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29-238 (6) 10. Do any signs ebst 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 V IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This colon to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks q d - side L: /F R:_ L:FR: 5-0 1 - rear Building height Bldg Square footage S F / l �F-) %Open Space: Lot area minus bldg &paved parking) # of Parking spaces / O of Loading Docks Fill: {vol-rime--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowl dge. D70E: APPLICANT's SIGNATURE NOTE: Issuan a of zoning permit does not relieve an ap lioant's bu den to comply witlp,+all zoning requirements and obtain all required permits from the Board Of Health, Conservation Commission, Department of Publio Works and other applioable permit granting authorities. FILE if e g f JCS O ` Fi 1 e No. �fiJ 6o .0 }:PC33G PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant:_ +J©NQ A -1), cA- x► S Address: f Y 9 S'r► in u c 2_. U e II (/Q Telephone: �b'I/- G S'7E 2. Owner of Property: -Do r-Q 0 �4 % Sala V'O" D" W if S Address: S Telephone: Sa gka -g.- 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: Im Parcel Id: Zoning Map# (J Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) S. Existing Use of Structure/Property / 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 7. Attached Plans: Sketch Plan _�Site Plan I/ Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 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? NO DON'T KNOW YES IF YES: enter Book Page and/or/DC' ment# 9. Does the site contain a brook, body of water or wetlands? NO N'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) a ,> o V Lo \� P-W � m 'y O > Z m M Z o cn O nJ ti! Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions a APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location I y Q S12 it c e, ��// /�10 L° Lot No. 2. Owner's name 11 na /1 a•�,l oeN ct I" S Address 09 S'e a u c*! ISM.ZZ dye 'e/ot.en,, e 3. Builder's name NkaTA ru-7 tMr, m nA v Address Pa RnX ggg U-)$1/,& �j��, wt 19 Mass.Construction Supervisor's License No. D b L 2/1, Expiration Date 4. Addition 5. Alteration 6. New Porch �j PS 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost- of o 0 0 The undersigned certifies that the above statements are true to the best of his. knowledge and belieff../� gnatare of responsible app,icam Remarks o4itwrr�o g ` SEA 3 01998 �x f i f Wart4anipfau t DEPARTMENT OF BUILDING INSPECTIONS -212 Main Street ' Municipal Building ' Northampton, Maas.' 01060 , WORKER'S CONWENSATION INSURANCE A.FMDAVIT censerlpetmittee) with a principal place of business/resideace at: / ��ov- 1n 3 �� 6(/ (phone#) P- ,F6 7 q� (strrt/City/sta023 do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: }ors -TAG- Co. J V C)Ueo (Insurance Company) (Policy Number) (Expiration Date) ( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Conti mo (Insluancc Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/PoUcy Number) (Expiration Duc) (Name of Contractor) (Insurance Comparry/Polief Number) (Expiration Daic) (Name of Contractor) (Insurance Company/Policy Numbu) (Expiration Date) (aaub 16&i octal% oat ifnoocauy to mchs&i-h m.doo p�rtnimag to.0 ooatx d ) ( a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE plc=be awaam that v6lo banco.+vcn wt>o cmptoy persam to do, ,:.e.-...,.,. eocc=x ion•or repair work on a dwclling of not man thin dreg units in which the bomewvecr mido oc oa tho grounds ppurtcmut tbatso ue oa genially w=dcrcd to be employees under tba vvockcr'i oompc=a ica Act(GLI52.=1(5)),appliraSon by a homeowner for a beaux ar pertnii tnay evidcaoe the le0 statue of an employer uoder die Workcea Compomalioa Act- I uoderdind that a copy of tbia shtemml may be forwwdod t o tba Deparmacaa of L".,trid Aooaoaf two.oC X100'f-d' oovaage vaifiesdoo wad that failure to sco=covc mV under sedioa 2SA of MOL 152 as Ind to tbd imposdion of aiminal peaalriet oomittias of a Sx uftsp to 5100.00 amd�a impraommcaL of tip to one yes and t;vt7 pcmltia in the foam of a Stop Woak Aden and a : Ene 0(5100.00 a day agwiast me- For dvwthamti1 V-o-ar SignahaeZ.iOCaSCt/P -. _ . N Li st 7 Li Ll` SEP 3 0 19 EPT C F S' N'f o � o 1 1 °4 IT3 P � iy�� v 1► i T i 999 yyy (7 L SEP 3 019% .� k 04 DEPT n D 'C R� v I I r � k Ell IP I� x C Z� 4� Z G a i I r © 'Ne 1,77, SEP 3 0 1999 7 Vo 0 I � 1 r I r�CfC fl U�P N M � • i A i ; -- i - . a r A n � 40 i 'n to 40 to w ob a an Jf i L f R to rl - $ w �• � �N i of N N •"' g L � � � n T -w 7 i A • w L '°r : .� N• N A n ev in Wt tv � w � N � T b YA i Qr .oi v,! in _r t$ n p A 0 n +n $ Log r � � c File#BP-2000-0360 APPLICANT/CONTACT PERSON DUMAS DONALD&SHARON A ADDRESS/PHONE 149 SPRUCE HILL AVE 584-6579 PROPERTY LOCATION 149 SPRUCE HILL AVE MAP 29 PARCEL 238 ZONE URA 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: CONSTRUCT 8 X 40 FRONT PORCH 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: Approved as presented/based on information presented. nied as presented: l�ecial Perini d/or Site Plan Required under: § l-- J (O ` PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: § —w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § —w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability i c bard of Health Well Water Potability Board of Health Permit from Copse on o ion 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. sewage disposal facilities water supply facilities B-8. Existing&proposed: landscaping,trees and plantings(size&type of plantings) �J��a_p n / ca...b I'L- stone walls, - buffers and/or fencing: B-9. Signs-existing and proposed: Location - dimensions/height color and illumination- B-10. Provisions for refuse removal,with facilities for screening of refuse when appropriate: /ya 1� ct na 1/1 1�6/a- FORMAJOR TROJECTS ONLY: B-11. An erosion control plan and other measures taken to protect natural resources&water supplies: C. Estimated daily and peak hour vehicles trips generated by the proposed use,traffic patterns for vehicles ind pedestrians showing adequate access to and from the site,and adequate vehicular and pedestrian circulation within the site. Site Plans submitted for major projects shall be prepared and stamped by a: Registered Architect, Landscape Architect,or Professional Engineer 9 SITE PLAN REQUIREMENTS REQUEST FOR WAIVERS APPLICATION The application MUST include a site plan containing the information listed below.The Planning Board may waive the submission of any of the required information,if the Applicant submits this form with a written explanation on why a waiver would be appropriate. To request a waiver on any required information,circle the item number and fill in the reason for the request. Use additional sheets if necessary. A. Locus plan B. Site plan(s)at a scale of 1"=40'or greater 55,Tom/ry m,7— /o SC's_r,A-- B-1. Name and address of the owner and the developer,name of project,date and scale plans: B-2. Plan showing Location and boundaries of- - the lot - adjacent streets or ways - all properties and owners within 300 feet - all zoning districts within 300 feet B-3. Existing and proposed: -buildings -setbacks from property lines -building elevations / -all exterior entrances and exits 4 is a 6 (elevation plans for all exteriorlfacades structures are encouraged) 134. Present&proposed use of the land buildings: B-5. Existing and proposed topography(for intermediate projects the permit granting authority may accept generalized topography instead of requiring contour lines): - at two foot.contour intervals - showing wetlands,streams,surface water bodies - showing drainage swales and floodplains: - showing unique natural land features 5 Zoe ti tty r,The B-b. Location of: - parking&loading areas - public&private ways - driveways,walkways - access&egress points - proposed surfacing: B-7. Location and description of: / all stormwater drainage/detention facilities n; o n 1/'nz 6�� water quality structures public&private utilities/easements 8 _, -r• 1 i G. Explain how the requested use will promote City planning objectives to the extent possible and will not adversely effect those objectives,defined in City master study plans(Open Space and Recreation Plan; Northampton State Hospital Rezoning Plan;and Downtown Northampton:Today,Tomorrow and the Future). 9. I certify that the information contained herein is true and accurate to the best of my knowledge.The undersigned owner(s)grant the Planning Board permission to enter the property to review this application. Date: Applicant's Signature: Date: Owner's Signature: (If not the same as applicant's) MAJOR PROJECTS MUST::ALSO:COMPLETE TB E`FOLLOWING MAJOR:IPROJECT.:APPROVAL CRITERIA: Does the project incorporate 3 foot sumps into the storm water control system? Yes No (IF NO, explain why) Will the project discharge stormwater into the City's storm drainage system? Yes No (IF NO,answer the following:) Do the drainage calculations submitted demonstrate that the project has been designed so that there is no increase in peak flows from pre-to post-development conditions during the: 1, 2,or 10 year Soil Conservation Service design storm? Yes No (IF NO,explain why) Will all the runoff from a 4/10 inch rainstorm(first flush)be detained on-site for an average of 6 hours? Yes No (IF NO,explain why) Is the applicant requesting a reduction in the parking requirements? Yes No If yes,what steps have been taken to reduce the need for parking, and number of trips per day? 7 How does the project meet the special requirements?(Use additional sheets if necessary) F. State how the project meets the following technical performance standards: I. Curb cuts are minimized: Check off all that apply to the project: use of a common driveway for access to more than one business use of an existing side street use of a looped service road 2. Does the project require more than one driveway cut? NO YES(if yes,explain why) 3. Are pedestrian,bicycle and vehicular traffic separated on-site? YES NO(if no,explain why) FOR PROJECTS THAT REQUIRE INTERMEDIATE SITE PLAN APPROVAL. ONLY,SIGN APPLICATION AND END HERE. - 9. I certify that the information contained herein is true and accurate to the best of my knowledge.The undersigned owner(s)grant Planning Boar -permission to enter the property to review this application. Date:ZZ /7 e� YApplicant's Signature: L Gz '' z Date: Owner's Signature: (If not the same as applicant's) FOR PROJECTS THAT REQUIRE A'SPECLAL PERNUT::OR'WHI BARE A.MA.iOR<PROJECT. ; applicants MUST also complete:the:folldw. m ..: ;. .F. Explain why the requested use will: not unduly impair the integrity or character of the district or adjoining zones: not be detrimental to the health,morals or general welfare: be in harmony with the general purpose and intent of the Ordinance: 6 ♦ rr� B. How will the requested use promote the convenience and safety of pedestrian movement within the site and on adjacent streets? How will the project minimize traffic impacts on the streets and roads in the area? ,y g2 M Where is the location of driveway openings in relation to traffic and adjacent streets? What features have been incorporated into the design to allow for access by emergency vehicles: the safe and convenient arrangement of parking and loading spaces: provisions for persons with disabilities: C. How will the proposed use promote a harmonious relationship of structures and open spaces to: the natural landscape: to existing buildings: other community assets in the area: D. What measures are being taken that show the use will not overload the City's resources,including: water supply and distribution system: sanitary sewage and storm water collection and treatment systems: fire protection,streets and schools: How will the proposed project mitigate any adverse impacts on the City's resources,as listed above? E. List the section(s)of the Zoning Ordinance that states what special regulations are required for the proposed project (flag lot,common drive,lot size averaging,etc.) 5 L 21999 <.'a CITY OF NORTHAMPTON DEPT DF SUILDIW IN',` PLANNING BOARD APPLICATION FOR: NORTHAWI TC4 k'.,k IC60 1. Type of Project: SITE PLAN APPROVAL: Intermediate Project(Site Plan).. Major Project(Site Plan Special Permit) OR SPECIAL PERMIT: - Intermediate Project(with Site Plan Approval) Major Project(Site Plan Special Permit) 2. Permit is requested under Zoning Ordinance:Section: Page: - 3. Applicant's Name: '��NQ -Du MifS Address: /�9�'nl„K�� 46�/1g/Je- Telephone: 4. Parcel Identification: ; a 1* ''Zoning l7lstr ct G�s� , • xi Street Address �fd 5. Status of Applicant: Owner _�; Contract Purchaser Lessee Other ;(explain) 6. Property Owner: jl 2 rtd. (d S a• %/7a " mA 5 Address: c e Telephone: 7 7. Describe Proposed 6rk/Project: (Use additional sheets if necessary): ! i Add FIreryT P.,-C4 8,YYo f�,11aTeu� rug// rcLN o Fr- &Cop /use 4d w W a Al/ �CT_�M/ 7-4 a Q a o /c-[ Has the following information been included in the application? Site/Plot Plan— List of requested waivers Fee Signed/Denied Zoning Permit Application 8. Site Plan and Special Permit Approval Criteria.(If any permit criteria does not apply,explain why) Use additional sheets if necessary. Assistance for completing this information is available through the Office of Planning&Development. A. How will the requested use protect adjoining premises against seriously detrimental uses? MoH e. How will the project provide for: surface water drainage: hurt e�F rAe F �.e . G you na sound and sight buffers: the preservation of views,light and air: 4 City of Northampton, Massachusetts 04"� pTO Office of Planning and Development I° ` j City Hall • 210 Main Street 2 J Northampton, MA 01060 • (413) 586-6950 two FAX(413) 586-3726 DEPT OF SUU' !'C; _� * �► •Community and Economic Development - `� •Conservation •Historic Preservation •Planning Board•Zoning Board of Appeals • Northampton Parking Commission TO: Anthony Patillo, Building Inspector RE: Permit application FROM: Laura Krutzler, Board Secretary/OPD DATE: 4" _ i v Would you please review and return the ;.:-f��,i n� /��.Y n�GP� 'j7J Cdhr•> �:4a•r :� ���Y �C /dKcr} enclosed P���' ''�'k'°'' '`— application before th nnin Boar /Zoning Board of Appeals meeting scheduled for ;�,s so that we can advise the Boards of any concerns you may have. Thank you. w