31B-144 File # MP- 2011 -0069
APPLICANT /CONTACT PERSON WRIGHT BUILDERS
ADDRESS/PHONE 48 Bates St (413) 586 -8287 (116)
PROPERTY LOCATION 122 KING ST
MAP 31B PARCEL 144 001 ZONE GB(100)
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
- --�` ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT _ _ ,
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA - 2ND STORY ADDITION
New Construction
Non Structural interior renovations
Addition to Existin
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
INFO ATION PRESENTED:
oved 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 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
Signatu4 g ofBuildin g g 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 MGL 40A. Contact the Office of
Planning & Develuj for more information.
r r _ _ File No.
Please type v i4 t i! � information and return this form to the Building
Inspector's Office w`Rth-the $15 filing fee (check or money order) payable to the
City of Northampton
1. Name of Applicant: Mi2. s EAtj CO, 0 LL C
Address: L " ! ZZ K Iti6 5 %. ) N v o l0G p Telephone: cl r3 5f Z/
2. Owner of Property: M 2- Te1+0j C O. L L C
Address: l- tZZ S7, Telephone: Y/3 _ 5'9'tf- 4 7/Z/
3. Status of Applicant: Owner X Contract Purchaser Lessee Other (explain)
4. Job Location: 2D -- /ZZ lGa6 57 Ny2TfLA�+f'�N, mA OtO60
i � ��tn �1 reet Azstrct�.. �ln���en a usness��stn � � � ��
5. Existing Use of Structure/ Property:
6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets 'f necessary):
roc paoPa5e7 wiLL, KEEP 3o)L,j>i.u6 As GEN E,eq/ jsiw('55 oFFicE �Sr=o
'TV£ A2o sec i /hl Vo fVe5 67A►SV2 /ti7E2t*e &Pd &.6 AN3> A ZA D 57'Ry Q it
0 UL2 A &,X* -LF S?x2� xI STi�G -4 tb'D M d A-T OW o ICE f ocr 6-2w us /(N o G9A
to t`k 4e C xcr ,r W o AAJ A0 0,j 'f 4 O I V 6- Sr _ 51 - Dr
7. Attached Plans: Sketch Plan X_ Site Plan Engineered /Surveyed Plans
8. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO DONT KNOW Y 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 _X_ DON'T KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 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 X— NO
IF YES, describe size, type and location: To 8 F— RE-614CL 6 -AfF/Z
Are there any proposed changes to or additions of signs intended for the property? YES X NO
IF YES, describe size, type and location: 'T• (z b ,
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
Departm
EXISTING PROPOSED REQUIRE BY
Lot Size
Frontage
- 7 x, 75 (k �wlr sr) /V 0 C, A41V 6
Setbacks Front /0 , `- /J v c 4A0jGE- O
Side L: Z (. �(* R: 1 `! L: 4^,u( € R: L: R• d .
Rear 2 �/ . �{ `? N 0 C 94tjC'K /f `
b .
Building Height
� D ` N a - 9A &Z
Building Square Footage
33YZ Sr 300 sr
% Open Space: (lot area SSoo g-oo sF
minus building Et paved - Sf��a '" �ie� S6C)o t r-Peg
p arking 9 o K 33 • �{ ° Jd — op
# of Parking Spaces
1 vr4iu ! GSS • HC
# of Loading Docks
N� N
Fill: �A
(volume Ft location) 14J
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: I -lU; /%/ Applicant's Signature G%
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.doe 8/4/2004
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