06-052 File#MP-2000-0077
APPLICANT/CONTACT PERSON FORTUNATO JOHN
ADDRESS/PHONE 139 SPRING ST 587-3027
PROPERTY LOCATION 574 HAYDENVILLE RD
MAP 06 PARCEL 052 ZONE SI
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING e r ILLED OUT
ee Paid - - - (Ir U"
Building Permit Filled out
Fee Paid
Typeof Construction: BUYING&SELLING OF USED VEHICLES
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 E6LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
l/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
_72-Z771_
Signature of But•ing 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
kirof public works and other applicable permit granting authorities.
1 E C E p d E D
R voi 2 A
0,4GIFISPECV4S File No. /WOO/7
tiotincik
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: .TO h u r x02 fu 4[A7//O
Address: 139 ,spzi')6 Sf' V/pu ni/CL /)2A Telephone.\y/3) 572m�0a7
2. Owner of Property: P/j if/L'f 7A k (1 u A ry chi Los- ean h.%) a9 6 -/15a8 A
S?Y- vs,/ W
Address: 574' NapLalul71R pd , Telephone:
3. Status of Applicant: _Owner _Contract Purchaser X Lessee
Other(explain):
4. Job Location: Ai7)/- F! S ill dUL.
Parcel Id: Zoning Map PParcel,/ District(s): ‘5.77
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property UShi9 rf)/1 L)t i 4/i) Uif�GLli1l/6
6. Description of Proposed UseNVork/Project/Occupation: (Use additional sheets if necessary): vr/
v;'ii✓F: AAi/`jfL/ /'f7/C 1,25
7. Attached Plans: Sketch Plan X Site Plan Engineered/Surveyed Plans
Answers to the following 1 questions may be obtained by checking with the Building Dept or Planning Department Files.
6. Has a Special PermiWariancelFinding ever been issued tor/on the site?
NO DONT KNOW V- 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 p_-„
9, Does the site contain a brook, body of water or wetlands? NO DON'T KNOW f, YES
IF YES,has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
vet
(FORM CONTINUES ON OTHER SIDE)
10. Do any signs exist On the property? YES NO :(1
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the propenyl YES A' NO�
IF YES,describe size,type and location: S/ cit) 5)7 .1411/ _1/11s V 7 7l= 1
W1) n f u2=_11_ s 4/ uro_C
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
mi. cola to be filial i..
by fd• eullAiw t•p..iraze.c
• Required
Existing Proposed By Zoning
Lot size 83y
Frontage 1 5 3
Setbacks - front 5
- side L: R: L: Y�1 R:_49/
- rear
Building height
Bldg Square footage G [CC •
%Open Space:
(Lot area minus bldg
&paved parking)
# ofParking Spaces
f of Loading Docks
Fill:
(volume--3 location)
13 . Certification: I hereby certify that th- inform: •n contai ed herein
is true and accurate to the best of my ov . - • , -
iati
DATE: A%1-\�� APPLICANT's SIGNATURE at' Si I� • 11
` `./
NOTE: Isaoano of a soning permit does not relieve an r ppliW nts burden to comply with al
zoning requirements and obtain all required permits I Lj the Board a1 Health, Conservatio
Co,nrnlaslon, Department of Publics Works and other copti Mable permit granting authorltias.
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-THIS PLAT NOT FOR RECORDING PURPOSES-
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ALL DISTANCES BY PLAN.
200'
, ROAD -
HAYDENVILLE
ROUTE 9 - (PUBLIC)
TO ALL PARTIES INTERESTED IN PREMISES SHOWN HEREON;
I HEREBY REPORT THAT'I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL EASIYUBVTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT
LINES. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED IN A FLOOD PRONE
AREA AS SHOWN ON FEDERAL INSURANCE MAPS FOR COMMUNITY NUMBER 250167
DATED ��//--. _ '',,, ;j •
SURVEYOR;W
-NOTE-
N.a„ Of ��s+ ANDSDOESTNOTRCOM�STITUTERTGAGELAROPERPTYESURVEy
HALOID
_' EATON — —MORTGAGE LOAN INSPECTION PLAT-
41... �dpco 11 Z,7
NORTHAMPTON
ESTE , MASSACHUSETTS
+'�0 suavt+°P - PREPARED FOR
R.M. O'CONNELL, INC.
c%1 .n . SCALE; 1"-100' JANUARY 30, 1985
14„..e. .A
L. EATON, PROFESSIONAL LAND SURVEYOR
9 SUNRISE DRIVE - HADLEY - MASSACHUSETTS
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