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10. Do any signs exist on the property? YES NO X
S
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 X
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
Frontage
Setbacks Front 13.5 f ..t-
Side L: R: L: >7,0L R: 7Zo L: R:
Rear 720 I
Building Height
Building Square Footage
" S000
%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: 4 (14 / 13 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
RECE!V D
JUL 2 4 2013 File No.111 1 -) 1 11
DEFT iiFBUILDItVGlNor'E Ti0 5 ZONING PERMIT APPLICATION 010.2)
"`°"-"+11°=N' • t .e 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: R.h $1n e) ba✓^e--
Address: aO - a 14.1`^ S Telephone: ( ii3) 596- 7341
2. Owner of Property: PetJ al 64✓,.N 4_
Address: AO — �r�� -' ". SF-- Telephone: 5116-1-3g
3. Status of Applicant: Owner V/ Contract Purchaser Lessee Other (explain)
4. Job Location: $61t4.-4.
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: 5'^'fie. f'i.w 1.� P r..�,. rtS Ir�t..ct
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
rete�+P■yv✓e fZ.0 po✓cL1 . 0 ft w•vc. ota po.ct.,t sta.i5
rCie 1 j u...3 a ,- Mr•� a 7` �e-% t. ( ("✓r(��' W:�G�Ot1 LOC,4.„ n)
0 y..;)4 Sx$ p h. 3 &laps Ic���— .,p t-
7. Attached Plans: Sketch Plan V Site Plan Engineered/Surveyed Plans
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 N.7 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\Buil ding-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
File#MP-2014-0011 614“-.1`' �' 16
APPLICANT/CONTACT PERSON SHELBURNE ELLIE&PETER D 6
ADDRESS/PHONE 22 FRANKLIN ST 0 586-7381 0 U(c
PROPERTY LOCATION 20 FRANKLIN ST
MAP 31A PARCEL 017 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid 0?-03 lS"
Building Permit Filled out
Fee Paid
Typeof Construction:_ZPA-DEMO PORCH&CONSTRUCT NEW 5 X 8 FRONT 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
INF9RMATION 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
L� l�'✓ Lc_� .7 2k
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.
20 FRANKLIN ST MP-2014-0011
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 5637 "Am
Map: 31A .,
Block: 017 , �
=. 1494 ZONING PERMIT
a �
Lot: 001 � '=.,,j,,
Permit: ZPERMIT APPLI E��p���'
Permit: Zoning ZONING ePER APPLICATION PERMIT
Permit# MP-2014-0011 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2014-000165
Est. Cost: Contractor: License: Expires:
Fee Charged:$15.00 Homeowner as Contractor
Balance Due:$.00 Owner: SHELBURNE ELLIE&PETER D
#of Fixtures: Applicant: SHELBURNE ELLIE&PETER D
'DigSafe# AT: 20 FRANKLIN ST
UseGroup
ConstClass
ISSUED ON: 26-Jul-2013 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA-DEMO PORCH&CONSTRUCT NEW 5 X 8 FRONT PORCH
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-2014-000359 24-Jul-13 2003 $15.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov
GeoTMS®2013 Des Lauriers Municipal Solutions,Inc.