetsp4C'vc 604:g_ J-__ 2/0 Mei:. 5i-- CANON Nwhet"-pW , ton- ololro LANDSCAPE AR H. ENv,UCNMEMTAL O 5uCr lifrgi/E ARE SENDING YOU COMMUNITY ,."""INo Attached ❑ Under separate cover via the following items: ,, Nou„Ae roN n 0 Shop drawings 0 Prints 0 Plans 0 Samples 0 Specifications "E" "�'T "'�"A 1T . 5�" ❑ Copy of letter ❑ Change order ❑ A A VANEATOM 0 WE ARE TRANSMITTING BY FAX ,PAGES (Incl. this cover letter), If you do CANONnot receive all the pages or if a problem arises during transmission, please call. COPIES DATENO. DESCRIPTION Z hJltll)03 zoca Ritara k x}ppf2kh'G4 THESE ARE TRAY' !TIED as checked below: Fp approval 0 Approved as submitted 0 Resubmit_copies for approval For your use 0 Approved as noted 0 Submit_copies for distribution O As requested 0 Returned for corrections 0 Return corrected prints ❑ For review and comment 0 ❑ FOR BIDS DUE 19 _ 0 PRINTS RETURNED AFTER LOAN TO US REMARKS: COPY TO: SIGNED: !�At ke0 cr File f MP-2004-0058 APPLICANT/CONTACT PERSON WILLIAM A CAN N LANDSCAPE ARCHITECT ADDRESS/PHONE 158 NORTHAMPTON ST (413527-6535() PROPERTY LOCATION HAYDENVILLE RD MAP 06 PARCEL 020 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE INING FORM > LED OUT 5978 cWi — Building Permit Filled out Fee Paid Typeof Construction: ZPA-COMMON DRIVE TO 3 HOUSES 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 BASED ON INFORMATION PRESEDITED: Approved kAdditional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER: § IS. 2- /� -> Intermediate Project: ✓ Site Plan AND/OR t Special Permit with Site Plan Major Project: Site Plan AND/OR Special Permit with Site Plan /t Q 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 Commission //LOPS 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. File No.f4 PO � 7 tY L � ZONING PERMIT �RMiTT APPLICATION 010.2} Please type or print albinformationand return this form to the Building Inspector's Office with the $10. filing fee (check or money-order) payable to the City of Northampton 1. Name of Applicant: Robed Jeifway Address: 66 Old State Road South Deerfield,MA 01373 Telephone: 413.6652124 2. Owner of Property: same as above Address: same as above Telephone: same as above 3. Status of Applicant Owner X Contract PurchasesLessee Other(explain) 4. Job Location: Haydenvitle Road Northampton,MA(formerly Beaver Brook Subdivision) Parcel Id: Zoning Mapt/ 5 pines 6,7,12 Distrfd(a): SR(Suburban Residential) 8 18,19,20,21,58 URA(Urban Residential-A) In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUBDINGDEPARTMENT) 5. Existing Use of StructuretPmpaty Undeveloped land 6. Description ofhorned UscfW t (Use additional sheets if necessary): Construct common driveway access to three(3)house sites within lots shown on attached site plan. 7. Attached Plans: Sketch Plan X Site Plan Engineered/Surveyed Plans 8. Has a Special PemiiWariatudFioding ever been issued Potion the site? NO X DONT KNOW YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONTKNOW YES IF YES: enter Book Page andfor Document S 9. Does the site contain a brook,body of water or wetlands? NO DONT KNOW YES X IF YES,has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained X Obtained ,date issued: (Form Continues On Other Side) X W. 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 X IF YES,describe size,type and location: II. ALL INFORMATION MUST BE COMPLETED,or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This cohcnn to be filled in by the Britiding Department EXISTING PROPOSED REQUIREOS ? ZONING Lot Size 57.07 acres To provide access(or 3 house s4es. Frontage 125' 250'min(see site plan) Setbacks Front 30• 30' Side L: 20' It 20' L: 20' IL 20' JL: R: Rear 40' 40' Building Height 3612 Moires 35'(2 stories Building Square Footage N/A Unknown %Open Space:trot ora minus building&paved Unknown Unknown perking #of Parking Spaces N/A N/A #of Loading Docks N/A N/A N/A N/A (volume&location) 12. Certification:I hereby certify that the information contained/fie�� i i and accurate to the best of my knowledge. Date: 11/19/03 Applicant's Signature / Y' " "- Robert Jeffway NOTE:Issuance of a zoning permit does not relieve an applicant's bordep to comply with all zoning requirements and obtain all required permits from the Board of Health,Conservation Commission,Historic and Architectural Boards, . 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