32A-177 (3) 10. Do any signs exist on the property? YES NO
IF YES, describe size, type and location: (a(i v S^
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 L�
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
Frontage
G't "
vo e.
Setbacks Front 0
Side L: / R: L: S R: L: R:
Rear
Building Height rr
Building Square Footage 2 YO //Q 0
% Open Space: (lot area
minus building Et paved 2 e
parking (0 513
#of Parking Spaces
#of Loading Docks
4/4 N/A-
Fill: /
(volume Et location) 127 I /
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: ' - (3 Applicant's Signature
NOTE:Issuance of a zoning permit does not relieve . "applicant's burden to comply with all zoning
requirements and obtain all required permi/fro , -fhe Board of Health,Conservation Commission,
Historic and Architectural Boards,Depa ent/of Public Works and other applicable permit granting
authorities.
W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doe 8/4/2004
k
MAY 16 2013 � P'/ 3 _il }�
File No. _ l
NOR O4l3UI„NG ON,MA I SPECTIONS 01060 ZONING PERMIT APPLICATION(§i o.2)
HAMPT
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 �D��
1. Name of Applicant: C� 7 ''/ ( `lam
Address: -7� i� • Telephone: S
2. Owner of Property: / 1a "(Cc-r
Address: 4-2t �_ Telephone: -CO'AI 4.) -
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
ff��
r .
4. Job Location: 7 Gr R.-- , e C 's
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: G-r C-r
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
/4(id 441.(/'X° eUU' ci!14 GrClq C3 ir
j
Rclu// A o V7i- a 747/71 fe �� 76)/vk'-e i r7a Su/le 4P0
7. Attached Plans: Sketdh Plan Site Plan 'J— Engineered/Surveyed Plans C---
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?
ll
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 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-Pennit-Application-passive.doc 8/4/2004
File#MP-2013-0114
APPLICANT/CONTACT PERSON UNIQUE LODGING LLC
ADDRESS/PHONE 74 BRIDGE ST (413)237-5555 0
PROPERTY LOCATION 74 BRIDGE ST
MAP 32A PARCEL 177 001 ZONE URC(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-REAR ADDITION
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 PRENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project: Site Plan AND/OR LSpecial Permit with Site Plan Q-
Major Project: Site Plan AND/OR Special Permit with Site Plan f. ,a OLIVIA...12,,,j1 ,
ZONING BOARD PERMIT REQUIRED UNDER: § c�"�'�A1
"cv
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
Cam' s/7/g
Signature of Building Of icial 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.