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10. Do any signs exist on the property? YES NO X ,
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)_7L1 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 INFORMATION
This column reserved
for use by the Building
Depai Luienl - -
EXISTING PROPOSED It+�Q it D Uzi' '
Lot Size '17,8 Fr o.ct 'Rear
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#of Parking Spaces
#of Loading Docks
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Fill: J
(volume& location) N(A- N/A. ,
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: OM/v/i 3 Applicant's Signature / r
NOTE:Issuance of a zoning permit does not relie'• an applicant's burden to co y 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\original1Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
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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: - O Y 9 y (7( '�1� `'"ic - .l%e--,
Address: O I i `'` s�° / Telephone: 57 ( /f
2. • Owner of Property: c e
Address: Telephone:
3. Status of Applicaa/ni�t,,: Owner Contract Purchaser Lessee Other (explain)
4. Job Location: UC -P ` f
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5. Existing Use of Structure/Property: 6T etcr
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
ifdO( ct rc° --5E101 Sar. GtAu2rksi c du4f0 5oc(' 57o(e
oP- (rileprcoc e „
7. Attached Plans: Sketch Plan X Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW 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#
9.Does the site contain a brook, body of water or wetlands? NO Xr DONT 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 Ouilding-Tnspector\Zoning-Permit-Application-passive.doc 8/4/2004
ti.
is iC.
File#MP-2014-0045 vNin
APPLICANT/CONTACT PERSON FREY JOHN D&JENNIFER K DIERINGER
ADDRESS/PHONE 60 NORTH ST (413)587-8915 0
PROPERTY LOCATION 60 NORTH ST
MAP 24D PARCEL 088 001 ZONE URC(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT 46K ON
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-ADD 3 SEASON WORKSHOP APPROX 12 X 25 TO GARAGE
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
INFjiRMATION PRESENTED:
V 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
04- /1/ 7/t 3
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.
60 NORTH ST MP-2014-0045
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
[GIS#: 3938 �
Map: 24D ! �
��
Block: 088 ` . ZONING PERMIT
[Lot: 001 — �
Permit: ZONING PERMIT APPLI ss APPLICATION PERMIT
[Category: Zoning Permit
Permit# MP-2014-0045 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2014-000970
— — Contractor: License:
Est. Cost: � Expires:
Fee Charged:$15.00_ . - - —Homeowner as Contractor
$
Balance Due:$.00 Owner: FREY JOHN D&JENNIFER K DIERINGER
#of Fixtures:, Applicant: FREY JOHN D&JENNIFER K DIERINGER
DigSafe# AT: 60 NORTH ST
UseGroup
ConstClass
ISSUED ON: 07-Nov-2013 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA-ADD 3 SEASON WORKSHOP APPROX 12 X 25 TO GARAGE
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-2014-002066 05-Nov-13 499 $15.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @northamptonma.gov
GeoTMS®2013 Des Lauriers Municipal Solutions,Inc.