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10. Do any signs exist on the property? YES NO XX
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property? YES NO--xx--
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 xx
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 REQUIRED BY
ZONING
Lot Size 13.51 3 lots: 12.5, 1.1, an .25 acres
Frontage
319,33' > > '
Setbacks Front 40' 40'
Side L:220' R: apr. 2 L: 20' R: 20' L: R:
Rear
Building Height
Apr. 25' 30'
Building Square Footage Apr. 1,800 1,800 plus 3,500
%Open Space:(lot area
minus building t't paved 99% 75%
parking
#of Parking Spaces
Undefined gravel area 4
#of Loading Docks None None
vol
( @ None filling associated ne u
(volume
location) g itd duplex
13. Certification:I hereby certify that the information contained herein is true and accurate to the best of
my knowledge. /{
Date: r /" 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:\DocvmentslFORMS\mghuMuil ding-Inspector\?mine-Pemtit-Application-Passive.doe 9/4/2M4
f _ a
tn�� g / o4-'
File No
O
R1 IT APPLICMON.01 o.2)
r-print all information and return this form to the Building
_7
in�pectorss 0 ce with the$15 filing fee(check or money order)payable to the
✓� City of Northampton
,. Name a Applicant: City of Northampton through its Office of Planning and Development
Address: 210 Main St, Rm 11,Northampton Telephone: 413-587-1265
2. Owner of Property: Merrimack Mortgage Company, Inc
,�,,;,,;211 North Street,Northampton Telephone: 413-586-5626 x105
3. Status of Applicant: Owner Contract Purchaser Lessee BWWgjfor portion
4. Job Location:
360 North King Street
ears-m: +► i3 , Parcel# 36 RI
In Ebn Street Disidd In Central&xkwss-District
(TO BE FIUM IN BY THE'-BUILDING DIEPARTMENT)
S. Existing Use of Structure/Property: Single Family Home
6. of Work/ProjectlOc upation: (Use do t if ne
im F�am� y�ome on a cluster lot g oT rontage th 130' deep
Two Family Home on a cluster lot 135' width(more frontage)
Shared driveway OR merged Lot 1 and 2 with driveway serving three cluster townhouses
See attached plan for details
XX
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 X IF YES,date issued: February 21, 2007
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW x YES
IF YES: enter Book Page and/or Document/t
9.Does the site contain a brook,body of water or wettands? NO DONT KNOW YEX -0n lot 3,not 1 or 2
IF YES,has a permit been or need to be obtained from the Conservation Commission?Permit not required for lot 1 or 2
Needs to be obtained Obtained ,date issued:
(Form Continues On Other Side)
W:1D ocunwmX FORMSbriginaABuddiug-Inq)mor\Zming-Permit-Applicatim-possive.dm 8/4/2004
File#MP-2009-0105
APPLICANT/CONTACT PERSON City of Northampton-Office of Planning&Development
ADDRESS/PHONE 210 Main Street () 587-1265()
PROPERTY
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ONING FO FILLED OUT
.s.
ee ai
Building Permit Filled out
Fee Paid
T_vpeof Construction: ZPA-SF,2 FAMILY CLUSTER SHARED DRIVEWAY
New Construction
Non Structural interior renovations
_ Addition to Existino
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 PRESF�DITED:
Approved VAdditional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: § ISO. ��►���+�`
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan 4e
Major Project: Site Plan AND/OR ..Special Permit with Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: § -Inv _
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 Co ssion Permit DPW Storm Water agement
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.