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06-044 241 Route 9 Zoning Permit Application Description of proposed use includes: Classroom /workshop space for natural healing education and community interests, such as yoga, various exercise and martial,arts. - Office space for Naturopathic and Acupuncture healing practices and related services such as massage and nutrition Administrative office space for Natural Health Education Center of Northampton including mailing room Practice space for affordable Community Acupuncture health services serving veterans and families • Office space for counseling services 10. Do any signs exist on the property? YES , >( NO IF YES, describe size, type and location: 3t , � " .�t� 1,C �� p.sr s , Are there any proposed changes to or additions of signs intended for the property? YES NO_, IF YES, describe size, type and location: 11. Witi 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 INFORMATIQN lids column reserved for use by the Building Department EXISTING PROPOSED REQUIRED BY ZONING Lot Size Frontage Setbacks Front 6 0 60 Side L: "t R: ,Sa L: "TO R: $d L: R: Rear 3.4 3 ay3 Building Height ` / a. — �-' - 1Y - a'I- - s j Building Square Footage 1 .4at(c S W al ©0 SP % Open Space: (lot area �` minus building ft paved ?.°L `ge { b parking # of Parking Spaces # of Loading Docks Fill: (volume t} location) d 13. Certification: I hereby certify that the information contained herein is true an. accurate to the best of my knowledge. ink 12 Date: ' 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. WADoeumasts1FORMS ori¢ inaniundina- tasnectoreanina- Pamio-And;utiwan ssive.doe 8M/2004 2 2 2043 • uri E; T °� File No. /�/V _ — 1 3 702 . • °RT ZONING PERMIT 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: x'10 - v' 1 b ' o , e `� 0 l �. Address: '3 5 f\ i 'F Rife t a I A Telephone: Lit3 58'7 a r ? rj 2. Owner of Property: Cif CU i'c Ccc C -e e �� K -eity �, ,i � , Telephone: `� Address: �1) 1 0 �4 c >� y� Ca k k'_ M /� lephone: ` l � � 3. Status of Applicantc Owner Contract Purchaser Y Lessee Other (explain) 4. Job Location: 2 ` l VA C 4--e r"cis Parcel Id: Zoning Map# 8 L Parcel# 0 Li t_1 District(s): In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure /Property: C� �'t 1'C E � r 1 SCUD k ) IvNe ET� , e'v-e) b':.te,c,k Sa 6. D ption of Propose Use /Work /Project /Occ ation: (U dditio at sheets if ne sary): Se ci (.-, .e-cQ — c ff e c.e S e ‘.`1, fie- " w�s �. , t� S�o2uic.�5, \a Sawk (A.W Sir • 7. Attached Plans: Sketch Plan )( Site Plan Engineered /Surveyed Plans e- 8. Has a Special Permit /Variance /Finding ever been issued for/on the site? NO DONT KNOW YES /\ IF YES, date issued: 1 2- 1 - 6 c IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book ' 1 1 Page I (K2_ 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 k r- QiCiS'^� Obtained , date issued: ? 're.— \ (Form Continues On Other Side) W:\ Documents\ FORMS\ orie inal\Buildine- Insnectar\Zonina- Permit- Anolication- nassive.doc 8/4/2004 File # MP- 2013 -0072 APPLICANT /CONTACT PERSON ABBATIELLO ROBERT ADDRESS/PHONE 35 MAIN ST (413) 587 -0777 0 PROPERTY LOCATION 241 HAYDENVILLE RD MAP 06 PARCEL 044 001 ZONE SR( 75 )/WSP(53)/RR(25)/WP(13) /RI(0)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT /9 Fee Paid Building Permit Filled out Fee Paid Typeof Construction: ZPA - ACCUPUNCTURE ,YOGA,MASSAGE,COUNSELING OFFICES New Construction Non Structural interior renovations Addition to Existing Accessory Structure 4 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 PRENTED: 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 1 tJ,3 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.