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06-062 Haydenville ZoningPlanning Board and Zoning Board Application' Some required items were not completed. Please review the form and complete the missing items highlighted in red. Owner First Name *Owner Address [311 Chesterfield Road City State [Leeds Massachusetts Applicant First Name Patrick Applicant Street Address 311 Chesterfield Road City Leeds Phone 1413-584-6750 Work Location 28 Evergreen Road Response :Required http://fs12.formsite.com/fs12_app/FormSite Planning and Zoning Boards Owner Last Name OR Business Name [Melnik Trustee J Email Applicant Last Name [Melnik Zip Code 101053 State Massachusetts Business (if applicable): Zip Code 01053 pmelnik@verizon.net Assessors' Map(s) and Parcel ID(s) j Parcel Deed Book and Page La 6-61 6-20 6-21 5-7 6-19 6-58 5-6 5-12 11/1 5493-23 5917-206 8333-275 9067-57 9496-113 Response Reg Post Office for property Zoning/Overlay Districts I Leeds 01053 [URA and SR Response Required Response Required Page 1 of 2 What PERMITS or AMENDMENTS are you applying for? E El PLANNING Special Permit w/ INTERMEDIATE Site Plan ($200, except flag lots $1,000) F.: PLANNING Special Permit w/MAJOR Site Plan ($1,000 plus, unless this is an amendment, $0.05/sq ft of proposed new building) El PLANNING Intermediate Site Plan ($200) PLANNING Major Site Plan Approval ($1,000 plus, unless this is an amendment, $0.05/sq ft of proposed new building) APPROVAL NOT REQUIRED Surveys ($250/plan page) 1 PRELIMINARY SUBDIVISION ($1,000-Type II or $600-Type I PLUS $75 per unit) LII DEFINITIVE SUBDIVISION (Greater of $3,000 OR $10/linear foot of new roadway; $4,600 OR $14/foot if no preliminary; $400 PLUS $10/foot for one lot minor subdivisions; $500 for Amendments) LI ZONING BOARD Special Permit ($200) Ei ZONING FINDING ($200) APPEAL OF BUILDING COMMISSIONER-Zoning ($200) Digitized El COMPREHENSIVE 40B PERMIT ($500 plus $0.05/sq ft of proposed new rattiggsed 10/22/2008 Success Zoning and Planning Boards Application (use THIS as the form you print) Do NOT leave this p until you are sure that EVERYTHING on it has printed!!!! Applicant: Patrick Melnik /[pipe: 75] Address: 311 Chesterfield Road, Leeds, Massachusetts 01053 413 -584 -6750, pmelnik @verizon.net Applicant Signature -I represent that under the pains and penalties of perjury: 1. Two copies of the application (EXCEPT for ANR plans) have already been delivered to DPW. 2. The required sign has ALREADY been posted on the property. 3. The info y�. tion included herein is accurate 1' PERMIT CRI 1± RIA (IGNORE "pipe," it refers to permits you have not applied for.) Finding criteria [pipe: 245] [pipe: 246] Appeal of Building Commissioner [pipe: 252] [pipe: 118] Comprehensive 40B Permit [pipe: 197] [pipe: 196] Variance Application: [pipe: 249] [pipe: 251] Special Permit and Site Plan Criteria: [pipe: 253]: [pipe: 82] I [pipe: 254]: [pipe: 87] [pipe: 255]: [pipe: 91] [pipe: 257]: [pipe: 96] [pipe: 256]: [pipe: 102] [pipe: 258]: [pipe: 105] [pipe: 259]: [pipe: 100] is [pipe: 156] [pipe: 261] [pipe: 198] Owner: Patrick Melnik Trustee Address: 311 Chesterfield Road, Leeds, Massachusetts 01053 Owner Signature -I authorize the City to inspect this property: Page 1 of 2 Work Location: 28 Evergreen Road, Leeds 01053 Map ID: 6- 616 -20 6 -215 -7 6 -19 6 -58 5 -6 5- 1211a1)eed: 5493 -23 5917 -206 8333 -275 9067 -57 9496- 1Loning: URA and SR �'R•59 (S-6 Permit(s) Requested: APPROVAL NOT REQUIRED Surveys ($250 /plan page) Regulations: 350 -10.5 Project: Open Space residential development was approved by decision dated April 9, 2008. This plan is an ANR plan showing the division of the land into two lots, one lot to be conveyed to the City and the remainder to be a single lot for an open space condominium project that has been approved. Scanned Digitized Checked http:// fs12 .formsite.com/fs12_app /FormSite 10/22/2008 Requested Site Plan Waivers: [pipe: 210] [pipe: 185] r�! CITY CLERK USE: Submittetx /08 INSTRUCTIONS to file your application View Results Page 2 of 2 Scanned Digitized Checked http://fs12.formsite.com/fs12_app/FormSite 10/22/2008 Planning Board and Zoning Board Application El VARIANCE, ($1,000 plus $0.05 /sq ft of proposed new building) U 43D Permit (Any Planned Village commercial project) *Relevant sections of zoning and subdivision regulations [350 -10.5 Response Required *Describe project and relief /approvals needed Open Space residential development was approved by decision dated April 9, 2008. This plan is an ANR plan showing the division of the land into two lots, one lot to be conveyed to the City and the remainder to be a single lot for an open space condominium project that has been approved. Response Required I HAVE discussed my application with my neighbors (highly recommended) Indicates Response Required Next (Page 1 of 2) Northampton Office of Planning and Development: All information provided is public and will be placed on the web. Page 2 of 2 Scanned Digitized Checked http://fs12.formsite.com/fs12_app/FormSite 10/22/2008 NORTHAMPTON ASSESSORS PARCEL ID HAMPSHIRE COUNTY REGISTRY OF DEEDS MAP SHEET BOOK PAGE 05 006 5917 206 05 007 5869 6 05 012 5869 6 06 019 5869 6 06 020 5869 6 06 021 5869 6 06 058 5869 6 06 061 5493 23 11A 003 9496 133 O a t i j ff NOTES: LEGEND GRANITE BOUND FOUND IRON PIPE FOUND IRON BAR FOUND CONCRETE BOUND SET IRON PIPE TO BE SET STONE WALL REMAINS RAILROAD BASEUNE EDGE OF EXISTING EASEMENT ZONING DISTRICT LINE APPROXIMATE EDGE OF RIVER EDGE OF VEGETATED WETALND WETLAND DEUNEATION FLAG VEGETATED WETLAND VERNAL POOL CERTIFIABLE VERNAL POOL PERMANENT CONSERVATION RESTRICTION PARCEL CN -1 0 0 11/07/08 DATE \)\\1 N AI; 44 i3t-i- 0-3.4. N79.3623 69'* REGISTERED LAND SURVEYOR BERKSHIRE ELECTRIC CABLE CO. BOOK 1453, PAGE 126 GI ZONING DISTRICT EASEMENT IN GROSS FOR PATRICK J. MELNIK AND ALICE E. MELNIK, TRUSTEES OF THE MELNIK FAMILY TRUSTS X BOOK 9109, PAGE 52 X x X Xi A S84 JOHN F. SKIBISKI Li REALTY PARTNERSHIP BOOK 5869, PAGE 3 I BOOK 5958, PAGE 13 BOOK 6038, PAGE 12 SEE ALSO BOOK 5860, PAGE 158 PLAN 800K 54, PAGE 18 PLAN BOOR 32, PAGE 38 PLAN BOOK 187, PAGE 27 4 MASS. STATE PLANE COORDINATE SYSTEM N 2,958,300.83' E 332,344.74' 1'19'37 1 i i i MASSACHUSETTS ELECTRIC COMPANY BOOK 1605, PAGE 375 PLAN BOOK 79, PAGE 24 SEE BOOK 258, PAGE 48 BOOK 264, PAGE 79 JOSEPH EU BOISVERT GREENWOOD BOOK 797, 186 PLAN BOOK 32, PAGE 38 4. VERNAL POOLS SHOWN HEREON ARE AS CERTIFIED BY THE MASSACHUSETTS NATURAL HERITAGE AND ENDANGERED SPECIES PROGRAM. THIS SURVEY AND PLAN WERE PREPARED IN ACCORDANCE WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS, AND THE PROCEDURAL AND TECHNICAL STANDARDS FOR THE PRACTICE OF LAND SURVEYING IN THE COMMONWEALTH OF MASSACHUSETTS. i REMAINING LAND OF PATRICK J. MELNIK, TRUSTEE THE BEAVER BROOK NOMINEE TRUST BOOK 5869, PAGE 6 (SEE NOTE 1) AREA 30,479 S.F'.* MASS. STATE PLANE COORDINATE SYSTEM N 2,957,620.90' E 331,920.47' 1 i 1 1 1 1. FOR REFERENCE TO ENCLOSED PERIMETERS SEE BOOK 5493, PAGE 23, BOOK 5869, PAGE 6, BOOK 5917, PAGE 206, BOOK 9496, PAGE 133, PLAN BOOK 32, PAGE 38, PLAN BOOK 33, PAGE 37, PLAN BOOK 80, PAGE 80, PLAN BOOK 125, PAGE 12, PLAN BOOK 186, PAGE 192, PLAN BOOK 187, PAGE 27, PLAN BOOK 188, PAGE 102, PLAN BOOK 206, PAGE 1, AND PLAN BOOK 212, PAGE 47. 2. HORIZONTAL CONTROL WAS ESTABLISHED BY A GLOBAL POSITIONING SYSTEM (CPS) SURVEY CONDUCTED BY VANESSE HANGEN BRUSTLIN, INC. WITH SUPPORT FROM HERITAGE SURVEYS, INC. ON FEBRUARY 4, 2000. 3. WETLAND BOUNDARIES SHOWN HEREON ARE BASED UPON A WETLAND RESOURCE AREAS PLAN BY KILLAM ASSOCIATES NEW ENGLAND, WITH A REVISED DATE OF APRIL 22, 1999, AND ADDITIONAL DELINEATION PERFORMED BY CHARLES H. DAUCHY, ENVIRONMENTAL CONSULTANT, 24 OLD LONG PLAIN ROAD, AMHERST, MA 01002, IN JUNE, 2000. 70_ BERNARD PRUZYNSKI BOOK 1109, PAGE 41 I i I i i ICI I I I I Ss 1 I i i I� I i I I AMY HYMAN H. BOOKBINDER BOOK 2503, PAGE 130 PLAN BOOK 19, PAGE 1 THE ROMAN CATHOLIC BISHOP OF SPRINGFIELD BOOK 659, PAGE 377 EVERGREEN ROAD N/F CITY OF NORTHAMPTON 2156'* ALONG CENTERS OF' BEAVER BROOK 1'17 iz 5g V i GEORGE KOHOUT DEBRA ORGERA BOOK 3652, PAGE 315 58117'331W PLANNING BOARD NORTHAMPTON, MASSACHUSETTS APPROVAL CONTRO DATE x x--e- 715.30' YANKEE HILL CONDOMINIUM BOOK 3023, PAGE 109 BOOK 3035, PAGE 160 BOOK 3066, PAGE 7 SEE ALSO PLAN BOOK 80, PAGE 80 UBDI VI SION QUIRED PLANNING BOARD ENDORSEMENT IC AC IS NOT A DETERMINATION THAT THE LOTS SHOWN ARE BUILDABLE LOTS. JOHN T. SUZANNE 8. MEEHAN BOOK 1504, PAGE 307 VERNAL P001. 12019 REGISTRY OF DEEDS HAMPSHIRE COUNTY vt- i ge $t a HERITAGE SURVEYS, INC. PROFESSIONAL SURVEYORS AND ENGINEERS 241 COLLEGE HIGHWAY CLARK STREET POST OFFICE BOX 1 SOUTHAMPTON, MASSACHUSETTS 01073 -0001 (413) 527 -3600 3923 980831 DWG 3923ME05 TERRANCE J. RYAN MARGARET M. RYAN EUZABETH A. RYAN BOOK 7597, PAGE 83 PLAN BOOK 198, PAGE 17 UNDA MANOR, LLC BOOK 5934, PAGE 19 PLAN 800K 156, PAGE 31 MARGARET M. RYAN MARY ANN THRANE BOOK 7966, PAGE 30 PLAN BOOK 156, PAGE 31 GLORIA H. TUPERKEIZSIS BOOK 2257, PAGE 288 PAUL A MARDAS CHRISTINE S. PARMENTIER BOOK 7997, PAGE 351 THOMAS J. TUPERKEIZSIS, JR. GLORIA TUPERKEIZSIS BOOK 1622, PAGE 118 KIM G. BIERWERT LOU ANN BIERWERT BOOK 3804, PAGE 85 JOHN F. KIMBERLY A. LUTZ BOOK 7601, PAGE 90 PLAN BOOK 171, PAGE 120 PATRICK W. JOYCE M. WAGNER BOOK 4906, PAGE 160 CONCRETE BOUND FOUND JOHN F. SKIBISKI REALTY BOOK 1753, PAGE 66 APPROVAL NOT REQUIRED PLAN MASS. STATE PLANE COORDINATE SYSTEM N 2,958,706.35' E 333,698.59' MASS. STATE PLANE COORDINATE SYSTEM N 2,958,070.92' E 333,837.22' HORIZONTAL SCALE: 1 100' 0' 50' 100' 150' 200' 500' SHEET 1 OF 1 BEAVER BROOK ESTATES NORTHAMPTON, MASSACHUSETTS OWNER /DEVELOPER: PATRICK J. MELNIK, TRUSTEE DATE: NOVEMBER 7, 2008 THE BEAVER BROOK NOMINEE TRUST 110 KING ST. NORTHAMPTON, MA 01060 TEL. (413) 584 -6750 tire, .4 MAP 3923 081107