23A-070 70 Main St ZPA 2013-03-01---
File # MP-2013-0083
APPLICANT/CONTACT PERSON MIDDLE HAMPSHIRE DEV GROUP LLC
ADDRESSIPHONE 270 EXCHANGE ST (413) 537-9109 ()
PROPERTY LOCATION 70 MAIN ST
MAP 23A PARCEL 070 001 ZONE GB(97)1URB(3)/
THIS SECTION FOR OFFICIAL USE ONLY;
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT 1119Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: ZP A -4800 SQ IT ADDITION
New Construction
Non StructuraJ interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets ofP1ans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON TmS APPLICATION BASED ON
INFORMATION PRESJNTED:
__Approved _V_AAddcditional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER: § 350 -1/, J
Intermediate Project: ,Site Plan AND/OR'--__,Special Permit with Site Plan
Major Project: t7Site Plan AND/OR Special Permit with Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: ~__________
Findin=g____ Special Permit _____ Variance*
___,Received & Recorded at Registry ofDeeds Proof Enclosed _____
__Other Permits Required:
___Curb Cut from DPW ___Water Availability ___Sewer Availability
___Septic Approval Board ofHealth ____Well Water Potability Board of Health
Permit from Conservation Cormnission Permit from CB Architecture Committee ----'
___,Permit from Elm Street Commission ____ Permit DPW Storm Water Management
o
Signature ofBuilding Official Darel I
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.
___ _
Fil26213
Please type or print all information and return this form to the Building
Inspector's Office with the $1sJilingfee (check or money order) payable to the
City ofNorthampton
1. Name of Applicant: In/Jilt.. /&wvJlru 'Pev~~7 ~f /,. ~c..
Address: de ,0 £XC/.J/rijf J/. d ,4'fU-( Jnt Telephone: '7"1] J}?-'i1C?'f
2. Owner of Property: f/fJrti-/If /tfIt4ttit
Address: / Telephone:
3. Status of Applicant: Owner I Contract Purchaser Lessee Other (explain)
4. Job Location: 74J MIIII/ J'l e/?'UN02
5. Existing Use of Structure/propertY:_-I-In......,.,,-{;_?_}_/._~-,-1.L.!__~...!.-.--,-,-/._a---=·'-:1'-.______________
6. Description of Proposed Use/Work/ProjectiOccupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Site Plan 7 Engineered/Surveyed Plans __V'__
8. Has a Special PermitlVariance/Finding ever been issued for/on the site?
NO .DONT KNOW /' YES IF YES, date issued: ________
IF YES: Was the permit recorded at the Registry of Deeds?
NO ____ DONT KNOW YES ____
Book _____IF YES: enter Page --7"---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 Side)
W:\Documents\FORMS\original\Building-Inspector\Zoning-Pennit-Application-passive.doc 8/4/2004
YES ~___ NO _____10. Do any signs exist on the property? '/
IF YES, describe size, type and location:_k'-"--'-I..::.t?~'/J"---'-'/"'-:lJe'I4---J;oIJ'-I-i_---,/h.E.L.<.J,'I',qIL........:J:;...V'---._cL_~_1vt:-_V.-:;,1:f-'if___-,-r- (j
YES _____NO______Are there any proposed changes to or additions of signs intended for the property?
IF YES, describe size, type and location: ________________________
11. Will the construction actMty disturb (clearing, grading, excavation, or filting) ovej:.1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES__ NO _Y_ .
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 colwrmreserved
for use by the Building
EXISTING PROPOSED
Lot
~Jl, '1
Side L: R: L: R:
Rear
/1,11
13. Certification: I hereby certify that the information contai ed herein is true and accurate to the best of
my knowledge.
Date: Applicant's Signature --"'-'-_-hl'-__-=r+___-/J1--~-~-~----d-/xj;J
.
NOTE: Issuance ofa zoning permit does not relieve an applicant's burden to complywith all zoning
requirements and obtain all required permits from the Board ofHealth, Conservation Commission,
Historic and Architectural Boards, Department ofPublic Works and other applicable permit granting
authorities.
8/4/2004W:\Documents\FORMS\originai\Building-Inspector\Zoning-Permit-Application-passive.doc