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36-245 Z_c File #25 APPLICANT/CONTACT PERSON:KEITER CORPORATION 35 MAIN ST,2ND FLOOR FLORENCE, MA 01062(413)586-8600 PROPERTY LOCATION 80 CARDINAL WAY MAP:LOT 36-245-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $30.00 Type of Construction: ZPA -CONSTRUCT NEW HOUSE New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan Driveway Grade% THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: X 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 Commission Permit DPW Storm Water Management Demolition Delay 4 69• CV " /t? Sign ture of Building 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,Co servation 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 Office of Planning&Development for more information. RECE{y .. . 1olo+ Plan i ry L �4aY 2 ?0 � File No. +t mill ,� ZONING PERMIT APPLICATION (§Y o.2) NOH P'Iease ype or print all information and return this form to the Building Inspector's Office with the $30 filing fee (check or money order)payable to the City of Northampton 1. Name of Applicant: Keiter Corporation Address:35 Main Street Florence Telephone:413-586-8600 2. Owner of Property: William Brown Address: 55 Devonshire Terrace, E. Longmeadow Telephone: (617) 721-3727 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) X Contractor 4. Job Location:80 Cardial Way Parcel Id: Zoning Map# 3 CoParcel# cZ c/S District(s): In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: Building lot 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Construction of new single family dwelling 7. Attached Plans: Sketch Plan Site Plan X Engineered/Surveyed Plans X 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW X 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 # 9.Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES X IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained X Obtained , date issued: (Form Continues On Other Side) W:\Documcnts\FORMS\original\Building-Inspcctor\Zoning-Permit-Application-passive.doc 8/4/2004 10. Do any signs exist on the property? YES NO X IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property? YES NO X IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan of development that will disturb over 1 acre? YES NO X IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED REQUIRED BY ZONING Lot Size 1.837 Acres 1.837 acres Frontage 185' Setbacks Front 200' Side L: R: L: 95'3" R: 41'3" L: R: Rear 153'4" Building Height 32'-6" Building Square Footage 2977 sq ft Open Space: (lot area minus building Et paved 84,814 parking 77,827 #of Parking Spaces 0 0 #of Loading Docks 0 0 l Fill: (volume Et location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: 4/28/23 Applicant's Signature 4 NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health,Conservation Commission, Historic and Architectural Boards, Department of Public Works and other applicable permit granting authorities. W:\Documcnts\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004