32A-096 T
10. Do any signs exist on the property? YES NO X €
IF YES, describe size, type and location:
4
,
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
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
Z.G (4 s',,, f, 2 I 5,,
Frontage 1
Setbacks Front N � a
Side L: t 1 1 R: S 1: R: L R:
Rear iv 3 a rt o c\'‘_A�
Building Height
.... 2 6,
../..... NO GV.A
N
Building Square Footage
13 * 4 51. k-. o GSA- v —e
-
% Open Space: (lot area
minus building & paved 7 4 7 V o c-‘^- ---)--e_
parking
# of Parking Spaces Q 0
# of Loading Docks �"
Fill:
(volume & Location)
13. Certification: I that the information contained herein is true and the best of
myknowlezlge
Date: 3 _ 2 6 — (Z Applicant's Signature '
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning
req an obtain all required permits from the Board of Health, Conservation Commission,
H istoric and Architectural Boards, Department of Public Works and other applicable permit gran
authorities.
W:�oc ment FOPMS\origi; a: Wui: ding- Irspector\Zoring -Pe mit- Application- passive.doc
s , • 8/4/2004
•
•
,
RECEIVED
wit 2 82412 File No. m / /al 9 5" ,-
� m � 4 Nc .PE 1 ' .d i li: ��' � o ix x
� �° . b , oehi� h
.. x.. „ s3 : S .. p t .., ,> fi , r .. e.
3 r 3 4 ... . ..3 ' .
lj ''' : . e 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: T I ati kJ ML°k kP
Address: ' IQ o r I k 5.1 ', Telephone: » 4
S (3 -& 637- 332.I
2. Owner of Property: ' L 1- K �('e. yep ' � � e r 1" i c- k ".e. J � J t (o r-e-y =
, " 1 O 1+ c5r set
Address: 20 3 (\ia riVIA M ph v\ 54-. . , Mtt Telephone: 4 13 - 5 2 - 600
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. _ Job Location t , : 7 iv\ c: r S "1 Y`e-e, ,
# . e; c.� /46 - " " o 'l ...",p S . ° 3 .fn Y"+ir'x o R,N °Mt i. 3 -, `µ s * � '6��aYI�. t. b o H �e - 4r4 ' i'..�,Yw k.L4V '"- '�"' it ' s+.a 7 ._.._.__ % R' tiA^4 ; alMp# "7`" N #g r o tee Y`"'H'" POlit i - H.'A m il M �'., F - ,y�� a # a' z. u? t i g i a'm � I''' 1 . , v r ` z t 3 y ,+ b ,��, e oe A hi ,2 I u` '`3 ,� i t, a'S'a�,a l d '�' v6 - vaH S
i f ,e i" �"� o, a t r r r fi� g a i P�+ p r jv '" i o ro >Y - fi S'- i i
H H� SA, , nEm Street tstnct O ° In antra l r sines bltrl�tra
#0 � Pt (7'0 1P01 LFD IN'Bl ITHR B APING I EP1'!'RTNIE IT) ._3�' r ; ,°.2'..; .:
5. Existing Use of Structure /Property: S + :) 1.-e_ G > 'V^ ■ \ 7 - -€ e ° 4 \
6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary):
S i` L-e_ �,rv. y .mss: d Q_ ,,k,',\
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:
IFYES -Was the permit recorded at the Registry of Deeds?
NO DONT KNOW )( YES
IF YES: enter Book Page and%o� - Document if
9.Does the site contain a brook, body of water or wetlands? NO X 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 i- 8/4/2004
•
•
File # MP- 2012 -0095
APPLICANT /CONTACT PERSON METCALF TRISTRAM
ADDRESS /PHONE 142 MAIN ST (413) 687 -3321 ()
PROPERTY LOCATION 7 MARKET ST
MAP 32A PARCEL 096 001 ZONE CB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT 1�5
Fee Paid La 5i (�
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA - SFH
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
INF Approved PRESENTED:
' pproved 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
3 /2 9/iZ
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.