38B-311 File t MP -2010 -0027
APPLICANT /CONTACT PERSON FIEMAN BENJAMIN
ADDRESS /PHONE 54 FORT STREET 0 586 -9610 0
PROPERTY LOCATION FORT ST
MAP 38B PARCEL 311 001 ZONE SC(35) /URB(65)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
\ ZONING FORM F LED OUT /6 �t /S
Fee Paid )[/
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA - 2 FAMILY
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 PRES .TED:
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: § 3- •- A -TrAC. 6 ,? , secet1 i /S
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
/
Signature Building 0 ficial 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.
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 COMPIXTED, otFEIAff'i N E 011ifE0 OUE TO i ACik OF INFORMATION
Tide column reserved
r used " ding
EXISTING PRO • Pt +
Lot Size
1
Frontage i
-
Setbacks Front .241
Side L: R: L 15 1 R; /‘2 {..
Rear ° !?
Building Height
Building Square Footage X i
2 4- D0
� ?'!Iry
II Open Space_ (lot an;a f ,�
minus buildrrg & paved !
parkin
# of pa ridn® SAS 4, —'
.# Loatfing Dodts
•
Fill:
jvolizne & locatinnt
13, Cert.ificatlornabereby certify that the information contained herein is tnie and accurath to the best of
my knowledge.
Date: Applicant's Signature .._
NOTE: : Issuance of a zoning permit dog not remove an applicant's bur en to comply with all teriftig _
requirements -and obtain all required posits from the Board of Heealtl Conservation Commission,
Hfstr nic and Architectural Boards, Department of Public Works and other applicable permit granting
authorities.
WATho - - Ef42004
File # MP -2010 -0027
APPLICANT /CONTACT PERSON FIEMAN BENJAMIN
ADDRESS/PHONE 54 FORT STREET 0 586 -9610 0
- - - - -- - PROPER Y - L ATFfi olms — __ - - -- -- -- . - - - - -- --- ... - - - - -- -- - - -... .
MAP 3813 PARCEL 311 001 ZONE SC(35)/URB(65)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FI1.1.FD OUT
Fee Paid 1// �i
BuiIdingt Frjled out
Fee Paid
Tvpeof Construction: ZPA - 2 FAMILY
New Construction
Non Structural interior renovations
Addition to Ex`stin_
Accessoy Sttucture
Building Plans Included:
Owner/ Statement or License
3 sets of Plans / P1ot Plan
THE FOLLOWING ACTT HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRES D:
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 A•TD /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. Str ,. ` • nrn fission Permit DPW Storm Water Management
..."7",,,,...:7Z _ a
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 MOL 40A. Contact the Office of
Planning fir Development for more information.