25-017 10. Do any signs exist on the property? YES NO Y—
IF 14�0 describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES Z!, _NO
IF YES, describe size, type and location: Si Ya avwc Ck 4AnA- Awtk-t �SY�et'�iGS QS Q eC
}b oCAi b urn a+..� es.-, ' iia A-Vt S vr*V t it C4
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
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 R fIRl;1kBy-
Lot Size '
Frontage
Setbacks Front 2Ot 30
i
Side L:' LO' R: 10 L: j-j01 R: t2:
Rear �-�u' �j0'
Building:Height IS 'n9
a
1w,LA 35'
Building Square Footage t.,,, C W»hC
%Open Space: (lot area 1 �O '/o jqar4i4xn Ad t
minus building& paved 9(06/. view PW. ���1c �� (6* � :Y"gyp I
parkingaarttl
#of Parking Spaces q
#of Loading Docks
Fill:
(volume & location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
'
Date: t%— ^v Applicant's Signature
1"l
NOTE: Issuance of a zoning permit does not relieve an ap licant'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\FOR.vIS'.or,-inal\Building InspectorZonin�-Permit-Application-passive.doc 3/4/2004
File No.
Please type;orprint all information and return this form to the Building'
-Inspector's Office with the $15D ing fee (check or money order)payable td the
City ofNorthamp ton
1. Name of Applicant: ]0D nca A55ou.altS, Inn. a,v,'A iAoi4-ktYV1 Avtvlut 40rries�4 I vac
Address: 31 C n t x5 'Ptomo, �d 3 4&AkV MA 011b.-:5,r2-Telephone: ',�k - b6'Z11
Z. Owner of Property: ( �
Address: Telephone:
3. Status of Applicant: Owner X Contract Purchaser Lessee Other (explain)
4. Job Location: S \4 teU7 Ayt and NoY11nern AV-(—
gin-. 9_)��sIS��[� �y
CY.:�. . 1.J4.. ' eILE _ -c�.�"e'fi-c. '; i a,: '-�'✓.. _ _
aw�rww.....
5. Existing Use of Structure/Property: au 1Cx &y%#Z Vityj {arc ra r-a'el 4 t'16Y A"
` r
bQYGt�� i5 Or�ri �t�rid -- yin S'CY'IAC,-I-d.LYf-S -
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
25 - u"�- E-mw-.A 1 t tu g e c)Q v,-d o nn i wi U,w,, t o AA�l s acc--eAhcA y i a..1!t&kr
�cU-c, 3 a >o�-t�1.e u�r�..v �xnne.rl� b�-� �wL.'�.�a.�,f� k Z L�.,,.A�� �o,.,. No�rk�.ann �•�
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
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 Document#
9.Does the site contain a{ rook! body of water or etlands. 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)
'mss i ,,1,u t Z4,Zt o`3.
.;;na.+',,>� s;4/1-004
W:'Documents\FORS[S',ori-,inallBuildine-impector\Zoning-Permit-Application-passive.doc
r `
File#MP-2009-0051
APPLICANT/CONTACT PERSON NORTHERN AVENUE HOMES INC
ADDRESSIPHONE 31 CAMPUS PLAZA RD
4
PROP � ` ' AW
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FI ED OUT -
Buildiniz Permit Filled out -
Fee Paid
Typeof Construction: ZPA One duplex and 23 townhouse condos on North St and View Ave.Map 25C parcels 12
& 17.
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 PRESENTED:
Approved Additional permits required(see below) a
PLANNING BOARD PERMIT REQUIRED UNDER: § T k r'
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan y
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 Stre Commission Permit DPW Storm Water Management
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.