43-039 ..,
-).-- 2— P■ UT 0 /lel 1 1 r
,
22' Fr
1-----
e• t 14'
1 ----
1
8,..„4. ,....9i. 1
1
22' 1
i _
1.'.. 1
I
_}
•
12
0 1 - te•-ini' .
QS Ts. 59--
, tiV-2i' t i'" 11Y-Si.
13'-6i° /
• >4-
I
1 1
I
i I
2 Av ,t--\ v- `p`.
LXi 5 %/.n
vFati, .) & fav
ford
- -- ter---
--- �
1 4 , _iti' _ .
8` -9 ` F , -
H .
E 2 1e•_ y. ...
•i, ,_____I, 1
,• 13,-5A. f - 4-4 - 1 -
1 , i______ 1 ......: 30•_7+, 10'-0'
10:-10k
-10
1 f`-11a' 1a. —r
3 ,, 11 1.
I
I
t - ,
4'
'')< i
s )
y
10. Do any signs exist on the property? YES NO f
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 S4
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
Th is c
e o reserved
R Cr� r� SfcacTv (j f'rAC 1"r°1°-) f
e artment eBuilding
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
C I 3 0 333
Frontage f Y' l c
1 �
Setbacks Front tl 2 1
Side L: U R: II L: * R: 2 , L: R:
, � 8
Rear '13 "13
Building Height
t49 ' 1S'
Building Square Footage
1 58'I 114y
% Open Space: (lot area o �
minus building Et paved S !a
parking
# of Parking Spaces
Z
# of Loading Docks
Fill: � I
(volume & location) k) N
A A
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 1 C/ 3c) 20 A.. Applicant's Signatur ,— - - ______
NOTE: Issuance of a zoning permit does not relic e an app . burden to comply with all zoning
requirements and obtain all required permits from the : oard 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
RE(;
o� ► 3 o 2012
- � File No. M P / 3 5 3
• io
i. « r•a t +o NINE PE. IT'APPLICAT ION ( .i0.2)
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:-..„. jaryt, 5 k d
Address: 3'2 A M A Telephone: 1-0.3 , 530 ,3 q 5
2. Owner of Property: 'JAr∎er 1)4,_. A ■(2_
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. Job Location: 7 2 A dn i:)r IoTro, ca__ r 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: LSt(c, 4 i ca
6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary):
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 X YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW S 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- passive.doc 8/4/2004
File # MP- 2013 -0053
APPLICANT /CONTACT PERSON BARANOWSKI JAMES J & SHARON L GUYOTT
ADDRESS/PHONE 72 AUTUMN DR
PROPERTY LOCATION 72 AUTUMN DR
MAP 43 PARCEL 039 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out n � 3 ( I
Fee Paid p�
Typeof Construction: ZPA - ADD ATT GARAGE, ENCLOSE PORCH
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
INFQRMATION 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
Signature of Building Official Date
� g
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.
72 AUTUMN DR MP -2013 -0053
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS #: 8280 r ti
Map: 43
Block: 039 Vb ;!
Lot. o ZONING PERMIT
o l
Permit: ZONING PERMIT APPLI APPLICATION PERMIT
Category: Zoning Permit
Permit # MP-2013-0053 PERMISSION IS HEREBY GRANTED TO:
Project # JS- 2013 - 000817
Est. Cost: — Contractor: License: Expires:
Fee Charged: $15.00 Homeowner as Contractor
Balance Due: $.00 Owner: BARANOWSKI JAMES J & SHARON L GUYOTT
# of Fixtures: Applicant: BARANOWSKI JAMES J & SHARON L GUYOTT
DigSafe # AT: 72 AUTUMN DR
UseGroup
i ConstClass
ISSUED ON: 02- Nov -2012 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA - ADD ATT GARAGE, ENCLOSE PORCH
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fixtures:
Floor: Type: # of Fixtures Floor: Type: # of Fixtures
Fee Type: Receipt No: Date Paid: Check No: Amount:
Zoning Permit Application REC- 2013- 001733 30- Oct -12 2533 $15.00
212 Main Street, Phone:(413) 587 -1240, Fax:(413) 587 -1272, Email :lhasbrouck@northamptonma.gov
GeoTMS® 2012 Des Lauriers Municipal Solutions, Inc.