498 Ryan Rd BBall ZPA 2017-09-28File# MP-2018-0016
APPLICANT/CONTACT PERSON NORTHAMPTON CITY OF RYAN ROAD SCHOOL
.ADDRESS/PHONE 498 RYAM RD .
PROPERTY LOCATION498 RYAN RD
MAP 29 PARCEL 104 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin Permit Filled out
Fee Paid
TypeofConstruction: BASKETBALL COURT WITH LIGHTS, 20 POLES, 30 FT CANDLE MAX, 5000K
LIGHT TEMP MAX
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Ownet/ Statement or License
3 sets of Plans/ Plot Pl!;lll
LLOWING~C ON HAS BEEN TAKEN ON THIS APPLICATION BASED ON
ATION PRE NTED:
roved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED pNDER: § 3,S-0,.;. l Z,, 2.
Intermediate Project : · V 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 ---____ Permit DPW Storm Water Management
~. I~
Signature of Building Official
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 ofMGL 40A. Contact the Office of
Planning & Development for more information.
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1 l SEP 28
DEPT o:= rr:.n :··•·,
Please type or print all information and return this form to the Building
Inspector's Office with the.$30filingfee~(check or money order) payable to the
City of Northampton
Name of Applicant: !i'ch11id o.'(3 r:rn (Lt~k\t lfjmds I It1 C. )
Address: 70 Aucbroof Drive. f/()(Ulct !1A oto Cl. Telephone: · 0'3 ~ 110 -B'fJ-3
1.
2. ( Owner of Property: C :f!j () f No rf h 0 /Vt a fo () C € J.KYML S£ ~\l l c-E-J
Address: J/l /1ov~ Si lo/rJdb&lofon 11A 91 o & (J Telephone: C/13 -f;'g7-J 13 'if
I '
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)~
4. Job Location: R. iAtJ (t\J S6r\d0 v ()rqjecf 1'1ti~C1j«
.5. Existing Use of Structure/Property: ____ 2_U_Mf; __ JJ_i':_~--~-.--.)(_·G_b\_o_o_l--_________ _
6. Description of Proposed Use/Work/Project/Occupa~ion: (Use additional sheets if necessary):
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 ___ _ DON'T KNOW _ __,_)<\.,___ 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 __ _ 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: ______ _
(Form Continues On Other Side)
W:\Documents\FORMS\original\Building-Jnspector\Zoning-Permit-Application-passive.doc 8/4/2004
10. Do any signs exist on the property? . YES _x:_. ·~-NO-----
IF YES, describe size, type and location: _________________________ _
N ft
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 :;i4-
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
De artment
• EXISTING PROPOSED ;:.<; ;; R}JJQ;U:IgEJJ:B:)f ; .··.··•·
. •·•··<>:.•i\ZON1N6 :·
Lot Size
Frontage
Setbacks
Building Height
Front
Side
Rear
Building Square Footage
% Open Space: (lot area
minus building & paved
parking
# of Parking Spaces
Fill:
(volu e Ei: location)
L: R: L:
13. Certification: I hereby certify that the informq.tion contained herein is true and accurate to the best of
my knowledge.
/ ~
(
Date: _q-A_1__,_,!J<--i0-..... 1'----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:\Documents\FORMS\original\Building-lnspector\Zoning-Pennit-Application-passive.doc 8/4/2004
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