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32A-174 34 Bridge StFiJe # MP-2018-0062 APPLIC.AiVT/CONTACT PERSON JACK CARNEY ADDRESS/PHONE (515) 460-8350 PROPERTY LOCATJON 34 BRIDGE ST MAP 32A PARCEL 174 001 ZONE CB{lOO)I ZONING FORM FILLED OUT Fee Paid Buildino Permit Filled out Fee Paid T eofConstruction: ZPA -RETAIL SHOP FO New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan DATE THE FOLLOWJNG ACTION HAS BEEN TAKEN ON TH1S APPLJCA TION BASED ON INF()RMA TJON PRESENTED: _V_AAnpmproved __ 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 ____ _ Variance• -----Special Permit ____ _ ___ Received & Recorded at Registry of Deeds Proof Enclosed ____ _ __ Other Permits Required: ___ Curb Cut from DPW ___ Water Availabil ity ___ Sewer Availability ___ Septic Approval Board of Health ____ Well Water Potability Board of Health Permit from CB Architecture Committee ---___ Permit from Conservation Commission ___ Permit from Elm Street Commission ____ Permit DPW Storm Water Management dt-r~O s(21!1a Date I / Signature of Building Official Note: lssuance 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 ofMGL 40A. Contact the Office of Planning & Development for more information. RECEIVED File No. Yh f -J tJu 2- G PERMIT APPLICATION (§10.2) ~~~~~~~ p · t all information and return this form to the Building L ~!!!!~=~~~..&,&.,Lth the $1fjfilingfee ( check or money order) payable to the City of Northampton 1. 2. 3. 4. 5. 6. 7. Name of Applicant: ,._»c/L {a,r--,,,,e_y Address: 54 'Br ;d~-e_ )+ 1 ;hr./-t#£A'1?4V\ µlf lf't64-elephone: tjl,S-. 4(Jl0 . K°S?() Owner of Property: Ee:« 5'uh<-r Address: ?o. b~)( 9-iD, Ho/10/Cc, )-1(/r 0{0 '-/1 Telephone:_L/_t 3_·_5_3_/ _· _180! ____ F' __ _ Status of Applicant: Owner ___ Cont ract Purchaser ___ Lessee X. Other (expl ain) ____ _ Job Location: 'Stf f>r i Ji,(., 5 f- Parcel Id: Zoning Map#_=2,-~_.A-__ _ Parcel# J 1 7 t-/ District(s): _______ _ In Elm Street District In Central Business District. ___ _ (TO SE FILLED IN BY THE BUILDING DEPARTMENT) Existing Use of Structure/Property:.__,O..._ffi...._,_-..uc:L""-='-'-/-'-~-=--~-~-\_,__ ______________ _ Description of Proposed Use/Work/Project/Occupation: (Use addit ional sheets if necessary): 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 --IX'-'----YES ___ _ IF YES, date issued: ______ _ IF YES: Was the permit recorded at the Registry of Deeds? NO ___ _ DON'T 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 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) JIACK e c41th" t,t/u . t"ot.vt. W:\Documents\FORMS\original\Building-Inspector\Zoning-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 __ _ IF YES, describe size, type and location: ~ rs c:A. 5?1a, ak~ +l_ ~vt (:.(.;< /,-4(Jft;:..e., -,4 Y" P S i5 ll\. · 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 X 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 :* i.ut.. vJi ll 1,..ot-lee.. ,;1tdu?o1u; to1,<5/-ruC-ho&A ov1-~ s·,k · -rk o~L'I' Thiscolumnr~~ l,(.)O('I,(... f{,.A.t w •II pe,.. Jo~ is 1.M iw,v a.l,\.d <>'~I{ +.I.~ 'f'~c..~ ·\us'1de_. forusebytheBu1ldmg Devartment EXISTING PROPOSED REQUJREDBY Lot Size Frontage Setbacks Front Side L: R: L: R: L: Rear Building Height Building Square Footage 11-1-s-fl"?-I -=l-1-% A-"- % Open Space: (lot area minus building & paved parking # of Parking Spaces l/0 f 5h1J,1Yd ~ces t/lJ r # of Loading Docks r/) ¢ Fill: (volume & location) 13. Certification: I hereby certify that the infonnation contained herein is true and accurate to the best of my knowledge. Date: _..::;..~-+J_o_g-_____ Applicant's Signature _/_4/..,c....;.;.,'----d'-'<->''--~----,-----__ _ ZONING R: 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\origioal\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004 5/21/2018 aAGtoZ4MoRwkdlyYGAtewleLD-K7LhlCMdxy_BFubR5QyGFJNXbnLOT3GtAIY9LAq6aR5_Zj8aDKPmZjptig3kUuiJ_5D56GiTedzUC3BA6kox9awG6NAUK80VgZ26ca811zdYj11sNsrcKabLTij ... c•Lon1RL CANNABIS COMPANY https://gm1.ggpht.oom/aAGtoZ4MoRwkdlyYGAtewteLD-K7LhlCMdxy_BFubR5QyGFJNXbnLOT3GtAIY9LAq6aR5_Zj8aDKPmZjptig3kUuiJ_5D56GiTedtUC3BA6kox9awG6NAUK80VgZ26ca811zdYj11sNsrcKabLTiiOL 5/21/2018 ...--34 Bridge St GEarth https://mail.google.com/mail/ca/u/O/#search/jack%40canfindcr.com?projector=1 34 Bridge St Gearth.jpg 1/2