18D-058 (2) 10. Do any signs exist on the property? YES >/ NO
IF YES, describe size, type and location: /. Px /,rjT7ri f C 5/9 1< a. /6 621 4,
'' ov rl Al Gw'd der/64e, S /del' r/ti -5' 4 i s mov,► ie(( %/a&J
Gu ( mA- 5
Are there any proposed changes to or additions of signs intended for the property? YES NO
IF YES, describe size, type and location:
11. Will the construction activity disturb (clearing, grading, excavation, or filling) over acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO
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 /60/ Z 17- 5-qr. 76o, 09' S f,
Frontage
3613 / f. 3$ 3/ H.
Setbacks Front / 3 A. >r4-
Side L: /G- be, #,R: /67 9t L: &6W - R: f'5f 9(7 L: 5 R: �S
Rear sz. 3 t Jam- 52.3
Building Height
Building Square Footage
30,95c s, ,c1 /Z..g .
% Open Space: (lot area ` �
minus building Et paved 4 2o. 7.5% 20 `d
parking
# of Parking Spaces
# of Loading Docks
2_
Fill:
(volume Et location) A/011-
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: ) c-'/ a T WO Applicant's Signature
NOTE: Issuance of a zoning permit does not relieve an applicant's burde o comply with all zoning
requirements and obtain all required permits from the Board of H a1th, Conservation Commission,
Historic and Architectural Boards, Department of Public Works and other applicable permit granting
authorities.
W: \Documents \FORMS\ original \Building- 1nspector\Zoning- Permit - Application- passive.doc 8/4/2004
9
_ t ��i1a?
� S���
File No.
r) AMONG PERMIT APPLICATION ( §i o.2)
f , 7) •' Please
tyg
a or > int all information and return this form to the Building
L rns Gt&r ice wi th the $15 filing fee (check or money order) payable to the
I l i City of Northampton
DF OF r ! I SPEC IONS '
1. p�Nra�i�vre ofr�Ap:pli Cam: 4 f1, 7 C 6 c,i n
Address: 175 /n 7a. (3rv- P� r 6L6 4# Telephone: � 5/6,1—
2. Owner of Property: ()lcit Ci wli i-f.4 ?c '- [v&tTskj to
Address: I ° - Y t 54" f lfJi c`F/Ci M 010 Telephone: H13) 5 � Z 0779
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. Job Location: ( 7 (' ✓i'f1 ( ')'l✓e DU►' t"n.a.w..191-oy.., /rl A- nn D& 0
Parcel Id: Zo Map# f Parcel# S3 District(s): (T-Z-
In Elm Street District : In Central Business District
° (TO BE FILLED IN , BY THEE BUILDING DEPARTMENT)
5. Existing Use of Structure /Property: /'/�y2 UACT UPf4 )
6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary):
4s eid bt y; 0,31 04 J4 A2v e d S tirCc y e• Spa C
7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans
8. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO DON'T KNOW YES IF YES, date issued:
JUYI -e z Z003
IF YES: Was the permit recorded at the egistry 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 ✓ 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- Permit - Application- passive.doc 8/4/2004
File # MP- 2011 -0027
APPLICANT /CONTACT PERSON WRIGHT BUILDERS
ADDRESS/PHONE 48 Bates St (413) 586 -8287
PROPERTY LOCATION 175 INDUSTRIAL DR
MAP 18D PARCEL 058 001' ZONE GI(100)/ ,.
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
NING FO FILLED OUT
Building Permit Filled out
Fee Paid
Tvpeof Construction:_ZPA - ADDITION OF STORAGE SPACE
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
INFO 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
FAS1
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 MGL 40A. Contact the Office of
Planning & Development for more information.