32C-166 (2) 10. Do any signs exist on the property? YES t" NO
IF YES, describe size, type and location: ND C N(v E S TO PC 14 T 1 rko 41(cW 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 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
g cf o o No C HAW& es
Frontage
85 + N 0 G{ AW&CS
Setbacks Front 610 CNANG)ES NO CN14 S
Side L: R: L: R: L: R:
Rear
Building Height 4 10 ' No CHAtA1 C ES
Building Square Footage I 1 , )1 y
No GHgNG ES
%Open Space: (lot area Nv CN ANGC S No C1-1 ANC. E5
minus building Et paved
parking
# of Parking Spaces
0 0 C NAAJGES
# of Loading Docks
0 No CNANG
Fill:
(volume a location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: ' ( 1 2 Applicant's Signature ^A/11A1
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'WPM-01.7'10N (§10.2)
Please type or print all information and return this form; to . r is.. " >'
Inspector's Office with the $15 filing fee (check or money order payable to the
City of Northampton 1 JUN 1 2012 I.
1. Name of Applicant: I 1 A S ::c, U (s (--#‘5
�� ❑F t h! 14
N d P � � Gl Vw 7 it. N Vt t NORTHAU 05
Address: I q �o P LEA � S A j 5 i T elephone: 413 515 06 4 1
2. Owner of Property: tlANHFFN Net R-/ 1 I -fevvt PvvLaS MAIL -k VU1Nr t3 V v2.6.
Address: L 6 16 P LGA S (a J T S i LUOt2 -1 ootP7dNfelephone: 413 t3435 i4
3. Status of Applicant: Owner 7" Contract Purchaser Lessee Other (explain)
4. Job Location: 1 Pt,EAsAPIT S i NotLTHA - w+P or' M
Parcel Id: Zoning Map# 32C Parcel#( I Fa 6 District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure /Property: 131./5 INS 5 5
6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary):
1.0C4 ! New M o L.e Foot. G 4/¢; (4 x 57 ON PKtvkTE
Los APJ,CEN To o vie 1311It /N( A 114 Pt ASA1■ S T
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 K 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 \originaliBuilding - Inspector \Zoning - Permit- Application- passivc.doc 8/4/2004
File # MP- 2012 -0139
APPLICANT /CONTACT PERSON MANHAN NARROW LLC
ADDRESS/PHONE 196 PLEASANT ST (413) 585 -0641 0
PROPERTY LOCATION 196 PLEASANT ST
MAP 32C PARCEL 166 001 ZONE CB(1001/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: Locate 1 new mobile food cart
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
INF( 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
; E • :tr-et C. 'ssion Permit DPW Storm Water Management
Signa Hof B ilding Of vial 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.