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BUILDING \.
CORNER \ WORKSHEET SHOWING
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BOUNDARY '\ / /, O NORTHAMPTON, MASSACHUSETTS
LINE \ / C. SURVEYED FOR
. \ THOMAS ARNOLD
\ �O BY
\ HERITAGE SURVEYS, INC.
\ SOUTHAMPTON, MASSACHUSETTS
BOOK 8562 IRON • MARCH 19, 2012
PAGE 278 PIPE
SET
GRAPHIC SCALE
( IN FEET )
IIcY IOt.
10. Do any signs exist on the property? YES NO
IF YES, describe size, type and location: /v J A
Are there any proposed changes to or additions of signs intended for the property? YES NO X
IF YES, describe size, type and location: NI A
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
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
Frontage
90. ' 10.x
Setbacks Front 0-10 3 i' -II"
Side . S" R: ((D - L: 8"s . R: )(, -2 /i
L L: R:
Rear q f - i1 30 "- p U
Building Height r rr 1 a
t-) ' 0 [ 1 -- 0
Building Square Footage 2 1 2171 1 2, LI 5S "T
•
% Open Space: (lot area
minus building if paved 11 • Li 7 lo. co 7
parking
# of Parking Spaces 2
# of Loading Docks
a o
Fill: O 0
(volume It location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: L) l i \ It Applicant's Signature — 1 rl 'ilr,
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 Work„ and other applicable permit granting
authorities.
W:\ Documents \FORMS\ original \Building- lnspector\Zoning- Permit- Application- passive.doc 8/4/2004
File No.
x,/02 J°
ZONING PERIVIIT Al'PLICATION (§i o:2)
Ple .. e 1 information and return this form to the Building
Inspect i r's' a with the $15 filing fee (check or money order) payable to the
- 9 2012 City of Northampton
•
1. Name if AF, licant: I h'IoMRes 0 uk. LA-S fk vL c (�1t T- c-7
DEPT. OF BUILDING INSPECTIONS
y� RTHAMPTON, MA 01 IG0
Addres : r • 17-3''Mkw(proA) MA- 0 1 btCTelephone: 41 5 0641
i
2. Owner of Property: - rot"( Arg.n) o c .p A A4151....1 A D G"" --
l t 1 , p /HA -OIOb
Address: 14 a N 4.. r OILF - 0 ue ovt- Th(Awt TDA) Telephone:
3. Status of Applicant: , Owner /� Contract Purchaser Lessee Other (explain) APCHl c-T
��J
4. Job Location: 19 J01_fL .l_ AuE + (V o�- 1NPrduTdN M A c» 0 GC>
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: S1 ' -A.Lr SFt�A
6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary):
Renovate existing attached garage & create a larger interior space contiguous with the
attached enlarged storage shed. The proposed completed garage will fit 2 cars stacked
end to end.
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 )6 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
File # MP- 2012 -0104 a OIL
APPLICANT /CONTACT PERSON Thomas Douglas Architects f u
ADDRESS/PHONE 196 PLEASANT ST (413) 585 -0641 :
PROPERTY LOCATION 40 NORFOLK AVE
MAP 24A PARCEL 154 001 ZONE URA(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT j 741 `
Fee Paid O
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA - RENO EXISTING GARAGE & CONVERT STORAGE TO GARAGE
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 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: § 3 - 9.3 (A ) (7)
Finding Special Permit Variance* a Teta N fiTM
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
/1)14-(4-tjj' /141.3...
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.