32C-166 (25) 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:
z. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED
DUE TO LACK OF INFORMATION. This column to be filled in
by the Building Depart.
EXISTING PROPOSED REQVIRED: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 buitding Ft paved parking
# of Parking Spaces
# of Loading Docks
Fill:
(volume Et location)
12. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: Applicant's Signature ' Ue-t'
NOTE: Issuance of a zoning permit does not relieve an applicant's b)e, 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.
o.
a�
* TITG
PEONH APPLICATION (§10.2)
Please type or print all information rn this form to the Building Inspector's Office with the
$10. filing fee (check or money order) payable to the City of Northampton
1. Name of Applicant: L
Address: 76 0 (e�,S a u i 'c t Telephone: - 4 ?(, 9.3
Z. Owner of Property: ri
Address: f t o gSnjj b Q- , Telephone: y 3 6-J4 6,SZ-)
3. Status of Applicant: GOwner i'— Contract Purchaser Lessee Other (explain)
4. Job Location: % el P..er,S 4,67 ST• /M(L l q yAen1t! 4
Parcel Id. Zoning Map#' P 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: /s i ow ( q,2 y,�l��_ 61-pi �y 4. V-Lc&—
V A"C-Arti►.�
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
k a ce7, w fj W ),U 00L11,C - -
T Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
S. 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 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)
File#MP-2003-0025
APPLICANT/CONTACT PERSON J H J L INC
ADDRESS/PHONE 196 PLEASANT ST (413) 532-8693 Q
PROPERTY L
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM ILLED OUT
/ D --
Building Permit Filled out
Fee Paid
Typeof Constriction: ZPA-INSTALL REPLACEMENT WINDOWS
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
INFORMATION 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
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.
J;'INC t
File#MP-2003-0026 APPLICANT/CONTACT PERSON J
ADDRESS/PHONE 196 PLEASANT ST (413) 532-8693 Q
PROPERTY LOCATION 196 PLEASANT ST
MAP 32C PARCEL I6b QQl ZOlE CB
THIS SECTION FOR OFFICIAL USE ONLY: j
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Z ED OUT
Building
Permit Filled out
Fee Paid r
Typeof Construction: ZPA-RESURFACE FACE OF BUILDING
New Construction
Non Structural interior renovations
i
Addition to Existing
Accessory Structure
Building Plans Included•
Owner/Statement or License
z
3 sets of Plans/Plot Plan 6
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESF 'I'ED:
Approved (/Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan y
Major Project: Site Plan AND/OR Special Permit with Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
i
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
S 2
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.