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38B-040 (3) 111111111.. MP-2003-0011 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON !GIS#: 11057 Map: .` Block ;;; ._" - ` Lot: 001 ZONING PERMIT Permit: ZONING PERMIT APP APPLICATION PERMIT Category: FILL Permit# MP-2003-0011 PERMISSION IS HEREBY GRANTED TO: Project# JS-2003-0179 Est.Cost: Contractor: License: Fee: $10.00 Homeowner as Contractor #of Fixtures: Owner: NORTHEAST ENTERPRISES Applicant: NORTHEAST ENTERPRISES AT: 167 SOUTH ST ISSUED ON: 25-Jul-2002 AMMENDED ON: EXPIRES ON: TO PERFORM THE FOLLOWING WORK: 50 YARDS CLEAN FILL 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-2003-000340 30-Jul-02 1508 $10.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272 GeoTMS®2002 Des Lauriers Municipal Solutions,Inc. File#MP-2003-0011 APPLICANT/CONTACT PERSON NORTHEAST ENTERPRISES ADDRESS/PHONE 237 MAIN ST (413) 586-2446 PROPERTY LOCATION 167 SOUTH ST MAP 38B PARCEL 040 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid /370 /17 Building Permit Filled out Fee Paid Typeof Construction: 50 YARDS CLEAN FILL 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 INFOX4IATION PRESENTED: Approved _Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER: § Intermediate Project: Site Plan AND/OR Special Permit with Site Plan 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 9 z sr'z.oZ Signature o uilding 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 Officei of Planning&Development for more information. fOEHEB LJ ' 11 J U L 2 5 2002 4/O File No. DEPT OF BUILDING INSPECTIONS NORTHAMPION,MA 0 'G. PERMIT APPLICATION (S10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: IXJOIZT G / C1 sus Address: 2-b-7 /2,/4) 5 Telephone: trv'' 2. Owner of Property: �511 '4, l / Address: � 7 7 .'/ Telephone: C�Y4 `z�� 3. Status of Applicant: ner Contract Purchaser Lessee Other(explain): 4. Job Location: 767 v� EX/7-`t s Parcel Id: Zoning Map# 3U13 Parcel# "L v District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 079. p L/e. 7. Attached Plans: V 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 Permi ance/Finding ever been issued for/on the site? NO DON'T KNOW 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 Doc ment# 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) 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= to be filed in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - front - side L: R: L: R: • - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) # of -Parking Spaces #- of Loading Docks Fill: {volume -& location) e D5 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my kno - . •e. DATE: l r 2-5 OZ./ APPLICANT's SIGNATU-, / T/��► NOTE: Issuanoe of a zoning permit does not reliev-- r7;f rden to oomply with all zoning requirements and obtain all required perm from • - - • - • of Health, Conservation Commission, Department of Publio Works and othe - - - °able permit granting authorities. FILE I