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32A-271 (20) File#MP-2018-0071 APPLICANT/CONTACT PERSON GUERRA CLAUDIO CiO SPO -TO CORPORATE OFFICE ADDRESS/PHONE 82 INDUSTRIAL DR PROPERTY LOCATION I BRIDGE ST MAP 32A PARCEL 271 001 ZONE NB(52 VCBt481{ THIS SECTION FOR OFF:'"AI.L h ONLY: PERMFF APPLICATION CHECk1IS_r FNCLOE PU REQUIRED DATE ZONING FORM FILLED OUT Fee Paid ofHT1 Building Permit Filled out ( Fee Paid Typeof Contraction: zna- 10x10 TENT 1N CORNER OF PARKING LOT FOR A DAILY FARM MARKET ONE FARM WILL BE USING LOCATION FROM 12PM-6PM DURING THE MONTHS OF MAY-OCT New Construction Non Structural interior renovations Addition to Existing Accessory Structure Buildine 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: - - pproved 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 '�I.Special Permit with Site Plan ZONING BOARD PERMIT REQUIRED END ER:'§ 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 Pe'mit from Ehm Street Commission Permit DPW Storm Water Management Sig of Buil Ing 1 / Dace / Note: Issuance of a Z. Ing 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. RECEIVED JUN 1 4 2018 File No. nE INSK CirPERMIT APPLICAT.FaN(§10.g " e or print all information and return this form to the Building Inspector's Office with the$30 fl1ing fee (check or money order)payable to the City of Northampton 1. Name of Applicant: (t)' (l �//ll 'n„en Address: g)- Nerlk U. MV Telephone: K/3 ZSo 5__$5 S 2. Owner of Property: C (o,J ct 'a ( O(! (r c Address: 1 r'r� �C �'� Telephone: '/ / 3. Status of Applicant Owner Contract Purchaser Lessee t/ Other(explain) 4. Job Location: 1_� 5+ , 6to(e Parcel Id: Zootag Map# a �d P a rc A 7/DiDistricgs): as Elm Street D In Cardinal Busbies District Q PILLEIf iN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: �-f k,n s 10 t 6. Description of Proposed Use/Work/Project/Occupation: (Use additiona sheet if sat Li S<�- i�gT(ox lo' {�.nl- t�� Ce(r�n et o IW k'n� lo+ /A I � rM M ✓!t I' O 'I Ont- ie W I h O 5 �/-G �N.[1 �caa ,.. -FCA..f 12pn, - G�M �Jln� +ti �n 1r.5 ot- M..y^ Cdc♦•. rfs,l u �Ja��. 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 l/ 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 ✓/ 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 Slde) W:AIMcumenls\FORMSVoriginalANuilding-InsyecmdLonin6-peri^it-Apph,,wn-passive doe 8/42000 10. Do any signs exist on the property? YES ° NO IF YES, describe size, type and Location: V,( e4o'5 CJflrs�)y �u,5 5.'�ms;IC. Are there any proposed changes to or additions of signs intended for the property?l' YES ✓ NO IF YES, describe size, type and location: 0.Ju1,r� 7 X 3 5 rbc- WuiR SvwY u.'i Gv, 5.'�� 11. Will the construction activity disturb (clearing, grading, excavation, or filling) over cre or is it part of a common plan of development that will disturb over t 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 wlumn reserved for use by the Building Department EXISTING PROPOSED REQUIRED BY TONING Int Size Frontage Setbacks Front Side L: R: L: R: L: R: Rear Building Height �o, Building Square Footage %Open Space: (lot area minus building It paved parking #of Parking Spaces � 0 #of Loading Docks !7 Fill: (volume Ft location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: W/1411) 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. 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