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Fort Street Existing curb cut Existing curb cut
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S I ` � N� 7 �_ �j 0 5' 10' 20' -�- e 27 Fort Street Northampton, Mass �� Two curb cut driveway schematc 4 / 20 / 2012
' O J , _ ki
/ 7-/-..) (::::)? 66 Summit Ridge Design - Josiah Simpson
,)----1
10. 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 cola nz reserved
for use by the Building
Department
EXISTING PROPOSED
,. T0-(2UIItEV BY
ZONING.
Lot Size
14,065 sq. ft. 14,065 sq. ft. (sam .
Frontage
145 feet 145 feet (same)
Setbacks Front a 344-1
Side L: R: L• R: L: . R:
Rear
Building Height i „_
name, 1
Building Square Footage
% Open Space: (lot area ,75:-.), f
minus building a paved / / -• r s /110
parking ) rrit. - ±.
# of Parking Spaces
# of Loading Docks
ham rug W
Fill: 1 ��,p , I.
(volume Ft location) U Yom/
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
�
Date: 1 2012 Applicant's Signature _ / • 1 1
•
ar es �. Cohn Ca herine H. Smith f
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: tDocumentstF ORMStorigina ltBuilding- InspectortZoning Permit- Application- passive.doc 8/4/2004
RECEIVED
APR ` 3 2012 •
IJ •
-'-,. - -- a.F , : r ---- ' ---' . ' '-- 4 -"t y � y e a""- -`'^' '7'• - ' u °
o t f� �'
,rze S F i l r34 .; �ru r �.+ a. ; �' +^�.5, y�.r L5 > �y
Please t ype or print all information.and-return this form to the Bu lding
Inspector's Office with the $15flhigfee (check or money order) payable to the
City ofNorthampton
•
•
1. Name o Applicant: �1TARfi F4 �r C and A'�FRINE ' �MTTI�
Address: 226 Cooper Lane, Shelburne Falls, MA Telephone: cell
2. - Owner of Property:, Charles M. Cohn & Catherine H. Smith
Address: 226 Copper Lane, Shelburne Falls, MA Telephone: cell
3. Status of Applicant: i rwner X Contract PFlrchaser Lessee 0 th - et (explain)
4. Job Location: 27 Fort Street, Northampton
• L — 'te -�
''
_ , Y: v .ru.. •s - "mac.. - '
F t ' !+
5. Existing Use of Structure /Property: Vacant lot with two exist
: .
recent, permitted demolition of single family :house and two 'separate garages.
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Request is made to continue u -o .. • -.- .• --
lots to accomodate'proposed one —way driveway as shown on attached sketch
- 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 X DONT K N O W _
IF YES, date - issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO X DONT KNOW YES
•
IF YES: enter Book . Page and/or Document 1
9.Does the site contain a brook, body of water or wetlands? NO _ $ DONT KNOW r YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained _ , date issued:
(Farm Continues On Other Side)
WADo tsWORMStgriginal \Building- Inspectorlxoning- Permit- Apptication-passivadoc _ 8
•
File # MP- 2012 -0098
APPLICANT /CONTACT PERSON ANDREWS ROBERT G & BESSIE 0 C/0 CHARLES M COHN
ADDRESS/PHONE 226 COOPER LN
PROPERTY LOCATION 27 FORT ST
MAP 38B PARCEL 183 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Permit Filled out
Fee Paid
Typeof Construction: ZPA - CONTINUED USE OF 2 CURB CUTS & SFH
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
IN_FQRMATION 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
4 /Via.
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.