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23A-210 (2) _ p i + s ,♦ • �� ,,,,)% hrs z \� / p p 0 \ 1-A/ v.49 3Dnv 2. 7.14 "M+.n // \,, 91"�lc,X9 -,,,,n, 01 SniC Odo v°a0e ..e • ZY1ory awwa aoo = ocw a'eot S.• z • M+ou 411 4,... a a ��t gk I Vii_ I • , .....e . .,--„,„. vv 344 ( f do a..r1 m I � 4. .C... 0- 2 1 �a1 'T/ I dY \ Z 0 - G mp 1 t rm_ o j Fy V- � 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) o■yr 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 its, 5z2 r• 18,.42 s rT Frontage 5 4 i 641- Setbacks Front 3 4) 3 4' Side L: i4- to R: I Z - 4 L: 14'- ` R: t z- 4- L: R: 4 o�rr+ (Z : j Aeck t�.'p dazrG.�r 'L L` - "Q Rear Lt ct � 7 105• >S' Building Height ZA ' Z1 Building Square Footage wl t deck 1, 8Z S rT 2, )40 s0 t=t % Open Space: (lot area minus building Et paved '1 6°A) i e/0 parking # of Parking Spaces 4- # of Loading Docks Nip r.11A Fill: N 1A Ni /A (volume & location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: 4 / 1311% Applicant's Signature 6 1,.J(2-t 6 t T 2 „.)1 i..Deas 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:\ Documents \FORMS \original\Building - Inspector\ Zoning - Permit- Application- passive.doc 8/4/2004 File No. / 7 C ZONING PERM. T. PPLIC.ATI (i0.2 ) I Please type or print all information and return this form to the Building Inspector's Office with the $15 filing fee (check or money order) payable to the City of Northampton 1. Name of Applicant: j,J12-1 0 l-41" ■t L7t (2-S 1 t C Address: 4S (:b A z S "57 N o(L T a M r' ► oN i Telephone: (4-1 58 ` 0 " 8 2. Owner of Property: I■A a- E'V SCE` -{ a- VA 2E) TNoMAS Address: 14- (SEA co)3 S i � F 1_ 1,3c Telephone: ( 4l 3) 3z-° 61 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) C 4. Job Location: 9 4 6 CF Co r■1 S ► � FLO e Cl , r\A Parcel Ia `Zoning Map# Parcei# Distncf(s) In Elm Street District In Central, Business District O BE FILLED IN BY THE BUILDING DE`PARTMENTj 5. Existing Use of Structure /Property: b i LC F R M 1 L' czE5i --G- 6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if Necessary): DEMO OD i 5-ro2� A-i i i 3 geA � Ec,c, i'2� -'©si � Co s L r2 or A New Z s ADO 11\ D 2%A Z D , As wEtt_ A5 A 1=✓rtxz A (L AGe AD Di■J, VeKlov cJS r \ CLLC A t•IE,) lCt t.) a- 2: -31) C a t (siTH2v :rkS (Q T L J 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 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 Document # 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) W:\ Documents\ FORMS\ original \Building- Inspector\Zoning- Permit- Application- passive.doc 8/4/2004 File # MP- 2011 -0083 APPLICANT /CONTACT PERSON WRIGHT BUILDERS 15t ADDRESS/PHONE 48 Bates St (413) 586 -8287 (116) PROPERTY LOCATION 74 BEACON ST LefC MAP 23A PARCEL 210 001 ZONE URB(100)/ C p ) sS THIS SECTION FOR OFFICIAL USE ONLY: d ,> PERMIT APPLICATION CHECKLIST (. ENCLOSED REQUIRED DATE ZONING F • ' FILLED OUT ee 'air ' a► Building Permit Filled out Fee Paid Typeof Construction: ZPA - DEMO ADDITION/DECK & CONSTRUCT 2 STORY, DECK & GARAGE New ON Co ivS / �� - New Construction Cj 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 INFf9RMATION PRESENTED: L 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 4/61 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.