Loading...
16D-022 (2) 2c1 )US SS9(61d6191T710 +°-?ji`ig -'1- 1)4tpiglf7dA)19)-11U9(-1 , U(iiK) ?L\:-\-(4-.Vi)(3\rj?'r),IY)9 v • S1000 1 t ki im sc...„. . 0,c0ki QT3 I fai 1_ 01 T (�J/ - - k ..i 1 0 I r wo A-- ° I I C 1 i '-.-7, __ ___ --,, 0 "Poo A. 1011*, 9 ) 111 10°1. 111 111 i\I ....twr tilla 100 A -W • *ip. rei im• 1,k / e , • ,_, . _ ,\A '7 v v sw,w1k516e/P \\(/)" „oak' lry, c ' 1F -?' e 6 N ' 0 0 *tool 2 olif c---:(1 79-1 ( g111- t)ti Y VI°9") 10, Do any signs exist on the property? YES [ NO ° "_({ t, S ` ''; IF YES, describe size, type and location: I r l -a AO A + . O 1 I s, e MN .. 1 b. -; 1 I i „Pr ,' 5 / (--•• ' Are there any proposed changes to or a:ditions of si ns intended f r the property? YES )( NO IF YES, describe size, t and location: E�,4 �d �IC)(1 51� e �5f n (�/�'L c1�G��? !i']�F/- koGI;�- ,, 11. Will the construction act IV disturb (clearing, grading, excavation, or filling) 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 i •.. .. EXISTING PROPOSED +^1* k e Lot Size 36 co Nyi-6 ! • A i ,w s x -- .-- r � : r at Frontage Conimo Setbacks Front &dew!iii 'v;d,.,wugc/ f�q fic q y/4 Side L n : , L: R: t4.:::.-` R rah/ P aid(til!a / �/`C Rear R&; 1 'n den I !' li e/111'i Building Height /� POLY��� 'yf Building Square Footage �r� �. % Open Space: (lot area a - minus building & paved / 1 / - �� parking / //I > ,� - # of Parking Spaces i ) : /� # of Loading Docks 0 / /1ij 7 (o Fill: 4V / / / ! /I (volume &location) /V/4 /`�j _ 13. Certification: I hereby certify that the information contain d herein is true and accurate to the best of my knowledg -. - • I/ ' n O 2 01 2 Applicant's Signature i Date: � C /ol / It . 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:\Docurnents\FORMSbrigina11 Building - Inspector\ Zoning - Permit- Application- passive.doc 8/4/2004 Rt.: t , MAY 232012 File No. m / /a /(9.- p DEP t — ar �¢ Mx� v4 n v 7-47'7,79' .,7m«n, 0-4 ., egwe V^- �srr. n "'t trc. '� ' "-� 1� ¢� 1 y- �b�+�^n.. n n69 B !� p 7 Eh � L -� Y 7 F i 4 1 n Li . ..em G 7 ro ' W r\� x M µ . 4 . .. i.y R"- `� x c-. L 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 ofNorthampton 1. Name of Applicant: d eGLil qtr L. Foxrl'e. Address: 1' W00 , i10t , • I _ •• ; 010 . T elephone: (q/I 2. - Owner of Property: I _ Kinglari / i @lam 1 4 • " I.L 145S06. Address: 1 , . ► S+ Ai , t4 t / i i', /1 01 - Telephone: _ ) l© t !!f 3. Status of Applicant: Own r Contract Purc Lessee Other (explain) . _ 4. Job Location: /9/ l i vi (�.i h 5 a,'' f'I o. :4 0)06- 2 C :-cr . sPi .twe Ni': Y'''3s'.F�:� -^iT � p K�ri- 7.7.7::_,� s �,i'� �1 i y � . t# � . X�d[+ y-+ �� s? ` k l'A S,°L � 7 1.! � R - - a ,. ..1,._ s �� - t� � � - u • Y . P , � r , ' ,., m r > , L , ,�°"' --' t`" : „t z ', ' L:t Z; ,; tes+r ^ "'..- - . 7 . ?` y Y' e P rp x--w, 7Z i : '.t' f '�� , - ' 4 . _ 6 - t, F i u e: : Fc7 r :� 1 T 7 C 1 S� - 'fi ', ` " - 5. Existing Use of tructure /Property - NSW a /i 201 - Deg:.,Make1)992 6. Description of Proposed Use/Work/Project /Occupation: (Use additional sheets if necessary): i/ . 1 411. 7J A 1 .:! AL..!_4 I ' ' ...ft') [ JA r i - • 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 __ __ _ 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 7 ,>(,,__. 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:DocumentsTORMSI original \Building- InspectortiZoning- Permit - Application- passive.doc 8/42004 File # MP- 2012 -0128 APPLICANT /CONTACT PERSON EARLE HEATHER L ADDRESS /PHONE 19 WOODLAWN RD (413) 992 -7320 () PROPERTY LOCATION 141 NORTH MAIN ST MAP 16D PARCEL 022 001 ZONE URB(292)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT l -� Fee Paid j 7 / Building Permit Filled out Fee Paid Typeof Construction: ZPA - ANTIQUES 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 V 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: § 3,5-0 — 9, 3 Finding V 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 f Signa re 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.