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Do any signs exist on the property? YES NO X IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property? YES NO X 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 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 , , is r #.�- . /y "loge Frontage /oa / /(j4•,p,,g -«' 7-14:- SAir,£ Setbacks Front o ld 1 4 2 6 i r 0; A.--2 .--m gf,VJ' T?./E f9i16' 0 /f oA, Sneet - Side L: l (/ R: SY / L: //' R: y/ / L: IC R: Rear // (< ' /1 L' %4,- -I f 77/, -S Building Height c. (f AtiO ( 3f } ,s,7'D r Ii V/ 4 ..�. %C Arne cat J Building Square Footage / C9 b / //./.9,5a, Kiri % Open Space: (lot area % 6.v. 299A , 1,,,,.(...:4- f 9. 1,,i,,2'% Ort, ,., , 7 minus parking a paved p �iG�,�4o — 3��d Ji o, :9 7 -- 4`5 5: 4 , # of Parking Spaces /5 p a7 ?WOV4/d 9 7 0091/40 Awl Aftrbefinej - foil # of Loading Docks /V/A /l/h Fill: N/4 4/J4 (volume Et location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. a c am , ..�■ Date: "/ /�J ` « >/d Applicant's Signatur = d :: / .��_ �' �'j NOTE: Issuance of a zoning permit does not relieve an applicant's burden • comply i th 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\Buil ding- Inspector'Zoning- Permit Application- passive.doc 8/4/2004 r/ 94-12( /717''Z' C ( / 4 1 . 12-- ar'v ,!i; t° '." i'L,'v L. 1,i73i' . /496-1-k c / /..1. , ,r a � �,s,pxb r .7 i eP ,/ `3' �.aV is y r r f d'd' A,o .7" r t ,; in..l o7 ..NY2 r .+-- 12.4 40.2. ra4",t- 1 ,11 6 1,G File No. _fill 9 76 Z ONING PERMIT APPLICATION 010.2) o.2) Please typ or pry all information and return this form to the Building Inspector's Office with the $15 f ling fee (check or money order) payable to the L . City of Northampton 1. Name of Applicant: /7; 21 - 1 L 447----- Y i Ly ) "�r2e ''f Address: yet �.S4i6 VT7e Telephone: 9iJ— ✓cW fO 2. Owner of Property: / i - ' " � d6 „.270.11.4 01,,e4 Address: ✓ 44 J Telephone: 1f„ 37- 5i ' '- 3i .27 3. Status of Applicant: Owner ✓ Contract Purchaser Lessee Other (explain) 4. Job Location: /8? 4 (17 7 L f" -- 4965 ° o =l Parcel Id: Zoning Map# Parcel# District(s): In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure /Property: /ii�/h , 37Z '° 6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary): ,/,‘. , . 9w <) 1/,‘"‘ 7 i4Dl /VP/ TJo vi9f Z' ', .19-eE 7 evr2 ,�J, fd g, ,�TiD €.✓GE ,1, , Gcvv1/4727 77/4-' ,'/' •' /Yr , e,c 4i-' 4 �: Sft/2cc 4a4 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 X 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 g 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) WADocuments\FORMS\original \Building- Inspector\Zoning- Pennit- Application- passive.doc 8/4/2004 G oogle maps Address 56 Earle St Address is approximate • Save trees. Go green! Download Google Maps on your phone at google.com/gmm 7 "; " $ • • \ 7 „ " " " " 7 7 ' 7 /ft` 7 4 / 11 • • • • t.1 • ' ' • I 7 tf 7777 ' 7.7- • • Gok.ste maps Address 52 Earle St Address is approximate Save trees. Go green! { Download Googie Maps on your ' ,: phone at googfe.com /gmm 1.- it ..„. mos (o u l maps Address 60 Earle St �I Address is approximate ' Save trees. Go green. , a Download Google Maps on your phone at google.com /gmm 0w0© .., " - 4 ,....t.„ ,,„: .T ir..-.,4, .,. 0 ,,,,, . it ! l e , -.*...,: ' ,'.....,. r -..,_. f R , TIIT G ., 0(38 1 , Address 60 Earle St 1 Address is approximate S ave trees. 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Via- a File # MP- 2010 -0075 APPLICANT /CONTACT PERSON YOURGA JONATHAN & PAULINE PARKER ADDRESS/PHONE 188 EARLE ST (413) 584 -3027 Q 1;5 001 ZONE SI(9 /URC(3)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ONING FO' i ILLED OUT - - - •air Building Permit Filled out Fee Paid Typeof Construction:_ZPA - ADDITION & ACCESSORY APT New Construction 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 — INFORMATION PRESENTED: Approved l/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 BO PERMIT REQUIRED UNDER: §356 -. 3 C 0 (7) Finding V Special Permit Variance* LxPMsf °;J• a Received & Recorded at Registry of Deeds Proof Enclosed 12.€S 1 P 041 a c N Other Permits Required: S 10 N 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 c7Z-- eff2-9/to Signature of Buil ing 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 & Development for more information.