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31A-240 Pr2�P�s� CID t 3v4;, F L-oo a-- 2t 'v£c-K �a +x S3 �o 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. 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 s 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 L � for use by the Building EXISTING PROPOSED f�IiiJD B�' Lot Size >r Frontage Setbacks Front Side L: R: 1 L: K: � R. Rear = Building Height Building Square Footage %Open Space: (lot area minus building&paved parking #of Parking Spaces #of Loading Docks Fill: (volume& location) 13. Certification: I hereby certify that the information contained herein is true nd accurate to the best of my knowledge. Date: ©� (, 14'Applicant's 5ignatur 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 8/42004 -- 777 DC� ZU14 i AL nn* ctions . . File No. IN10°1 5`33 s 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 City ofNorthampton 1. Name of Applicant: Rerex, L&ra21 39 Address: 53 S. 0k10 4 -�3i PLAI11J�`��],,- QTw1a.Telephone: 4L% • G,34'Q� 2 Owner of Property: Fri �Gr�ti•11�1 ... <2 �. Address: !jj2:g)M 4vAQL L— 12!tO Telephone: _! Q 3. Status of Applicant; Owner Contract Purchaser Lessee Other (explain) A 1 Tr.- 4. Job Location: _ S t61CMM 0 &1E Mi Al , k� 1 o. ... ,...� L'!�`•+•".. ?�3k�. _ dl.{r1�1,L9L��Y['°,;i1�IC11� a ,2wr.y.r4.s+':r � � �°.x � o 5. Existing Use of Structure/Property: AJIEZ�-a(LAEbZfL" 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): A.Dta ---tf fiW ftg. 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans �r[��cl— l'�•ra�i5 * ' ex"a-7 aO S 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW "'C YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW X 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:\DocumentsT0PMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004 File# MP-2015-0033 o K pLA APPLICANT/CONTACT PERSON LAPOINTE PETER ADDRESS/PHONE 53 S UNION ST (413)634-0091 Q PROPERTY LOCATION 55 KENSINGTON AVE MAP 31A PARCEL 240 001 ZONE URB(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 SHED DORMER&DECK TO 3RD FLR APT 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 INFOIRMATION PRESENTED: L/Approved 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 Permit DPW Storm Water Management -2."- zk-,tj 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. 55 KENSINGTON AVE MP-2015-0033 COMMONWEALTH OF MASSACHUSETTS - - CITY OF NORTHAMPTON GIS#: 5848 r � Map: 31A Lot: 240 __ _� ZONING PERMIT -- -- -- Lot: 001 j Cat gory: Zoning Pe1PmEiIT APPLE APPLICATION PERMIT --- Permit# a 2015 0033 MP PERMISSION IS HEREBY GRANTED TO: Project# JS-2015-000689 --- Contractor: License: Est. Cost. Expires: Fee Charged:$15.00 Homeowner as Contractor (Balance Due:$.00 Owner: MICHELE ST PIERRE '#of Fixtures - Applicant: LAPOINTE PETER [DigSafe# AT. 55 KENSINGTON AVE IUseGroup �IConstClass ISSUED ON: 03-Oct-2014 AMENDED ON. EXPIRES ON. TO PERFORM THE FOLLOWING WORK: ZPA-ADD SHED DORMER& DECK TO 3RD FLR APT THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Zoning Permit Application REC-2015-001464 0I-Oct-14 1177 $15.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov GcoTMS*2014 Des Lauriers Municipal Solutions,Inc.