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Issued Zoning Determination 18D-035 (41)f CFile#MP-2020-0076 APPLICANT/CONTACT PERSON COUSINS INVESTMENTS LLC ADDRESS/PHONE PO BOX 547 (413)774-3121 PROPERTY LOCATION 48 DAMON RD g2io iy OMAP18DPARCEL035001ZONEGB000)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildiniz Permit Filled out Fee Paid Tvpeof Construction:_ZPA-NEW CAR DEALER 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 INFORMATION P: FR1NTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER: § 5/aPGiN./ rbV1i' Br C t06Zt vT u5 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 r 450 1-3 Special Permit Variance* A- 7 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 Signature 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,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 Office of Planning&Development for more information. i HLULIVED JUN -42020 File No. fn0- a0-76 IF- ZONING PERMIT APPLICATION Please type or print all information and return this form to the Building Inspector's Office with the X30 filing fee (check or money order)payable to the 4 City ofNorthampton 1. Name of Applicant:L 6y,5/Al c,5 3.1 V i 1/ — Address: v ) ` w1mL lephone: ` 7T -o 2. Owner off roperty /0'68/ASS Address! Qq L 4LN6 Telephone: 3. Status of Applicant: Owner 1 Contract Purchaser Lessee/ Other (explain) 4. Job Location: "d bfb l ) /-vU 1/G1 Z/U 14,1 Parcel Id: Zoning Map# Parcel# District(s): In Elm Street District In Central Business District TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: V Z 6. Description of Proposed Use/ WWork7// PProject/ Occupation: (Use additional sheets if necessary): A A 'Bal LG 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/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 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) W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8 4'2004 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. 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 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 Frontage Setbacks Front Side L: R: L: R: L: R: Rear Building Height Building Square Footage W Open Space: (lot area minus building li paved parking of Parking Spaces of Loading Docks Fill: volume & location) 13. Certification: I hereby certify that the information contain d her in is tru n a urate to the best of my knowledge. Date: Applicant's Signat NOTE:Issuance of a zoning permit does not relieve an applic nt' burden to comply wi all zoning requirements and obtain all required permits from the rd of Health,Conservation Commission, Historic and Architectural Boards,Department of Public Works and other applicable permit granting authorities. W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8 4.2004 Your Confirmation number is 20200525907237 Date of Confirmation:5/25/2020 NOTE:When paying by ACH (Checking)it will take two business days for the payment to be debited from your bank account.Your account number is not verified until this payment is presented to your bank.They have the right to return this payment if unable to process this transaction against your account. Your request for payment(s)of$30.00 has been received and is subject to approval by your financial institution. Account Information Payment Information Name: Gayle Bover Payment Credit Card Address: PO Box 547 Type: City:Hadley Payer Name: Gayle Bover Card 5034 State: MA Number: Zip: 01035 Email: gbover@tommycarmgt.com Transaction Information Transaction Quantity Amount Fee Payment Northampton Planning and 1 30.00 0.00 Type Sustainability Credit Card Planning Permits Permit:Other Property Owner Name:Cousins Investments LLC Permit Application Name:Cousins Investments LLC Assessors Map#for Work Location:48 Damon Rd Assessors Block#Work Location: 18D-035-001 ssessors Lot#for Work Location 13186/304 Email Address: gbover@tommycarmgt.com Total:$30.00 Gayle Bover From: adelisle=northamptonma.gov@mg.unibank.net on behalf of adelisle@northamptonma.gov Sent: Monday, May 25, 2020 12:17 PM To: Gayle Bover Subject: Planning Permits - Your payment has been confirmed! Your Confirmation number is 20200525907237 Date of Confirmation: 5/25/2020 NOTE: When paying by ACH (Checking) it will take two business days for the payment to be debited from your bank account.Your account number is not verified until this payment is presented to your bank.They have the right to return this payment if unable to process this transaction against your account. Your request for payment(s) of$30.00 has been received and is subject to approval by your financial institution. Account • Name: Gayle Bover Address: PO Box 547 City: Hadley State: MA Zip: 01035 Email: gbover@tommycarmgt.com Payment Information Payment Type: Credit Card Payer Name: Gayle Bover Card Number: ***********5034 Transaction • Northampton Planning and Sustainability Planning Permits Quantity: 1 Permit: Other Amount: $30.00 Property Owner Name: Cousins Investments LLC Fee: $0.00 Permit Application Name: Cousins Investments LLC Payment Type: Credit Card 1 Assessors Map#for Work Location : 48 Damon Rd Assessors Block#Work Location: 18D-035-001 ssessors Lot#for Work Location : 13186/304 Email Address: gbover@tommycarmgt.com Total: 00 2