24B-086 (10) File#MP-2000-0042
APPLICANT/CONTACT PERSON NORTHAMPTON PUBLIC SAFETY COMM CTR
ADDRESS/PHONE 26 CARLON DR EXT 1147
PROPERTY LOCATION 26 CARLON DR
MAP 24B PARCEL 086 ZONE HB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM�' LED OUT
.. .al, IP� 7�n 1.�r2 6J U
Building Permit Filled out
Fee Paid
Typeof Construction: ERECT 120'RADIO ANTENNA TOWER ON CONCRETE BASE PAD
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:
Approved as presented/based on information presented.
Denied as presented:
✓Special Permit and/or Site Plan Required under: § ApvEiv p l Thu r 126 5P
PLANNING BOARD ZONING BO
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
.4,*ii$44ic Approval Board of Health Well Water Potability Board of Health
Permit from Conservatio ommission
9/.90/
Signature of Building fficial Date
Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
File No. I'
ZONING PERMIT APPLICATION ( § !` AP 2 41999 i a
PLEASE TYPE OR PRINT ALL INFORMA r T Of$UIL(11i6 i�JSf'Cc��Ti NS
**Please return to the Building Inspector's office with the $1' filfl: r'e'$f:�kr�7{198?C69r
money order payable to the City of Northampton)**
1. Name of Applicant: No4 ri14 .wrew Plat.,c S/,very C'o..aA.a..,/c.,r/o..fS ce-vrct — .T9'+r-r t 9kc
Address: .a` c•v,e t or" ),t. Telephone: yr 3 _,S-8 7-//y 7
2. Owner of Property: ( fry of i.lu R?'rI9^1P7'aN , FieE ›EP9ezro."Nr-
Address: aG C7ecoat 1 4 . Telephone: y,3 ..S'87 -//
3. Status of Applicant: Owner Contract Purchaser Lessee
✓ Other(explain):
4. Job Location: aG 4-4ICto"1 14
Parcel Id: Zoning Map# 7. 3 Parcel# PO District(s): )IIB
(TOBE F LLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property P0)4kiA,6. Le
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
E.gUer c r /2c> /=.•r .e4%Aic) .I Aire-A1Ahe 7-•41Ct o..i .r ce...e.etrr BAse/a/f,
7. Attached Plans: Sketch Plan _t/ 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 PermitNariance/Finding ever been issued for/on the site?
NO ✓ DONT KNOW YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document #
9. Does the site contain a brook, body of water or wetlands? NO ✓ DONT KNOW YES
(FORM CONTINUES ON OTHER SIDE)
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , date issued:
D. 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:
1. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This column to be filled in
by the Building Department
Existing Proposed Required by Zoning
t Size
So . F'
rntage 'xc c r KrN sr
Fi 04e4.6.+ .�
tbacks Front
Side L: R: L: R:
Rear
,ilding Height R ioc F Li-v 35 Fr
gilding Square Footage
.;c5 YD.) SQ FT
Open Space: (lot area
ius building&paved parking
of Parking Spaces
of Loading Docks
flume & location)
3. Certification: I hereby certify that the information contained herein is true and accurate to the best of my
iowledge.
ate: 0- 7? Applicant's Signature
3TE: Issuance of a zoning permit does not relieve an applicant's burd to mply with all zoning requirements and obtain all required permits from
e Board of Health,Conservation Commission,Department of Public Wor and other applicable permit granting authorities.
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