25A-075 (6) 10. Do any signs exist on the property? YES NO _x____
IF YES, describe size, type and location;�
Are there any proposed ahenges to or additions of signs inteneed for the property? YES-NO--!--
IF YES, describe size, type and location;_
11. Will the construction activity disturb(cloarirg, grading, excavatinn, or fillinq) over 1 acre or is it part of a common
plan of dcvealopment that will disturb over 1 acre? YES NO x
IF 'DES, then a Northampton Storm Water Management Permit from the DPW is required.
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED OUE TO LACK OF INFORMATION
Mis eo.lanm reserved
far,use ky the Buff d:n£
r_ _ Dcpctrtraent
- - EXISTING PROPOSE11 REQUikED BY i
ZONING
Lot Size
24,700 same 80,c-do ��oocti
Frontage _ /7�'
108' sane
Setbacks Front 1 350 same yG
Side L: 15' R: 50, L: tame R: same L: R:
Rear 90, game
8�
Building Height n/a ao��
Building Square Footage
1 ,800 same
%Open Space: (lot area
minus building& paved q 00
rkln
#of Parking Spaces
s+ of Loading Docks i
I
Fill;
(volume& location)
13. Certification: I hereby c eriify that,ht:information containers herein is trur And accurate to the best of
my knowledge. Q
Date: .`_��Q�" Appiitant's Signature_T
NOTE.Issuance of a zoning permit doers riot relieve an applicant's burden to comply with all zot%ing
requirements and obtain all required permits from the Board of Health.Conservation Carr n4ission.
Historic and Architectural Board%,Department of Public Works and other nppl[cable permit granting
authorities.
%N'iIxi un tints•FVR'"<.'wP.init,Dv!!;Fy4-,•p,nu;.!,,,h Pcrri;1. 4 4':n014
Lam• �� � � �f'�'
tl yT h ���� .i { File No.
ZONING PERMIT AFPLICA TION 010.2
"Pletye or pram all information and return this form to the Building
�Iinspect r t ff c !dvitt� the $15 frling fee (check or money order)payable to the
City of Northampton
1. Name of Applicant:Richard VJ. In arsoli _ _ - -• --
Address: .74 hlnhnl,rc Trailer Qanfield, biA 01302* _Telephone: 413-774-2331 -
*c/o Alan Verson, 56 Main St. , Northampton, MA 01060
2. Owner of property: same �..�-
Address: _. _ _Telephone:____
3. Statics of Applicant: Owner X i_ Contract Purchaser_ I r-ssee_ Other (expla•+n)_.
4. Job Location: 3 niverhank Road
Parcel Id: Zoning Maptf � Parcel# > District(s): c
In Elm Street District_ In Central Business District_____
0 BE FILLED IN BY THE BUILDING DEPARTMENT)
5 Existing Use of Structure/Propvrty:_,vacant at present:
6. Description of Proposed Ust!/Work/Project/Gcrjpation: (Use additinnal sheets it necessary):
The huildisg.-eras hi I+ building. The at uc art ie net in tze
flood zone, even though the lot is zoned S.C. The neighborhood is entirely
residential and the property has been used as a single-family dwelling for over 20
years. Y request zoning permission to uae the building as a sing. -farsily res�cmn.e.
7. Attached Plans: Sketch Piarr .,_ Site Plan % Enginourcd/Surveyed Plans
8. Has a Specla! Perm it/Vtariance/Firiding ever boon Issued for/on the site?
110 -X denied DON'T KNOW __. YFS _ !r YES, datr_ issued:—_
IF YES: Was the permit racorded at tYle, Registry of W.ds?
NO _ DON'T KNOW YES
IF YES: erter Book Pago and/or Document N
9.Doe5 the site contain a brook, body cf wstty or v:etland0 NO DON'T KNOW _x .-_- YES
IF YES, IVIS l Permit boon or noed to ix obtalred from the ConservaTInn Commisslnn?
Recd-,to be obtaireo Obtalred date issued:—...
,Form Contsnuac on C1her site,
W.Uocvn+.en:S.l•1. 4N1<,..ipin0l Doi ld=�;.`1 uI,cMnr!,r.i-le-DeiMit- 4412604
File#MP-2005-0049
APPLICANT/CONTACT PERSON VERSON ALAN
ADDRESS/PHONE 56 MAIN ST (413)586-1348
PROPERTY J OCAT10N 3 RIVERBANK RD
MAP 25 PARCEL 075 001 ZONE SC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
- -- ENCLOSED REQUIRED DATE
ZON�FQ ILL ED OUT
Buildinp,Permit Filled out
Fee Paid
Typeof Construction: ZPA-SINGLE FAMILY USE
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,
TED:
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* �J
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 ElmStreet Commission
�O
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.