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' : ! 1 ! ! 1 ; i 1 ; ' • ' ' ' - - . , .11; ■ I ; 1 1;,I, :.,_,,, ,;_ ;;; 1;;;;:; I _,I --! - 1 1- -+ .- --- , , 11. 1 n ; •' -•'' n n -1 n ' - : ' ; ; . . 1 1 1 : ; ; ; ; ; I • ; ! ; ; ; _ ; ,,,,...,,L ,:.,, • .,;., • . ' . --- ,- , : ';- ----•;- • ' n -', : . r c• : ; -; ; , ; , ! ; ; ; : - n . 1 I i , , 1 , • , n IA eteillit ( O t t ; ' ; Ile /-2 nVd%/ • • • • I 1 ' , , . i . i ! ___•,, , , .i +- --i, -, -,--,-,..- , ,-- , , --- ', - 7 - ' : - -- - - ---L Cl3A1309br - - - ; ---H -i---t- - --., -_-...' . , , . 10. Do any signs exist on the property? YES NO ' ; , 1 - i 3 IF YES, describe size, type and location: Are there any proposed changes to or additions of'signs intended for the property? YES NO A . IF YES, describe size, type.andh.location: , A y . _, : • 11. Will the construction activity disturb (clearing, grading, ,excavation, or filling)'ovef 1 acre or is it part of a common plan of development that will disturb over 1 acre? `° YET' '' • .'NO ""° - = • • IF YES, then allorthamptori 'Storm Water M Permit froth the' ,, DPW is required: . 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACKPF INFORMATION , *, . • - ,, ,. a.- • ` ', ~t $ This column reserved for use by the Building Department EXISTING PROPOSED REQUIRED BY ZONING Lot Size t�fto O' 5,4 6.•4. Frontage Setbacks Front 3 8 ' 3 8 ' • Side L: 3 D • R: 8 L: 30 R: jr0 L: R: Rear ,`�. , c �° - . .: . Building Height Building Square,Footage- ," w it y#4- • . r � • ol y ., ,.. ,.., - ,...„ % Open Space: (lot area a ' • " minus building & paved � parking 9 P tsr OSa < ( ` t 3 3 O ° # of Parking Spaces I D / # of Loading Docks )(1 Fill: A•1•"`''."- (volume & location) N' 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: ' / Z/• Zs "/ Applicant's Signature NOTE: Issuance of a zoning permit does not relieve a pplicant'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 CEIVED ApR 2 7 2011 /Q // File No. A erc - , . t ,q- .,�.... ms ,.. ArgAr Please type or print all information and return this form to the Building Inspector's Office with the $15 filing fee (check or money order) payable to the City of Northampton 1. Name of Applicant: I't h j 'A.? • Z ! � Address: 0• Ave yyc z.eaf A AA. &t2t1 Telephone: Y /3' ay- f l f 2. • Owner of Property: K. 0 h 9 / 4 rip AdA ZVA Address: DG A 4 6 /C it) #7:44. Telephone: V J ` 17 77 • ca/ 3. Status of Applicant: Owner Contract Purchaser Lessee zip xplain) Cb,K /olde 4. Job Location: f 0 L A 'i 0 S";(3//e. leD A , j P arcel : :Z uh1a apft v a rcel# s In 9tr et Distrr In . Central Busiqs . ct :114t, BUILDING ` PAi 014 ��i• -� tines ' � 5 . Existing Use of Structure /Property: 2 601 J J i 4 6. Description of Proposed Use /Work/Prc''eet/ ccupation: (Use additional sheets ry 71:1 ; J non. ran f •� �►c ,w- A• Ili ,94" rI r r t- ot?h u' AA- /W.4 ze4 . ri t,•at' / -v.c. 0 frie /� # 11,4 2 Z,4 p - f dam• W govt./J.0k A Add a /'aO. , 'Z' Lie '"' '✓.b j 'sue. , ID" iy. I b 1 f • 3'" • 7. Attached Plans: ketch Ma) ite PI.. . Engineered /Surve ed Plans 8. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO DON'T KNOW y 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 bbtained 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 .. File # MP- 2011 -0086 APPLICANT /CONTACT PERSON KENNETH LYNDS ADDRESS/PHONE P 0 BOX 448 (413) 584 -9282 PROPERTY LOCATION 906 BRIDGE RD MAP 18C PARCEL 030 001 ZONE SR(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE CONIN ORM FILLED OUT Building Permit Filled out Fee Paid • Tvpeof Construction: ZPA - 18 X 40 REAR ADDITION . K f` tt A bD C la i T �XI IJE' New Construction 71 u `L.i..I eft CEPAPATC buxf (4M Non Structural interior 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 INFO ATION PRESENTED: Approved 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 Signature of Building 0 facial 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 & Development for more information.