35-286 (7) 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. 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 X52 (�0
Frontage
d� (aO
Setbacks Front
Side L: R: t j k4 L: �,Z R: 2 L: R.
Rear
Building Height
Building Square Footage V%i ilk=z4u`)jbT?L VsWx=2433 J ti
flK iz) P v �ilQ j 53�
% Open Space: (lot area 4� �I I:2
minus building£t paved parking
#of Parking Spaces
#of Loading Docks
Fill: _
(volume Et location)
12. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: --- f-/= Applicant's Signature
� %. tom•
NOTE: Issuance of a zoning permit does not relieve an applicant' burden o 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.
OOO.pdf
File No.
EIVIIT APP' C�4TIQN
_. .__ 1 information and return this form to the Building
11s T fice wi $z5.filing fee (check or money order)payable to the
2004 City of Northampton
Address: M elephone: 443 7
2. Owner of Property: L,�(ttiILUM OCG N 1�1 Li SDl�I-
Address:- 34 S�wA-t` ljj • jpLzf+ C-E1- N1P� Telephone: U 20 d 1
3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain)rSG
4. Job Location:
Parcel id �.Zpn�rg Nlap# r` Parcel# D�stract(sj..
; Irt Eim`Street Dist�ict In Cenkral Business'Distnct
(TO BEFILLED'INBY"T'11E BUILDING DEPARTMENT
5. Existing Use of Structure/Property: I-Irt 0 F,
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
M17 S y Aim rn o w -rb e�- Ptk►l k� Erb
7. Attached Plans: Sketch Plan X Site Plan X _ Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW—k — 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 Document#i
9. Does the site contain a brook, body of water or wetlands? NO 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)
File#MP-2005-0006
APPLICANT/CONTACT PERSON Wright Builders
ADDRESS/PHONE 48 Bates St (413)586-8287
PROPERTY16N-34 SYLVAN LN
MA ° )~, 286 fl' ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM ILLED OUT
ee
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-ADDITION TO EXPAND KITCHEN
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 Y6LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF9rRMATION PRESENTED:
4Approved 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
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.