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32C-131 (12) d1 q ~� M 'i 1�2 QL AL vi �` n i 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 x 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 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 Side L• R: L: R: L: R: Rear Building Height Building Square Footage Open Space: (tot area minus building Ix paved parking #of Parking Spaces #of Loading Docks Fill: (volume Ft location) 13. Certification: I hereby certify that the information contained here is true and accurate to the best of my knowledge. Date: 2 . (q • Applicant's Signature NOTE:Issuance of a zoning permit does not relieve an app QcaNi [\t's burden to comply with all zoning requirements and obtain all required permits from thoard 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. `LOWING P-EP:MIT ", PLICATION(§YO.2) Plea % -ty- pe oi-print all information and return this form to the Building Iiisctor's Office with the $15 filing fee (check or money order)payable to the City of Northampton 1. Name of Applicant: Ca,6&;, Address: Z63 Crzsc �-1 <P-7 eiGtT Telephone: 2. Owner of Property: S2(LA`ce P(w Pan`GS -!IJG Cdtni N Address: 0Z COI1Z- . ST'. K)0y7 APtwsMVAJ Telephone: `{i-3 �� ^9G0q 3. Status of Applicant: Owner Contract Purchaser Lessee 'Q Other(explain) 4. Job Location: CO "J54-- °� -(P�/� l 8 2 C4tJ 2 Sj'. M a424 o7Y+J Parceh : Zoning,A ap A # Rarcel# LPA ld Qistrict("sj: In EIm`Sfireet l3 strict In Central'Busin6ss.Distrrct. (TO:-BE FIL ED IN:BY TH E BU LDING DEPARTMENT),' 5. Existing Use of Structure/Property: f 4ax,'>N6 WE Pt M7- 1K 7V BLC�� l Sortie- eAXLl 1J(, 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Kczoe L6 Eic-m i -,Pot- &,,)v-r StitcX a-J�1 si—t a fty c UV- kIL ©6L,-7 `a`a�LAaL caa- ( fDu oSC^�oo�6 -,Qv;Pi,�n �s►tmlet�i, Ry e-S I CD6C I lt-e wow "eS Ckrt)V5A- J s , 601t L,6an44 �s �`z- . �Fke� 1 z'-ic 201 st J 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 /\ 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 _X _ 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:\DocumenmFORMS\original\Building-Inspector\Zoning-Pennit-Application-passive.doc 8/4/2004 File#MP-2006-0069 APPLICANT/CONTACT PERSON STEVENS CRAIG ADDRESS/PHONE 253 CRESCENT ST(RIGHT) (413)584-7745 Q PROPERTY LOS THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ----� ENCLOSED REQUIRED DATE ZONING ee i Building Permit Filled out Fee Paid Typeof Construction: ZPA-SHED FOR LANDSCAPE EQUIP N_ e_w Construction Non Structural interior renovations Addition to Existing AccessoKy 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 INFFMATION 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 Commiss' 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.