22B-041 (5) Sinks Mop sink
•
3'x2' 2'x2' I
6' I Bathroom • H
Office /storage
I`s 4-4,- -
14.5' _
I \____
Cold Steam =
Fridge table table 2'x3'
•
2'x4'
'x3' —
i
3' Prep table •
Electric
A-► 2 .4---�
5 stove
2.5'x3'
31 1441
Hand washing
3' Baked goods 3 ' Counter 12' i • ► Sink 1'x1'
f -► 41-40 4 ►
7' 4' 4' Deli case
1.5'i H 1
2' Cash 1 2'
F► - register 4---10
•
6' 6'
i
— • ►
Shelves
4-'00 Fresh produce Fresh produce
56' 28' . 28'
16' 16'
•
i
i
r
Tables i
/ \ I .
Entrance
A 2' 4 4'
6' 4--► 5'
-...,,,,,,, j
30'
4 ►
Michael Kaynes ' Fresh produce, deli and more...
176 Pine Street
Florence, Ma 01062
i
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 prope r YES / NO
IF YES, describe size, type and location: Lurie G��1
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 coizann reserved
for use by the Building
EXIST'I11TG PROPOSED "° "'�"
Frontage
Setbacks Front
Side L• R: L: R:
•
Rear
Building Height
Building Square Footage ='
•
% Open Space: (lot area
minus building ft paved
of Parking Spaces
# of Loading Docks
(volume Ft location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: l / ed'AD 9 . Applicant's Signature .�.t
PP ' � � J .
NOTE: Issuance Issnce of a zonlg permit does not relieve an applicant's burden to comply with zoning
requirements an obtain all required permits from the Board of Health, Conserva Comm
Hist oric and Architectural-Boards, Department of Public Works and other applicable permit granting
authorities.
W: 1Decuments1FORMS1oriDnallBnii riinp- Inspcctor,Zoning- Pamit- Application- passive.doc 8/4/2004
'/° /b 4'
, _maw,.. :m,....:..�,...,..+sru.v 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 ofNorthampton
1. Name of Applicant: / L/e/ �i'�ZL��
Address: 3,2 </312CK SIW F AvE • SOu- �J Telephone: ' x- / /3/ »'9(757
2. Owner of Property: � /9 /Yit T/ in ' &4) J &kJ
Address: 17 /' /NF S77 Rzioir,E_ (4 / Telephone: Y/. (.56 0 9 1
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. Job Location: /`71' P)tif S / F1',CIC 'tiG�
st . ...--'. .ate i •"°' 1. ..� '^' -,�� - ,.s�,,
_ _ -mac. �+�a.. mac- - _- �._ - ems• - ��.,� �.we� e,..�- �c ,.�s:7 � x
reZ
- - 1 1 77 -,� ..'" : _ t£7 R'5 -rte eE"i`� �Y ... YEA -e - - �
5 Existing Use of Structure /Properly:
Em ( y
6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary):
•
7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans
8. Hasa Special Permit /Variance /Finding ever been issued for /on the site? •
NO DONT KNOW ' YES IF YES, date issued
1FYES; - - V as the permit recorded at the Registfy Deeds?
NO DONT KNOW YES
IF YES: enter Book Pa
e 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:
fF orm- t=orstinees -0n ether-Side)'
W :1Documents WORMS \onginaABuilding- Inspector\Zoning- Permit- Application- passive.doc 8/4/2004
•
File # MP- 2010 -0036
APPLICANT /CONTACT PERSON AVEZZIE KERRY
ADDRESS/PHONE 32 BERKSHIRE AVE (413) 569 -9657 0
PROPERTY LOCI `T O 174,PINE ST
MAP 22B PARC , " I5I t o 'r iq »t
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
CONING FO' FILLED OUT
ee • al.
Building Permit Filled out
Fee Paid
Tvpeof Construction: ZPA - FRESH PRODUCE, DELI
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
INFVRMATION PRESENTED:
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
irlAvfe. 76
ZONING BOARD PERMIT REQUIRED UNDER: § S2
Finding Special Permit Variance* 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 Co. -, .ssion Permit DPW Storm Water Management
/ //r
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.