32C-215 (3) t
- i
21/2 STORY
HOUSE
. �
y
5 2'zt: wry
SOURCE ONE AND THE FIF
nowledge, inforrrratrcin and beliaf, l i.er"by report that 1 he
irnprovernents as located on the premilses described, thot
MrOachmrents upon the prsmeses dosrcr bed by the Impr',- v+s
19ements of record affecting the tract sihowr: hereon. exce
the premises shown on this plan il a , not iacot�rd w c�
'. ;'.rsr4,mr-r') Iv%wtJrmnc-- ? Administration Maps.
10. Do any signs exist on the property?
N0 DON"T KNOW YES lqw
IF YES, describe: Size: x x
length width depth
Type:
Location:
Are there any proposed changes to or additions of signs intended for the property?
N0 DON"T KNOW 0 Y€
IF YES, describe: Size: x x
length width depth
Type:
Location:
11. 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 (ft ) 0
Frontage
Front
Setbacks @war L• R: L• R L: R•
btr}e •' a
Building Height (ft)
Building Area (ft')
Building Volume (ft')
Total Area of Paved
Parking, Decks, and
Other Impermeable
Surfaces (ft)
Area (ft ) % Area(ft ) % Area (ft )
lot 0 lot 0 lot
Open Space: building 0 - building 0 - building
impermeable 0 - impermeable 0 - impermeable
Total 0 0.00% Total 0.00 0.00% Total '
#of Parking Spaces
#of Loading Docks
Fill: volume (ft) volume (ft) volume(ft)
location I location location
12. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge. /
i --- 10/
Date: Y / / OS 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.
OOO.pdf
t
a�1 fIL9 -
i I
JUN - 9 2005 File No/'72 —�
t-�- - -�-- ^ Z-ON NG PERMIT APPLICATION § 10.2
R.1C0mpletp Ahi+s form u ing your computer and the free Adobe PDF Reader
rtt tp:%/www.adobe.com/products/acrobat/readstep2.htm1). Print the completed form, sign it,
and return it to the Building Inspector's Office together with the $15 filing fee (check or
money order) payable to the City of Northampton.
1. Name of Applicant: _,.b k✓1
Address: 3 7 d^���Y� e 5 / City: S
�� `7 ��(.�/► tate: Al't Zip: O10f,D
Telephone: 4-415
2. Owner of Property:
Address: 7 � "`� 51 Citv: /v-10r�""rA�P State: Arm Zip: Q<:,�o
Telephone: 4(3 67-6 y 3 vv
3. Status of Applicant:
Owner C� Contract Purchaser 0 Lessee 0 Other (explain) �.
4. Job Location: L/IJ-111L /VD�rkeik P 6r---N Town: r
Parcel Id: Zoning Map# Parcel# Districts)
In Elm Street District ! In Central:Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property:
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Cf)/7t;rwc O et, oeC
7. Attached Plans: Sketch Plan Site Plan 0 Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DON'T KNOW 0 YES (j) IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW 0 YES 0 IF YES: Book Page and/ Document#
or
9. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW Q YES
IF YES, does a permit need to be obtained or has a permit been obtained from the Conservation Commission?
A permit needs to be obtained 0 A permit has been obtained and was issued:
OOO.pdf
File#MP-2005-0136
APPLICANT/CONTACT PERSON BOUCHER JOHN J SR /1
ADDRESS/PHONE 37 HOLYOKE ST APT B (413) 586-9320
PROPERTY LOCATION 37 HOLYOKE ST
MAP 32C PARCEL 215 001 ZONE URC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM F LED OUT
Fee ai
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-CONSTRUCT DECK
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 BOARDPERMIT REQUIRED UNDER: § IP, 311 /,,
—s
Finding Kk 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
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.