35-042 (5) File#MP-20l70063QQ
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APPLICANT/CONTACT PERSON BECKWITH CHRISTOPHER C&AMY C&ELIZABETH WOOD
ADDRESS/PHONE 95 SYLVESTER RD (413)695-3626 Q
PROPERTY LOCATION 95 SYLVESTER RD
MAP 35 PARCEL 042 001 ZONE
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-ADDITIO ONT PORCH
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
INFO ATION PRESENTED:
1
_Approved Additional permits required(see below) 1
PLANNING BOARD PERMIT REQUIRED UNDER : § `� -h4C6Th1 31_l
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan 1 > J
Major Project: Site Plan AND/OR Special Permit with Site Plan �Olt�
�?t r
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
de .. Elm Street Commission Permit DPW Storm Water Management
AO
K— 779
Sib . ire o Iuilding Oficial 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.
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File No. 041 4‘ 50
1-1--='- .` »�z' '--r- ---1
; _� •NING PERMIT APPLICATION(510.2)
,JUN "�We i, ; or print all information and return this form to the Building
Inspector's • ce with the $30 filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: nll( i PiecY.La51+h
Address: C5 &-OUQS t2( w • I Lifnco l CAtt)Telephone: LI)?) -l?IrU
2. Owner of Property: nYyl.t,i (nnSt t)1w r RPC kWh
Address: r1 ,SLj iui&-te( lad ftf(Ptyo mci OI(`.t-, elephone: L-113 527-112-I
3. Status of Applicant: Owner 'X Contract Purchaser Lessee Other (explain)
4. Job Location: q'f3 s1 uu2S4ard F1ara-K, fl-f' OZS3'
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:
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
add rh(il cI &rtni— prfrn
J. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO X 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 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:
�p` to bl4 c� j 4 f� @ ct0 i COQ (Form Continues On Other Side)
J V 1
W1Documen6\FORMSVornginal\Building-InspectortZoning-Permit-Application-passive doc 8/4/2004
10. Do any signs exist on the property? YES NO X
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES NO it
IF YES, describe size, type and location:
11. Wilt the construction activity disturb (clearing, grading, excavation, or filling)oy¢r 1 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
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
Frontage
Setbacks Front g s-s. To PA.cuPr ops-}- -rnd e
��JJ rlil
Side L: ^ R: iffy L: ! R:��I L: 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 and accurate to the best of
my knowledge. CO Date: Li F Y Applicant's Signature [A.1yM
NOTE: Issuance of a zoning permit does not relieve an applic is 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 VDocuments\FORMSV original A Building-Inspector Zoning-Permit-Application-passive.doc 8/4/2004
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