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10. Do any signs exist on the property? YES NIC2-"*--er
IF YES;describe size, type and location:
Are there any proposed changes to or additions of sibs intended for the property? YES NO e
IF YES, describe size, type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED
DUE TO LACK OF INFORMATION. This column to be fiIIed in
by the Building Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
Frontage
Setbacks Front
Side L: R: L: R: L: R:
Rear
it) /11'
Building Height
Building Square Footage
% Open Space: (lot area
minus building&paved
parking
#of Parking Spaces
#of Loading Docks
Fill:
(volume &location) .
12. Certification: I hereby certify that the information contained herein is true and accurate to the best of my Irnowledge.
Date: 707S- d 3 Applicant's Signature Vi 13` 1l2, ,,� 9/�Lr� �04.4.4.41,-/-
NO'TE: 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.
, E E
File No.M2'04/1"./.92
ZONING PERMIT APPLICATION (%
, 11 Jut. II 1)
Please type or print all information and return this form to the Building speQpntaggrtgate
$10. filing fee (check or money order) payable to the City of
se
I Name of Applicant: i lyz././e° 1--"///4 41 CCAlf -->1? A Zji(
fr,'/G /)
Address: ..Y`-ff 2/7,0/1/ /7/4., PL./Telephone: '//_.? - W. 7---;
2. Owner of Property: /9 ?// 6/x- / /1/21.0 k5L. 421,711
Address: r`t` 5 S /77.17/t /;7-16 74 e ‘z/./741- Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain)
4. Job Location: /'Y- S." 41/./7/c/ S; /./Z-1 O2.
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED EN BY'ME BUILDING DEPARTIVLENT)
5. Existing Use of Structure/Property
, .
(;/1-1---5717(./C/ cOnf,ici..41 Cr,/r6 A:01) la 6009-5
6. Description of Proposed Use/Work/Project/Occupation: (Use add' nal sheets if ne ssary :
- eat
c-D/i jetAlitti /4- 2-;euads" c.). ).% f1/4".% C
i09/ hy )'. /ea /' tic) 7Ltd — (Co' cv -/ ;
p/o/-fkA.; cy-p Ao Atie9T,fe
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special PermitNariance/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:
File#MP-2004-0012
APPLICANT/CONTACT PERSON Valley Home Improvement,Inc
ADDRESS/PHONE P 0 Box 60627 (413)584-7522
PROPERTY LOCATION 143 SOUTH MAIN ST
MAP 23A PARCEL 105 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FI ED OUT
Building Permit Filled out
Fee Paid // '/ 'f� ���Q�
TyQeof Construction: ZPA-EXTEND CURB CUT TO ACCOMMODATE GARAGE/DRIVEWAY(_���L;� 15 aid
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
INF RMATION PRESENTED:
tr 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 Co 'ssion
7/3//b3
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.
MP-2004-0012
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 2816
Map:
B'°° ZONING PERMIT
Lot: 001
Permit: ZONING PERMIT APPLI APPLICATION PERMIT
,Category: Zoning Permit
Permit# MP-2004-0012 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2003-0667
Est.Cost: Contractor: License:
Fee: $15.00 Valley Home Improvement,Inc
#of Fixtures: Owner: BOUTELLE ANN E
Applicant: Valley Home Improvement,Inc
AT: 143 SOUTH MAIN ST
ISSUED ON: 01-Aug-2003 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA-EXTEND CURB CUT TO ACCOMMODATE GARAGE/DRIVEWAY(MAX 15'WIDE)
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-2004-000323 31-Jul-03 16894 $15.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2003 Des Lauriers Municipal Solutions,Inc.