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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 1_
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
Y/ yso s'y/ yso
Frontage / y
1947
Setbacks Front 9 1
Side L: y / R: S S L: './ / R: L: R:
Rear C 3 77_ 3 -7
Building Height 7
3� 3 7
Building Square Footage
S' yss v
%Open Space: (lot area
minus building & paved 7.)
parking
#of Parking Spaces
! d
#of Loading Docks
C
Fill:
(volume & location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 3-/ / 6 /0/0( 3 Applicant's Signature )
NOTE: Issuance of a zoning permit does not relieve an applicant's 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.
WADocuments\FORMS\original\Buil ding-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
It r 2013 / ip 1y c
File No.
No7 7-78c7Z(WING PERMIT APPLICATION 010.2)
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: �c r C<? a OJo.n ,°2( C_N) '.S 2 s
Address: 33 L 1 C' Si-- Telephone: 'g' — I I 0 5
2. Owner of Property: SG,n■-CZ
Address: Telephone:
3. Status of Applicant: Owner V Contract Purchaser Lessee Other (explain)
4. Job Location: 50..,-.9_
.
Parcel Id: Zoning Map# a ii. c Parcel# 14 q District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: K.e& d Q c-■ C'R
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
f Ve- o��e, 0.c\C— ec--)( cV, . CQ nUQ r4" c.k. door co-\0\ Cie v-kc k
_.(3 l o r Q cxJ ivn 40 't\r\s2 ea( c\cl 40 i s.y,a do cs,)S , N-A-c
64.s�; fd1C/L, ;s a t-ectn+ {ePic,ctvAtvd- w;.)-t-. vtc QrcJ tfzA,,f4-/ Jc.IJt.
7. Attached Plans: Sketch Plan '\ Site Plan k Engineered/Surveyed Plans
. _
8. Has a Special Permit/Variance/Finding ever been issued for/on the site? u L(i�l, ST D lsral c i /ZE V(E w
NO DON'T KNOW y YES IF YES, date issued:,
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW n YES
IF YES: enter Book Page and/or Document#
9.Does the site contain a brook, body of water or wetlands? NO ,e 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
1\\tA‘j)
File#MP-2014-0005 6LQ
APPLICANT/CONTACT PERSON O'SHEA DANIEL J&BEATRICE H
ADDRESS/PHONE 333 ELM ST 0 585-1105 0
PROPERTY LOCATION 333 ELM ST
MAP 24C PARCEL 044 001 ZONE URA(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT�� �/�
Fee Paid S7
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-DEMO REAR PORCH&CONVERT DOORS TO WINDOWS
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
INF9RMATION 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
Z13
Signature o 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.
333 ELM ST MP-2014-0005
COMMONWEALTH OF MASSACHUSETTS
�7 CITY OF NORTHAMPTON
GIS#: 3719
19 THAMpT
[-Map: 24C
Block: 044 - -_t= X41
Lot: ool =,- t � ZONING PERMIT
,.
Zry: ONING PERMIT APPLI �f4 Ry�REN E APP!4ICATION PERMIT
Zoning Permit
Permit# MP-2014-0005 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2014-000090
Est.Cost: Contractor: License: Expires:
!Fee Charged:$15.00 Homeowner as Contractor
Balance Due:$.00 Owner: O'SHEA DANIEL J&BEATRICE H
#of Fixtures: Applicant: O'SHEA DANIEL J&BEATRICE H
DigSafe# AT: 333 ELM ST
UseGroup
ConstClass
ISSUED ON: 23-Jul-2013 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA-DEMO REAR PORCH&CONVERT DOORS TO WINDOWS
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Zoning Permit Application REC-2014-000212 17-Jul-13 2557 $15.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck®northamptonma.gov
GeoTMS®2013 Des Lauriers Municipal Solutions,Inc.