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' 0 i •••••,,,..... .6 h c ' ■ ',.. 4, • ';‘,...trl° • itit,kT.* Aielt2- e ■!_!!) -',' / t _ _ 1 Ci) l'" 1, k. 47 INDUSTRY DRIVE i g) r z l > rE k-• 4) 0 I H li 1 ,0 ii 6 2 * W qi W S 0 --, v, .. i !, .: .*. 5, 1 0 E - 0 0 II'. in ,-rq-• ..s i ,..J -0 p < T , :II i ii PI' r' i" .. • ? .a a 0 m X 0 6c."..* i :4 ' • .'; Z 1.._ 1....,....,. ,,.... ____ LigaiikA...,„ ,.....• 0 E - 0 cn VG rT, 4.7 Z / 8 t - 2, se o g g cn, , ,_ g i I 7:j r 6 4 A i > 1 ! , 11 4 I Hun � AZDNO NpZ <�y r Mai m A m -1 0 T O ti 90 0 X __ Potiwyy __ O _ _ ____ immc � Z Z —_ _____ __ _ - 0 �oyy oV �N — --1 __ __ _ _ =_-_ —._ y =T ~ - m __ r. 0 531;4; 0 - II m __ m _ Z <Zm \ D — 1 r = D p C - - -__ iccmca - - -- -- J O D - --- -- g y d m y p _ Z _____ --1 - <m' z� — O D Id i z R" E. 9 w£ _ I; § 1 E d —_ i 0 m — • < F,;; 1•• z - ° z . — EN zi Bm fl $N ET - , c i m N ` R nd m < A I k , ,+ - -- ^ �i 77 — R m 8 : • — s g m - r O 0 < co - D • p O o — = o — - - - s$ -- D O __ z _.. t :x I \% z F� ¢ E 0 �� u am P a ; -_- tic m D O Z > i 2 N a n signs exist on the property? YES NO 10. Doa y g IF YES, describe size, type and location: 64� e N S to or additions of signs intended for the property? YES NO Are there any proposed changes � IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, or filling) over cre 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 St( f (1 t,N5 Frontage Setbacks Front • Side L: R: L: R: L: R: Rear Building Height 1 Building Square Footage % Open Space: (lot area minus building Et paved parking # of Parking Spaces # of Loading Docks Fill: (volume Et location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: 0 2 { Applicant's Signature / e i / ■1 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 1 ------- ' I ( JAN 3 L� 2013__\ OF LTOFBUILDNSP MA 01060 File No. U / 3 ZONING .PE.RMIMIT APPLICATION (00.2) 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: FI o atca.. V pc\v e,(Z.0 IT LL,C.. cise . t4eiobritck, Address: 2°Z R S tti Si 1 Telephone: 41 63 .fib , f ( 31 r 43 r- 31(to 2. Owner of Property: , �� GZ.. r6r2';D Address: 1 61 I) (N bUSTR.t f'°`i- iiiia-k \t'e..-- Telephone: C 13 ST C - 5-00 3. Status of Applicant: Owner Contract Purchaser Lessee V Other (explain) 4. Job Location: l / 90 / i `' C .S7 -( c,( fp !?.._, N 6 - A"I 1 U) / i' 'E. Parcel ldt Zoning Map# Parcel# District(s):' In Elm Street District ' In Central Business District (TO BE FILLED IN BY THE BUILDING DEPARTMENT) l 5. Existing Use of Structure /Property: t t)00.. tit inL I:. i xj 5 14-o P f t'J 4 6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary): P'C2 5O IQ frL i r- d `N it t= AC i 1 I ` T - 1 i2.c t,r pi\1ct, U C( rl 'Peee w-e -L (kFS a Y I I Y(C S r.�,4\1, B ODy Wt(j , COY\iii 1(OeV' i IN �s c,It e tiv v( 1 .- fi5 — 1S <Ge_ - CAcs 7. Attached Plans: Sketch Plan Site Plan is Engineered /Surveyed Plans 8. Has a Special P rmit /Variance /Finding ever been issued for /on the site? NO I 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 nd /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 \Bui l din g- Inspector \Zoning - Permit- Application - passive. doc 8/4/2004 r G S El C6 a' PIA MA 1 11,0 D+EV tOPIEl File # MP- 2013 -0076 2 -(0 i&RIiv sT (c t�'k ttALt z APPLICANT /CONTACT PERSON PIONEER VALLEY CROSSFIT LLC ADDRESS/PHONE 220 RUSSELL ST (603) 661 -3112 PROPERTY LOCATION 190 INDUSTRIAL DR MAP 18D PARCEL 068 001 ZONE GI(100)/ 4 0 THIS SECTION FOR OFFICIAL USE ONLY: PERMTT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT g /5- Fee Paid js a Building Permit Filled out Fee Paid Typeof Construction: ZPA - PERSONAL TRAINING FACILITY 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 PRE§ENTED: Approved ,/ Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER : § 3S — Alt - AGH I tAJ r i . t. 1--RgLe (A Intermediate Project : Site Plan AND /OR 1.S Permit witkcittEzlaiata. 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 C 3 r ficial Date / re of Building 0 fci ci Signature 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. ti LP Fag. P/cKuP