29-016 (7) Fcii�ofNorthampton, MA: Residential Property Record Card
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Parcel - Location Zoning- �.
Map-Block-Lot: 29-(
Location: 32 HICKU,
#Living Units: -- .
C lass: 1 l'V
Dwelling Information ! C
Style:
Year Built:
Story Height:
.Attic:
Basement:
Total Rooms: ...........
�
Bedrooms:
4
Full Baths:
Half Baths: ' 4 � ` �\
Exterior Walls: I'
V ,
Unfinished Area:
Ground Floor Area:
Total Living Area:
Finished Basement Living 3 • ` w
Area:
� 4
Basement Recreation Area: m.
Woodburning Fireplace
Stacks/Openings:
Metal Fireplace
Stacks/Openings:
Heat/Central.A/C: /
Heating System:
i
Fuel'Type:
Quality Grade:
Physical Condition: __ ...._ .....z
Interior/Exterior: .'
Condition/Desirability
/Utility:
Vacant/1)well/Oby Status:
Additional Features:
Brick Trim:
Stone Trim:
Remodeling Data:
Year Remodeled: zuvl , --
,Q
Kitchen Remodeled
(Y/N):
Bath Remodeled (Y/N):
band Data Outbuilding Info
Square Foot Type
Utilities
1Y1.)e F's(5 Value no
Feet
Prime information _ _
[14,590 99(10, "Site '
Iype Qty Year!Size 1;Size21.Grd Cond
__ •no information; __�'
l
SreeRoadtt/1ce_ T yPc ;
/
1�1)e Acres,Value; no ( L?
0.
information
y��!f
q `t5
oft
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—1--'
IF YES, describe size, type and location:
11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO _&.--
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
De ariment
EXISTING PROPOSED -R, IUD -y
Ziff
Jim
Lot Size
Frontage
Setbacks Front 6 / "r /
30
Side L: 3� R: ?)� L: �L� R: 3/ L. /S R:
Rear Z10/ ?� O
Building Height
Building Square Footage
Z z?38 -
%Open Space: (lot area
minus building&paved J 03 54' A v(/-,
parking/
#of Parking Spaces
Nti�2. -
#of Loading Docks 0
FILL• O
(volume& location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: vV" ` Applicant's Signature
NOTE.Issuaxxce of a zoning permit does not relicvc 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:\Dwuments\FORMStoriginal\Building-Inspector\Zoning-Permit-Application-passiN,e.doc 84/2004
` a . JUN 2 9 2009 ' 'I
File No.Zf
Please type or print all information and return this form to the Building
Inspector's Office with the $15 filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: 1F1 1mil bmq y --Feict -
Address: 34 ?ATE5 5T• Telephone:_ -4 �7` 109c)
2. Owner of Property:_ U � -
Address: 32., f! &Q Y-Lf y!(�� We-0 L2— Telephone: ff 1 �o �—��_3
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. Job Location: Z /GK�YZ-� iv�
Parcel Id: Zoning Magi District(s).
i -Elm Street District 1n.Central Business,District
UO. ETILLED IN BY THE BU//1LD11VG""UEPARTNtENT}
5. Existing Use of Structure/Property: / 17 7 �.
6. Descriptio of Pr posed Use/Work/Project/Occupation: (Use additional sheets if necessary):
�_ ,�✓ ,( KJ/7�/ r/ %dYLec I ef71��D z Vl 4159 5V kyex,(/1 h/
40 T3G d vcz'- Q,f GL!a�C NOD k,i��6P_ D'K12!Z/�f I,A 261-
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
8, 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 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)
W:\DocumentsTORMS\original'Building-inspector\Zoning-Permit-Application-passive.doc 814/2004
File#MP-2009-0110
APPLICANT/CONTACT PERSON FEICK ELIZABETH C
ADDRESS/PHONE 34 BATES ST (413)584-1090 Q
PROPERTY LOCAIM 32 HICKORY DR
M 29 PARCEL,016 001 ZONE ai
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM ILLED OUT 14 4g=
Building Permit Filled out '
Fee Paid
Typeof Construction: ZPA-ADDITION
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 PRE�ED:
Approved dditional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: §_ 3 Jcr-
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* C '
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 Permit DPW Storm Water Management
Signature of i ding 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.