05-028 ZPA 2015-08-13File # MP-20 16-00 I 0
APPLICANT/CONTACT PERSON CRD METAL WORKS LLC
ADDRESSIPHONE 17 HYDE HHlLL RD (413) 588-8428 ()
PROPERTY LOCATION 120 RIVER RD
MAP 05 PARCEL 028 001 ZONE GI(66}/WP(49)1RR(34)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid \66
Building Permit Filled out
Fee Paid .;.T,.l...lyp"""e=of,,-,C=o=ns=tru=ct=io~n:,-,Z_P~A-,,---,,MA~."-"NUF""'-'='''"-'A,.....C=T;.;U'''"'RIN=''-'~Gct,A.=.>S'-'='S::!EM~B~L"'''-Y.L!,W.!..<A-'''RE~H~O''-''U''-''So=E'--£1J~C>~CftArJqeS 10 SflW<'.ifiue£
New Construction
Non Structural interior renovations
Addition to Existing
AccessotyStructure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans I Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFpRMATION PRESENTED:
_V_AADpDprroved __Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER: § ________
Intermediate Project : ___Site Plan ANDIOR ___,Special Permit with Site Plan
Major Project: Site Plan AND/OR Special Permit with Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: J __________
Finding,_____ Special Permit _____ Variance* ______
___R.eceived & Recorded at Registry of Deeds ProofEnclosed._____
___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 ____ Permit DPW Storm Water Management
Signal e ofBuilding otfr:rAJ
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 HeaIth, Conservation Commission, Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards ofMGL 40A. Contact the Office of
Planning & Development for more information.
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No
FileNo fl1 (J-/6'~/b"----
NING PERMITAPPLICATION (§10.2)
1.
2.
Address:·---1Jn.L-C~~.....l.:~~J..,g~~.--!..:..Ll..!-Telephone: L(I ~ 5" 3>[ (2)1,1=
3. Status of Applicant: Owner ___ Contract Purchaser / Lessee Other {explain}_____
4. Job locatlon:~ ~~ ~..c
Partello: Zoning Map#"_"_____ Parcel#__~__Distrjct{s)~_________
5. Existing Use of Structure/PropertY:_i!-WWI&!~..c2I[:b~.....~L~~~~~~_LJ.~akU:lk,._
B. Description of Proposed UseIWork/ProjectiOccupation: (Use additional sheets if necessary):
:~~JM~, 81 ~iJtrfA:dJ e~J·
Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans ___
Has a Special PermitlVariance/Finding ever been issued for/on the site?
NO ____ DON'T KNOW ____ YES ____ IF YES, date issued:,-'-______
IF VES: Was the permit recorded at the Registry of Deeds?
NO ____ DONT KNOW ____ YES ____
IF YES: enter Book Page and/or Document #-_~____
?k.oss the site contain a brook, body of water or wetlands? NO . DON'T KNOW ,X~ __
{' JF 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)
W:\DocumentsIPORMS\origrnal'lluilding-InspectorlZoning-Permit-Application-passive.doc Sl4J2{)04
S)jJOMI8j.elt\l Gel:)
YES ___-NODo any signs exist on the property?
IF YES, describe size, type and location:_________.___~_____________
YES ___NO,___Are there any proposed changes to or additions of signs intended for the property?
IF YES, describe size. type and location:______~_._______.____________
11. will the construction a~tivity disturb (clearing, grading, excavatfon, or filling) over 1acre or is it' part of a common
plan of development that will disturb oller 1 acre? YES__ , . NO ~
IF YES, then a No{thampton Storm Water Management Permit from the DPW is required.
All INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF iNFORMATION
This column reserved
for use bythe Building
Department
PROPOSED REQUIRED BY EXISTING II ZOl'.'lNG
Lot Size
~~ Frontage
Setbacks Front.
L: R:Side l: R: l: R:
Rear
Building Height
Building Square Footage
%Open Space: (lot area
minus building & paved
parking
# of Parking Spaces
# of Loading Docks
Fill: -,(volume & location) ."..
13. Certification: I hereby certify that the informatio~in:fh\rein iJ true and accurate to the best of
my knowledge, '( 1\ l I.-/ \ 'tfv! J
Date: t \b}{ t;) ApplicantI s Signa ure
NOTE: Iss~ance ~ra zoning permit does not rem:,,,, j ,~:~t~ comply with anzoning__u
requirements and obtain all required permits frot' the Board ofHealth, Conservation Commission,
Historic and Architectural Boards, Department ofPublic Works and other applicable permit granting
authorities.
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