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\ LOCUS REFERENC
BOOK 1421 PAGE 5
\MAP 23A LOT 278 \
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SKETCH PLAN OF LAND IN
NORTHAMPTON, MASSACHUSETTS
PREPARED FOR WALTER MAREK
MARCH 20, 2014
10 = 30'
HOLMBOG&HONE INC.
87 UNION ST.
E4M MPTON, MA 01027
413-529-1700
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, 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
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
Frontage
----------Setbacks —Front -- - -"+ ---- - ---
Side L: I()i R: { Z:) L: f7 / R: S t
L: R:
----------- --------- Rear _ —_I-�� --
���)+
Building Height UI 4l
Building Square Footage � -I VO 0
%Open Space: (lot area
minus building &paved
parking
#of Parking Spaces
#of Loading Docks
Fill: f
(volume&location) f
13. Certification: I hereby certify that the information contained herein is true and acc rate to the best F:"
my knowledge. // 4
Date: 3 � L1 Applicant's Signature
NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply with all\M,�
g
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
File No. /V P �y
ZONING PERMIT APPLICATION(00.-2)— �
Please type or print all information and return this form to the-Buildi ,,s
Inspector's Office with the$15 filing fee (check or money order)payable to he
/
City of Northampton -t-
1. Name of Applicant: E V ���t�`- —� �� r� ��-C; "rnJ j Jr`,
Address: �� ,�'^ �, �� in
Address:- ) (' J_q _
2. Owner of Property: 7�-�' z Q l Q
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain)
b �S (� --�
4. Job Location: �^�c��- �
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY( cTHE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: <<` WhI Use/Work/Project/Occup-atti�onf_(Use_additionaI sheets if.-necessary)-- ----- _
JF
1 n, A '
►"�� ?�'� ''�'�.
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 A YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW X YES
IF YES: enter Book Page and/or Document#
9.Does the site contain a brook, body of water or wetlands? NO X DONT 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:\Documents\FORMS\original\Buil ding-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
File#MP-2014-0075
APPLICANT/CONTACT PERSON WALTER MAREK III
ADDRESS/PHONE 73 SOUTHAMPTON RD (413) 527-7667 Q
PROPERTY LOCATION 205 NONOTUCK ST
MAP 23A PARCEL 278 001 ZONE SI(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid_
Permit Filled out
Fee Paid
Iypeof Construction: ZPA-DEMO SFH&CONSTRUCT SEE
New Construction
Non Structural interior renovations
Addition to Existing
AccessoEy 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 BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed .
Other Permits Required:
✓ iJEMoL1T�oN D,60iti N 1 S d'1?A CAA- Ca""t"14�
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 Commission Permit DPW Storm Water Management
1y
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.