38B-195 (3) M a
10. Do any signs exist on the property? YES 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) ov 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 fro the DPW is required.
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED D 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 & location)
13. Certification: I hereby cert;y that the information contained herein is true and accurate to the best of
my knowledge.
Date: Applicant's Signature
NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply ith 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
10. Do any signs exist on the property? YES 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 1 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 /° ,r
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& location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 7/',' //J 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
File No. 111P 111 -
ZONING PERMIT APPLICATION 010.2)
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: /-
Address: � �► h% //'/s Ir,,h=/r/Telephone: C/ '� et-6
2. Owner of Property: _ ovl /4 -cy
Address: j7, /19,tir' /.4 Telephone: lie4i"' 2�� "�✓
3. Status of Applicant: Owner Contract Purchaser/ Lessee Other (explain) -7► —74; c1
4. Job Location: „7"76 4,
� ,47 n ,47 Lr7"
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: 0.04, A
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
(1.4
�.n `7/4 74- ; C /
Sketch Plan Site Plan V Engineered/Surveyed Plans ^
7. Attached Plans: S
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 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 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)
WADocuments\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
'*N t PRA e p . ) l I 13 LLrtit.•b
50 MANHAN ST MP-2014-0001
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 7693
CMap: 38B r
Block: 195 I ' Z
Block: ^'195 ZONING PERMIT
sy w `99
Pert ZONING PERMIT APPLI rFR APPLICATION PERMIT
;Category: Zoning Permit
Permit# MP-2014-0001
Project# Js-20114-00061 PERMISSION IS HEREBY GRANTED TO:
- Contractor: License: Expires:
Est.Cost;___
..-
Fee Charged:$15.00 DAVID CHICOINE
Balance Due:$.00 Owner: ALBRO-FISHER BENJAMIN&BETHANN ALBRO-FISHER
I#of Fixtures: Applicant: DAVID CHICOINE
DigSafe# AT: 50 MANHAN ST
IUseGroup
!ConstClass
ISSUED ON: 15-Jul-2013 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA-CONVERT GARAGE TO MSTR BEDRMBATH/OFFICE
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Zoning Permit Application REC-2014-000162 15-Jul-13 2136 $15.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Emaildhasbrouck @northamptonma.gov
GeoTMS®2013 Des Lauriers Municipal Solutions,Inc.