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35-264 (10) ..un n69 FLAT M01 FCA FWCORCING Pti"POSE€d 31C. 3145, frv. eLS D(�lv�iUuA�/ La Zs�y _CV _ M L"9375. rn � m 4os 4 . 70`-t- P,x)sn N� goo lrs 14 An I ^� u►�iT rwrrN- } r�X�D m I 1 +t p N G\ La-r 3 i7 T0r+4EYKa •ar•r� ►f.Mtr9.�a� . �F �HAt 1 W�L'4 gXi�7uIN6D TMt�llHi6E�,�E.18E3 CN d�T7PiQ W�a11l��7.7AT�CK,Jl,:!'e+�SE�M�lV?e.�r1C:Fl�liN:,i6N1$ AND UJA.tid43 AM LWATM ON TiiE MUND AS&OM1 M0 7W�kv.Zjhtn 4�fri1tEZ'!'+VIY;1�1'rFIF:OT c,EiE$-�F�;:�rNFa "?)Ay THE PROS�Y Is JIA NMI i.GCJ M W A ftf M pfK;oe AREA�f;'d$II jC fN ON 1'Et7F W.Iri1;�UpMU ' Foit CJnAn;�Rlf?Y DATEa moll Mr. S<3P11rEY�i4: T"S PUT FOR MOMUQE LOAF) FURPOM ONLY AND DOES N07 CONS7T UM A FROFERTY S4,DC EY ai MORT"Ofr LOAN I14SPEMMN PLAT c PITH AM PTO W m ASS. VAAMM L% cawm R Q �tep� fEC1141tl�. r`���, b,*..F'�i�rDl4�tr Proitws+x�ak t.NNr+��lr.ap- rea rQrq EWSM.11fb 9 rrrp". s euznuwaar�1t 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_,X_ IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, or fitting)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 De artment EXISTING PROPOSED REQUIRED BY G� ZONING Lot Size Frontage ��• ,3' 1 ��•�t � Setbacks Front Side L: e�'S l+ R: 9bt �- L: lags+ R: 1ft�✓�+ L: i R: l) Rear �f7 b` �rC� Building Height �5 NJof, Building Square Footage lfovsrg 2 Pi %N b4vew�— 11'f8 tl-e ft<s- Sbq q¢o SPkfk-C !N %Open Space: (lot area �( 2• 31!?i minus building ix paved ( parking � n � , ( / b `( ' 6Wit #of Parking Spaces R-tuse • #of Loading Docks SP �� Fill: (volume Et location) Dpi V�►�''1 f)>g, 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of fpoeaSjeD my knowledge. �c.�,�ss. unrcr.No Ne+�,{b,PAvr Pc,arin+�• /�� Date: �" �5 d�'I Applicant's Signature /vt (/Ut¢'(61 " ANC.. 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. W:\Documents\FORMS\origina]\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004 • i . . L �ile No. n N ;� .r 'A�'PILC1UN §hD. ) 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 (AIM/+�,,�City�of Northamptton 1. Name of Applicant: ( 16 fT 1 Pi t�e�, WC-1- Address: P � ST-1 &6 e:T*"t-N/J Telephone: 2. Owner of Property: A t-rk gf —41'm 1>mry= �Q q Address: 41 W5-r ( A-eSlNS WEI fogN(X Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) 4. Job Location: "1 -/ w f 1 A-A5,0N Mtn Parcet )d: Zoning,Map# P,arcei# t)ist'ricUs) 1n,Elm Street District In Central Business District ( O-BE,FILLED INS}S,YTHE.B610ING DEP,ARTM�E,NT`) w� 5. Existing Use of Structure/Property: 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 32` x 2,4' b�r � �SnR�1 UNiT" 7. Attached Plans: Sketch Plan �_ Site Plan tJ Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW-;!Q — YES IF YES, date issued: 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 DONT KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? GtA9eef"' ' I► P rb 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-2005-0075 APPLICANT/CONTACT PERSON Wright Builders ADDRESS/PHONE 48 Bates St (413) 586-8287 PROPERTYLOCATION 49 WEST PARSONS LANE MAPI PARCEL 264 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ZON ENCLOSED REQUIRED DATE ING FORM F LED OUT Fee Pai Building Pen-nit Filled out Fee Paid Typeof Construction: ZPA-DET ACCESSORY UNIT 32 X 26 W/ 10 X 14 DECK 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 PM7dditiornal D: Approved 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: § 10./0 Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed ther Permits Required: Curb Cut from DPW Watcr 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 Co ssion ,d• 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.