35-040 33 SYLVESTER RD (4) s
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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. Will the construction activity disturb (clearing, grading, excava ton, or fitting)over 1 acre or is it part of a common
plan of development tha will disturb over 1 acre? YES NO
'Al,I y e7 s(,,^e
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 /0 AeAer c?r, /614tie
0, 3 7
Frontage C f r,fii t s yj
Setbacks Front t S'J, c
Side L: (d: R: L: � R: l(, L: R:
Rear
Building Height
Building Square Footage / OG: i� F.,-r
%Open Space: (lot area L9 k1 fr 7)f
minus building It paved Q '7
parking
#of Parking Spaces
#of Loading Docks
Fill:
(volume Et location) �. yd e
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: �� 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.
W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
gal
Please type or print—alHin-fo-r—m-abon and return this form to the Building
Inspector's Office with the$15filingfee (check or money order)payable to the
City ofNorthampton
1 Name of Applicant: tl; 1Y O/Z 7A,4--719--701
-}/O ' ��� ��^ Id K3--_Sj
3' Owner of
Address: 3-5-/ —Telephone:
-' Status of Applicant:- Owner ----- -----' Purchaser-------~^~^`------~~'^' .`~p~^'
�3 '�
4. Job Location: ~-- -~
In Elm Street District In Central Business District
(TO BE FILLEDTN By THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: ��� � ^�^~ e
6. Description of Proposed Use/Work/Pn4ect/Occupatiun: .(Use additional sheets ifnecessaq/):
7. Attached Plans: Sketch Plan __£�� SicePian Engineered/Surveyed Plans
8' Has a Special Permit/Variance/Rnding ever been issued for/on the site?
NO DON7 KNOW YE5 |F YES, date issued:
IF YES: Was the permit recorded at the Registry ofDeeds?
��—�
NO DON7KNOYY YES
IF YES: enter Book Page and/or Dncumenc#
9.Does the site contain a brook, body of water orwetlands? NO DONTKNOVV YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
~�
Needs to be obtained Obtained , date issued:
� � ��
�� 'v��/� r� ' �t� ������� �/
- (Form Continues on Other Side)
112 e
W:mwmvnts\FOmmomuumuTmming-Inspector\Zonizg-rermm-App|mati^u-passwv.doo 8/4/2004
File#MP'--2008-0086
APPLICANT/CONTACT PERSON City of Northampton-Office of Planning&Development
ADDRESS/PHONE 210 Main Street () 587-1265 ()
PROPERTY
Or
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM ILLED OUT
ee
Building Permit Filled out
Fee Paid
Tweof Construction: ZPA-CONSTRUCT 4 UNIT OPEN SPACE RESIDENTIAL DEVELOPMENT
(CLUSTER)
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 ACTI�N HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PR�TED:
Approved {/Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project: Site Plan AND/OR 00 S ecial Permit with Site Plan
Major Project:_�/Site Plan AND/ORpecial 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 fro in Street Commission _JPermit DPW Storm Water Management
1 200
Signature of Building Official bate
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.