29-134 (3) 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:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This col— to be filled in
by the Banding Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks --
I
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of Parking Spaces
f of Loading Docks
Fill:
{volume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowled e.
DATE: �2 fa?Y/03 APPLICANT'S SIGNATURE
NOTE: issuance of a zoning permit does not relieve an aisplicant's burden to oomply wlttp .all
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission, Department of Publio Works and other applloable permit granting authorities.
FILE #
JUN 2
S 2003 Fi 1 e No. —0,3—Qc
G ERMI
ROT OE Bt1tL DING INSPECTIONS T APPLICATION M 0 . 2)
N t;j,�Ar. tori,MA o TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: / I /Ch A A2 W.
Address: ' >�/ 19 YnD C4; .4ZEeA3 CC,t9 A , Telephone: 44 6'7`2 3
O.1 o�"t?
2. Owner of Property: t'5A Yv?
Address: rh F4 A - Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: �
Parcel Id: Zoning Map# /L3 ZI�� Parcel# � District(s):
(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):
6w, J'A Ly,A 6 f Z±F yk)
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/yariance/Finding ever been issued for/on the site?
NO k' DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO r'�'" 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:
(FORM CONTINUES ON OTHER SIDE)
File#MP-2003-0184
APPLICANT/CONTAC I ''' ":CHARD W&BEVERLY A
ADDRESS/PHONE 7 A! _) C
PROPERTY LOCATIO'
MAP 29 PARCEL 134
I',�;y FOR OFFICIAL USE ONLY:
I T APPLICATION CHECKLIST
/ r ENCLOSED REQUIRED DATE
�GF FILL i
r
Building Permit Filled
Fee Paid
T_ypeof Construction: Z'::' �LER
New Construction
Non Structural i"
Addition to Exisi
Accessory Stni_
Building Plans Include('
Owner/Statew,
3 sets of Plans; !
THE Ff�LLOWING 1 "EN ON THIS APPLICATION BASED ON
I F ATION IT:
Approved red(see below)
PLANNING 1, ;":RED UNDER: §
Intermediate 1'r- ' '�'WOR Special Permit with Site Plan
Major 11ru IXOR Special Permit with Site Plan
ZONING BO., UNDER: §
Finding ;„i t Variance*
it Registry of Deeds Proof Enclosed
Other Permits i
Curb ✓ater Availability Sewer Availability
-Septic .' Well Water Potability Board of Health
Permit -,ion Permit from CB Architecture Committee
Pernii: >
�Gy Z L
Signature of Buildin, Da e
Note: Issuance of a ,,e a applicant's burden to comply with all zoning
requirements and o!) m Board of Health,Conservation Commission,Department
of public works an,: : Ming authorities.
*Variances are granic ho meet the strict standards of MGL 40A.Contact the Office of
Planning&Develop
MP-2003-0184
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
4859
Map:
Block: ZONING PERMIT
,Lot:
Perrot:
ZONING PERMIT APPLI APPLICATION PERMIT
Category: Zoning Permit
Permit# MP-2003-0184 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2003-1875
Contractor: License:
Est. Cost: $0.00
Fee: $10.00 Homeowner as Contractor
#of Fixtures: Owner: BALISE RICHARD W&BEVERLY A
Applicant: BALISE RICHARD W&BEVERLY A
AT. 7 ALAMO CT
ISSUED ON: 27-Jun-2003 AMENDED ON. EXPIRES ON. 27-Jun-2004
TO PERFORM THE FOLLOWING WORK:
ZPA-TEMPORARY TRAILER
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-2003-003917 25-Jun-03 615 $10.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
CieoTMS®2003 Des Lauriers Municipal Solutions,Inc.