24D-308 (2) •
10. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
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 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 �I 5Q
1 .`41 4 ?" --^
Frontage
Setbacks Front
Side L: R: L: R: L: R:
Rear
Building Height
C •
Building Square Footage _
33t7 )Q
% Open Space: (tot area
minus building & paved j S t �
parking J , 6.-N
# of Parking Spaces
# of Loading Docks
Fill: _
(volume & location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: ® Applicant's Signature 11111111111r
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- passivc.doc 8/4/2004
File No.
ZONING PERMIT APPLICATION ( §i o.2)
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: (f
i 1 1�- ST
Address: I0 , W P-P rf 0. • Telephone: 4/ 3 6 '3: %*5
2. Owner of Property: yitw II> STA
Address: 1 0 2. 8 Ai4 (-Raft P0 . Telephone: '413 5 s 8 7E S
3. Status of Applicant: Owner 7 Contract Purchaser Lessee Other (explain)
4. Job Location:
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: F\ i i -+..1Lm
6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary):
- r - c) (2ACs ki CQ4 GE. o_ VENio 1,i C SNAcm I ', r i
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:
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- passivc.doc 8/4/2004
hti� -
'
Date Filed . - File No / /�/
,. � - J'J N - 2 2009 -
RE OF HOME OFFICE /OCCUPATION ( §10.2 & 11_11) -
With- -tahe Building Inspector _
1. Name of - -' 5t 0- -
Address: /04 RA- JG2 -elFt -P,( Tel `-t I .3 x-53 - 4 V-7 i.5-
0
2. Owner of Propert� : Y
Address: /OA ( - / c V2D r Telephone: lq ) 3 s - -
3 . Status of Applicant: ✓caner Contract Purchaser L essee
Other (explain: )
4. Parcel Identification: Map if , Parcel t ,
Zoning District(s) (include overlays)
Street Address _: •
5. Narrative Description n of Proposed Home Office: (Use additional sheets
if necessary) - D t ✓SC.;- 1 > t rJ' � "-->
Siva -- p x -/K T02 ,
6. Is this a legal residential building ?. T t- YES NO
.7. Will there be an employee /owner who doesn't live in the home YES NO
8. Will you ever see clients or customers at your site? YES Ns
How often
For what purposes
9. Will there be any signs for the Home Office? YES NO
10. Will _there be any goods sold from the premises or any sale of
goods stored on premises, either retail or wholesale, or
display of goods on premises? YES
11. Will there be any outdoor storage of materials? YES TO
12. Will your use be totally within a building and not cause any
outward manifestation (including traffic generation, parking
congestion, noise, air pollution; and materials storage)? YES NO
If NO explain: .
13_ Attach Plans (if applicable)
14. Certification: I hereby certify that the information contained herein
is true and accurate. . I understand that if any infoLulation is incorrect,
my permit is null and void and I may be liabl or -on- criminal fines and
criminal and civil actions.
Date: d. / ( Q i Applicant's Signature: ' •
THIS SECTION FOR OFFICIA.L USE ONLY:
Approved as presented /based on information presented
APPROVAL EXPIRES ON DECEMBER 31 OF THIS YEAR AND RUST TEEN BE RENEWED
Denied as presented - -- Reason: -
Signature of Building Inspector Date
NOTE: Izs•,tance of a perilt does not relieve an applicant's burden to comp w;th au zoaing roqulremantz and obtaln all require-d por
from the Eioard of Health, Consorvatk.n Commission, Doparttnont of Ptr5 k Works and other applicable porrrnit granting authorftlos.
File # MP- 2009 -0102
Sr° � ,rte
APPLICANT /CONTACT PERSON STARR DAVID J & JULIE ?` 0�
ADDRESS /PHONE 102 BANCROFT RD 5f g 7-2 'VC - 7'7 t/7
PROPERTY LOCATI OV ifs" 2.2 c/"0
MAP 4D P _ ' C 0: srs /( 3.i ititiASitote /'d?/l
THIS SECTION FOR OFFICIAL USE 01 hA1T-
PERMIT APPLICATION CHECKLIS
ENCLOSED A 5, t/ , VY' icy
ZONING FORM FILLED OUT
Fee Paid C"-7c, D /V
Building Permit Filled out // 3/6�/ ,�
Fee Paid �0 l � /
Typeof Construction: HOME OFF /OCC - VENDING MACHINE BUSINE `' � / 0
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 Speci lPermit 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 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.