32A-162 / 6G p M►
10. Do any signs exist on the property? YES 1/ NO
IF YES, describe size, type and location: at .a d 0‘3A LL ►. / mom- -t
�f Cl��crP a v6AL, � A , \ t
rn ire \ '\ \cc K 10} x 4' tv1 Le
Are there any proposed changes to or additions of signs in d for the property? YES NO '✓' _
IF YES, describe size, type and location: O&" \ r t &CCU `" t f Yeti ( S' £,& S� SS 5i3v
v z \oc ‘o S v
11. Will the construction activity disturb (clearing, grading, excavation, filling) over 1 acre or is it p art of a common
plan of development that will disturb over 1 acre? YES NO t j
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 I REQUIRED BY
ZONING
Lot Size
ctcveS 60V l * So.. rnia.
Frontage
a 5i s
Setbacks Front
Side L: R: L: R: L: R:
Rear
Building Height
2-(c) SCOrrUZ—
Building Square Footage
.15 l 000soPr S& Q
% Open Space: (lot area
minus building Et paved S 0.vvnQ_
parking
# of Parking Spaces
# of Loading Docks
SQmO-
Fill:
(volume a location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: it I 2- Applicant's Signature , C _ -Qr
NOTE: Issuance of a zoning permit does not relieve an app is 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
RECEIVE mss.
• 2012
_File No.
rT AP LIGATION (§.10.2
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: E\\' 1. c)'e...
Address: 3 C\10-kv\ Q.A \OrSk\r.cLVVAV ZJl,1 Telephone:( ) Si d /R SE
2. Owner of Property: � .�A Zc � C_ f
Address: 34 \Y\(Ux\ �� �� � Telephoner14( �3 i -1858
3. Status of Applicant: Owner Contract Purchaser Lessee Other (exptain)VrcSev
e1C iSfi rL
4. Job Location: • v`i e s+. i. .. •■ , 4, i • yr czF"
ov O'c erAc 1t (d O�
Parcel Id: Zon Map# Parcel# /6, District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
DEPARTMENT) �p
5. Existing Use of Structure /Property: C t ' ■ \ C Gi. c 1 G G i � r � -" C. � ``�CCl1
6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary):
S
4 1.
7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans
8. Has a Special Permit /Variance /Finding ever been issued for /on the site? �e
NO DONT KNOW YES ✓ IF YES, date issued: ') (ci9 tt
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 V 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- 2013 -0058
APPLICANT /CONTACT PERSON COLE ELIZABETH J TRUSTEE
ADDRESS/PHONE 34 MAIN RD (413) 531 -7858 ()
PROPERTY LOCATION 33 HAWLEY ST
MAP 32A PARCEL 162 001 ZONE (4&e) —
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid 7c6"-
Building Permit Filled out
Fee Paid 14 tr-
Tvpeof Construction: ZPA - DOG DAYCARE & GROOMING SERVICES GU tTbl NO CttAN 4E7S rO
New Construction �X- GERidf .�'
Non Structural interior renovations
Addition to Existing 13%44(.41 tvtj
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
INFL) 0MATION 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
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
I
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.
,wwW