32C-331 (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 column reserved
for use by the Building
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
91 ,E®o sl= ` 91 , �o s>= d
Frontage
Setbacks Front 2p
n1/A
Side L: R: L: (S' R: (S ' L: l 5;" R: /S-
Rear
ZD' `s v
Building Height
Building Square Footage
�►/P. 9, Soo s. F. t
Open Space: (lot area -7 O/ r �1
minus building Et paved parking 10C)7-
# of Parking Spaces
# of Loading Docks
Fill:
(volume Ft location)
12. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: t y c), 7a 2�ro3 Applicant's Signatu a"Q-
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.
000 Pdr
" File No.
=� ZON.T.�G P.LRMI�TA.PPLICATION(§io:2):
Please type or.print all iAformation and return this form to the Building
Inspector's Office with the $so.filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: W uv\��eU Ass o Ll cu}es, P.C.
Address: 39 Zndu5+yia1 Drive Easy N64Y 10L kuh Telephone: (41--b) 5464-'1444
2. Owner of Property: bonToti1 aid MQky\e Corpora,Aion Yo S,ndusri-es,INC
_ 012 - IlvBi (a"IS io
Address: oh trod k �oR'tH ��Iler'�c� Ml�c Telephone: ��4'�
3. Status of Applicant: Owner Contract Purchaser X Lessee Other (explain)
4. Job Location: 4oc.k.ca.nwv✓► �o -
Parcel Id Zorimg'Map# < y Parcel#___� Dutnct(�} �
fir 2.,t
InElm.Street Dis'
trict In Central Business District ., r ..
�TO'BE FILLMIN'BY'THE BUILDING DEPARTMENT X ,_
5. Existing Use of Structure/Property: a,CGa-rim
b. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
C C"," - 'w 5 tuv� ti- TouMl�oua�/Goy c�0 5
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 DON'T KNOW --->c 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 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-2003-0125
APPLICANT/CONTACT PERSON HUNTLEY ASSOCIATES PC
ADDRESS/PHONE 30 INDUSTRIAL DR EAST (413) 584-7444
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
CONING FORM LED OUT
ee ai
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-CONSTUCT 15 UNITS TOWNHOUSE/CONDOS
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 ACTIO HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRES TED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan _p
Major Project: Site Plan AND/OR e/Special Permit with Site Plan C--
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
I/ Permit from Conservation Commission Permit from CB Architecture Comirlittee
Permit from Elm Street C 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.