42-037 (2) File#MP-20I7-0025 Al( f �� � �
APPLICANT/CONTACT PERSON MCGANNON WENDY
ADDRESS/PHONE 7 LADYSLIPPER LANE NORTHAMPTON (413)297-2590 0
PROPERTY LOCATION 7 LADYSLIPPER LN
MAP 42 PARCEL 037 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildina Permit Filled out
Fee Paid C c-
TvpeofConstruction: ZPA-SMALL PERSONAL TRAINING STUDIO AL �.a/Z2. tiF( a' V
New Construction 1- Week"
Qe l
Non Structural interior renovations V
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)
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
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 Office of
Planning&Development for more information.
File#MP-2017-0025
/ / ,Q
APPLICANT/CONTACT PERSON MCGANNON WENDY Q /( o[.Jel.( bV fw &r wfP_
ADDRESS/PHONE 7 LADYSLIPPER LANE (413)297-2590 p �D M nit G V&A"( a.S U S it F
PROPERTY LOCATION 7 LADYSLIPPER LN
MAP 42 PARCEL 037 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Bee Paid ?P
Building Permit Filled out l. /
Fee Paid
Tvoeof Construction: ZPA-SMALL PERSONAL TRAINING STUDIO
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 A ION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PlNTED:
•
Approved ,,,,,,////// Additional permits required(see below) n 11 ' yy1e V/uSIV '��jun Z -h^f75
PLANNING BOARD PERMIT REQUIRED UNDER: § I0, !� I'„ IM L
1 1 /Intermediate Project: Site Plan AND/OR Special Permit with Site Plan >Q e<i 4
Major Project: Site Plan AND/OR Special Permit with Site Plan 11 j,''7 ^j�
ZONING BOARD PERMIT REQUIRED UNDER: § / !O f `
Finding _ Special Permit Variance' f v i n I ,-]
Received&Recorded at Registry of Deeds Proof Enclosedp7 `, G(
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health i T
Permit from Conservation Commission Permit from CB Architecture Committee
it from Elm Street Commission Permit DPW Storm Water Management
Sign= re o Building 0 sial Dare
Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with ail 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 40k Contact the Office of
Planning&Development for more information.
0.N a tvt 0 0,04,- Keg C r-tof , (—L . c
File No. "ds
1 ZONING PERMIT APPLICATION( i0.2)
Please type or print all information and return this form to the Building
Inspector's Office with the$30 filing fee (check or money order)payable to the
Citydof Northampton
7
1. Name of Applicant: ‘`-;€\.r vt( tit ``(7a a"}
Address: Telephone 913
2. Owner of Property:
Address: C 'mit-- Telephone:
3. Status of Applicant: Owner "" Contract Purchaser Lessee Other(explain)
4. Job Location: Sc .. i;
I ..
Parcel Id: Zoning Map# Parcel', District(s):
-"CI H
0
In Elm Street District In Central Business District Z it•<.
(TO BE FILLED' 1IN BY THE BUILDING DEPARTMENT) o
S. Existing Use of Structure/Property: L-t-8A C SS" c(L' n C-c
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
j15n-.IS ?-ecS:)r.aT"S
1 awn .i+�-S s4e.J. 1 See Qu �
o-on- o ,-
(o3'a Aw 11^ (03� Prn -Ks be* n.., Capp.xt,eA.. dt y -"1" Ut (.rb( t'tr z)
M- R One( kcn .0 7 -1t o4 - 4 r(' O+^e Tit e4 - CtuSJ
co ?tot& i,txd. <PIc-115 P^^, a5o..- +b.»-
7. Attached Pians: Sketch Nan Site Plan ._ Engineered/Surveyed��yrPlans
8. Has a Special Permit/Variance/Finding ever been issued fort on the site? h+, .,, F C t..f) re 4.
SiS - (op—
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 a
9.Does the site contain a brook, body of water or wetlands? NO DONT KNOW YES
IF YES, Cas a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , date issued:
(Form Continues Nether Side)
tV.pncumarts'FORMS'ioriginorieuildlosdNpecton2unise-P:rmisApplicteen-oazslve tec 8/412004
1D. 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 t/ 1,0-1 t
a.n
IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 7
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
Frontage
Setbacks Front h
Side L: R: L: R: ' L: R:
Rear
Building Height
Building Square Footage
%Open Space: (tot area
minus building a paved F
parting ! ......�
#of Parking Spaces
#of Loading Docks
Fill:
(volume c kocation)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: C> / crApplicant's Signature u"' a}. I �t✓� _ ..
NOTE:Issuance of a zoning permit docs 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".Documena.+ORniS'ThriginallBuitd'Ing-Inspeetor\2oning-Permit-Apel icztcn-passivu.doc BN/2004
•
FITNESS.
December 6, 2016
To the Northampton Zoning Board:
I am writing in reference to the application for a special zoning permit for my personal
training business at 7 Ladyslipper Lane in Florence. I have decided to downsize my
business so am withdrawing my application without prejudice at this time.
Please do not hesitate to contact me if you have any questions. Thank you for your
assistance in this matter.
Sincerely,
Wendy Mc cannon
DEC 5 2016
15 College Highway (113) 297—2590
GI Red Rork Shops hum? nn ?flit sscnaz
Southampton, MA 01073 mcgannonjiimess�gncE.cora