32A-176 (8) File #22
APPLICANT/CONTACT PERSON:NORTHAMPTON HISTORICAL SOCIETY THE
66 BRIDGE ST NORTHAMPTON, MA 01060
PROPERTY LOCATION 66 BRIDGE ST
MAP:LOT 32A-176-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $30.00
Type of Construction: ZPA -CONSTRUCT ADDITION IN SAME FOOTPRINT
New Construction
Non Structural 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
INFORMATION PKSENTED:
Approved ✓ Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
MajorProject: Site Plan AND/OR Special Perm it With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding.2 819 Special Permit Variance*
Received&Recorded a t Registry of Deeds Proof Enclosed
Other Perm its 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
Demolition Delay
Signature of Building Official 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 MCiL 40A.Contact Office of
Planning&Development for more information.
BECG11Vhi_? I c, "/z773 4 .30
MAR 2 5 2022 File No. ZL--
t.NING PERMIT APPLICATION (§Yo.2)
nr ntrir'it,WE r
"'P , '" ' e or print all information and return this form to the Building
Inspector's Office with the$30 filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: 14t'TDIZIC 1\10aTH kMTPT01i C/o `.!(,UYiP_ Sande ✓S
Address: "I (o 72 d St/Lec-1 Telephone: 413 0 I (
2. Owner of Property: 14 �jt7)t?I l i�IOiZi�4A MFTZ;/�l �13 -.5 -Z�'-f 2
"t
Address: )-1(n 13v 1 C)dj. sk- e_e.i Telephone: 1413--SQL-{-C, I (
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. Job Location: (,(o 13Ir1 d 3e St/t¢_e.r
Parcel Id: Zoning Map# 3�}}• Parcel# / 7 CtO District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: MOST /‘/Lch,vl,I1,t. / �- hc(.Ytt 4vo S USed *i e SIbct Q ,
PreAlio44(1_4t SevkteAa� e t( i fi SDI ce c�czc� a..- d( SG1 a ccif) ��fi JAY 0 s .
6. D scription of P oposed Use/Work/Project/Occupation: (Use addit'onal sheets if ecessary): }y
> rAt- o tilb✓V-- ``p Sf-4YG d h/.� ?o✓Qi 7 Sl°(9C¢.`/1 CxCvn
roulr'A like, - rmti.0:Yiid a {tt v �1rn�-�e+r �i;=�ir1� SA4,d •.c1 fe edcit
lea✓ ared (Is(� en�sfihu III �to(da ��� on srk1&
print `Yid w';t7 tz .61nitt(QV S13/0 _
7. Attached Plans: Sketch Plan '' Site Plan h Engineered/Surveyed Plans X _
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO X 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-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
10. Do any signs exist on the property? YES NO
IF YES, describe size, type and location: MGf 6►1 114(s fat (6.6-) —
Are there any proposed changes to or additions of signs intended for the property? YES X. NO _
IF YES, describe size, type and location: 511,(d II (hle/U" if A fG 3(541 s 0 `21) OK ? L)I (t1�j gpid
y , vi nvs wilt ou r �„el Pelit Le J
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
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 3 1 7U
Frontage
Setbacks Front
alb �/O •K —2-.9
Side L: � R: I�� -Z• L: � R: 1L: R:
Ceti')
Rear CA`
Building Height
Building Square Footage (f 04,q s4. _ L11414 [, 0 (oaf S F=[ N
% Open Space: (lot area /
minus building & paved 05 `� b
parking 1�(6 U�� �►G s•t�
#of Parking Spaces I
19
# of Loading Docks
Fill:
(volume & location) CiS
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: ?J titQ�(,� /—t���Applicant's Signature (YetidA,L; !
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-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004