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10. Do any signs exist on the property? YES l/ NO
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 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
She AAA Gk E C F4 G 2— Flu M 2 dO 1 MPPU G Th) This use by t reserved
for use by the Building
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
2 .
Frontage
3A
Setbacks Front
Side L: R: L: R: L: R:
Rear
Building Height
Building Square Footage Z } 23 ,6q?-
%Open Space: (lot area
minus building a paved
2.0 . a z °7(, 7,49 .1279
parking
#of Parking Spaces if 6 L�, -
r
#of Loading Docks
Fill:
(volume It location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: Applicant's Signature. Aco
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 the Board of Health,Conservation Commission,
Historic and Architectural Boards,Department of Public Works and other applicable permit granting
authorities.
W ADocuments\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
RECEIVED
Nei - 9 2013
DEPT.OF BUILDING INSPECTIONS File No. /117 P"-)5:/�
NnRTHAMPTON.MA 01080
,.. ZONING PERMIT APPLICATION(§10.2)
Please type or print all information and return this form to the Building
Inspector's Office with the $15 filing fee (check or money order)payable to the
City of Northampton j'"_
1. Name of Applicant: : E Si, M 'Ar rJ Y I A6
Address:54 (MDLt4itFLj7u/E1 (■.1e9 AP P r1 t) Telephone: A ' 586," 35418
rv � l Co17- 74�Z�
2. Owner of Property:
Address: 2.803 MAIN .6°T. rIi r t 6 i f h( 14
.m_j Telephone: 411 I"4 e12-.
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain, ,
4. Job Location: SANia AS APrLtCA1st.T
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE LL
FII -L*ED IN BY THE BUILDING DEPARTMENT)
. ,!
5. Existing Use of Structure/Property: ( T 6Afr,k6 g 4$c FAR/41.416
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Oicz ' POSA.t— IS To jZ&Moe A 300 SQ11AIt. Foci- j 6UMp
C(hlcKere SIAeJ J PL r --rtes5 f Ai4p 3dil b MI AbblTtahb
EXPA E>114.‘ Nrro A 08$ soutitax roc)" 1j14pPrVi -c, A4i .
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 DONT KNOW V YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document it
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
6f cit
File#MP-2013-0100 O N .
APPLICANT/CONTACT PERSON VALLEY AREA TRANSIT COM 1NC -ro •
ADDRESS/PHONE 54 INDUSTRIAL DR (413)586-3548
PROPERTY LOCATION 54 INDUSTRIAL DR
MAP 25A PARCEL 190 001 ZONE GI(1 l 1)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid ie1�C7 0 #91`C
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA- 188 SO FT ADDITION
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 PRESENTED:
Approved 1,/"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: TAX 26 1.64 S E 8' T/ &14 2E 2 (Zen' Z)
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 -- y ( 10113
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.