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10. ;-,0o 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 filling) ov#r 1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO �i
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
Department_
EXISTING PROPOSED RECBIIZED�gy
ZONIlVG`
Soo 4F
Frontage , f
en1
/O V• 00 • `_. d X11 ,' -.
Setbacks Front 41 4
Side L: 19 R: [ �„'� L: )c) R: /.S•Z R. � .e ;
Rear So
Building Height ^J
-^/
Building Square Footage J u.SF )322-Y.—Ay f 14-uSt D»'vewAy
II V / G C�C� fi A N
%Open Space: (lot area a
minus building Et paved
0
parking
#of Parking Spaces t
#of Loading Docks
D
iYn';4
Fill:
(volume Et location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
v
Date: Applicant's Signature
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-InspectorlZoning-Permit-Application-passive.doe 8/4/2004
File No.Al 6f L
... � e � 1 .
' 77 4P
release type irprint all information and return this form to the Building
inspector's Office wy tblh the X15 filing fee (check or money order)payable to the
City ofNorrthampton
1. Name of Applicant: -te U"e--V, L) • 0 t �"+�
Address:?-0, ?. �� �c���e., a 103 2 Telephone: 4 )3- 9S'3- 7-19 3
2. Owner of Property: P- �c, z
Address: 5 -0c, u e)&"J L-ee4Sr mis • Telephone: 4 o Z<) 3
3. Status of Applicant: Owner Contract Purchaser Lessee Other xplain)Cfl N-T&Aao?,
4. Job Location: L4 B C,hJ tz°C.
...�.:...., � �, M
MINE! � 6" u
5. Existing Use of Structure/Property: •► h j e � ^•t�y '— 1`��,i � �' ►�)
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
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 DONT KNOW 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 X DONT KNOW YES
IF YFS, hac a roormit he an nr nppri to hp nhtainPri frnm the (-nncprvatinn rnmmisainn7
Needs to be obtained Obtained , date issued:
(Form Continues On Other Side)
W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doe 8/4/2004
R
1
File#MP-2009-0098
APPLICANT/CONTACT PERSON STEVEN OLIHAN
ADDRESS/PHONE P O BOX 86 (413)250-2293 Q
P,ROPERTY,_
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FOR FILLED OUT
i
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-ADDITION
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 F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INGF�ATION PRESENTED:
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 mmission 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.