18D-027 (2) 10. Do any signs exist on the property? YES X NO
IF YES, describe size, type and location: Applicant will keep and maintain all existing
signs located on the Property. Applicant will change the sign panel of the
signs.
Are there any proposed changes to or additions of signs intended for the property? YES X NO
IF YES, describe size, type and location: Ground sign to be determined
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
Frontage
Setbacks Front
Side L: R: L: R: L: R:
Rear
Building Height
Building Square Footage
% Open Space: (lot area
minus building & paved
parking
# of Parking Spaces
# of Loading Docks
Fill:
(volume B. location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: S \2 �?�Z Applicant's Signature
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- passive.doc 8/4/2004
SEPt 32012 /
File No. N /3 -3 a,
NING PERMIT APPLICATION ( §10.2)
Please type or print all information and return this form to the Building
Inspector's Office with the $i5 filing fee (check or money order) payable to the
City of Northampton
1. Name of Applicant: Family Ford of Northampton, Inc.
Address: 245 Springfield Street, Agawam, MA Telephone: (413) 786 -0430
2. Owner of Property: DGA Realty, LLC
Address: 968 Bridge Road, Northampton, MA Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee X Other (explain)
4. Job Location: 968 Bridge Road, Northampton, MA
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: Until recently, the Property had been used as an automobile
sales and repair operation.
6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary):
Applicant shall operate cord automotive franchise at the Property.
7. Attached Plans: Sketch Ptan Site Ptan Engineered /Surveyed Plans
8. Has a Special Permit Finding ever been issued for /on the site?
NO DON'T KNOW YES X IF YES, date issued: May 4, 1988, as modified
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES X
3196 28
IF YES: enter Book 7387 Page 20 and /or Document #
9.Does the site contain a brook, body of water or wetlands? NO 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:\Documents \FORMS\ original \Building - Inspector\Zoning - Permit - Application- passive.doe 8/4/2004
File # MP- 2013 -0036
APPLICANT /CONTACT PERSON DOHERTY, WALLACE, PILLSBURY & MURPHY PC
ADDRESS/PHONE ONE MONARCH PLACE SUITE 1900 (413) 786 -0430 0
PROPERTY LOCATION 968 BRIDGE RD
MAP 18D PARCEL 027 001 ZONE HB(100)/
• THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT ,✓
Fee Paid � 1� �j, / J
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA - FOR AUTOMOTIVE FRANCHISE
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
INTRMATION 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
g //
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.
ti