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32A-201 (3) 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. Witt the construction activity disturb (clearing, grading, excavation, or filling)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 ZONING Lot Size , 2_7 Frontage 1 Setbacks Front t� t Side L: t R: �Q L: (�j It R: L: R: Rear Building Height Building Square Footage %Open Space: (lot area minus building Et paved —` parking #of Parking Spaces #of Loading Docks Fit[: (volume Et location) 13. Certification: I hereby certify that the information co ained herein is true and accurate to the best of my knowledge. Date: 4--Applicant's Signature %Ao 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\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004 D E � �� E C ` #. 2 5 2014 E(ectnc. F9 — - 4 -1 icn:: — _ --- File No. ZONING PERMIT APPLICATION(§10.2) 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 041- City of Northampton L t's 1. Name of Applicant: - 1L-y' Address:?.0. B��i 2,14-3, t��_p�a 000 ephoncAt ��i5 -�� 2. Owner of Property: PAIU-4 25 Address: � ( F M LL4 f�i F4.6f'i Telephone(4a� � " 3. Status of Applicant: Owner _Contract Purchaser t [� Lessee Other (explain) 4. Job Location: r �- PS f + IV QP-��M N [M h d I©&C Parcel Id: Zoning Map# Parcel# District(s): In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: F as I dF�A4, 3 TWO a6±KL� 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Aura. FL-U1r1> - t 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 X1, 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 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 8/412004 File#MP-2015-0010 APPLICANT/CONTACT PERSON MUERLE LINDA ADDRESSIPHONE P O BOX 2943 (413)253-0080 Q PROPERTY LOCATION 51 PHILLIPS PL MAP 32A PARCEL 201 001 ZONE URC(100)/ 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: ZPA-ADD BLDG W/2 RESIDENTIAL UNITS&GARAGES New Construction Non Structural interior renovations Addition to Existin 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 PRES TED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER: § 3 CR) - KQfiCRV\Erg 3 Intermediate Project rite 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 / _ 8 c 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.