25A-085 (3) /C)
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10. Do any signs ebst 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 N0 j/
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colaam to be filled in
by the 8aildiag Department
Required l
Existing Proposed By Zoning
Lot size X 4S/ !f Or�j ga
Frontage
Setbacks I f
- side L`3y/-40 R: / L: R:
rear ut
Building height
Bldg Square footage la3 Z
�3
%Open Space:
(Lotarea minus bldg
&Paved Parkingi
# of 'Parking spaces
f of Loading Docks
rill:
{volume--& location)
A
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: —e, APPLICANT's SIGNATURE i
NOTE: issuanoa of a zoning permit does not relieve an a / - `
zoning requirements and obtain ail required PPlioan burden al comp!)+ err o
q permits from the hoard of FI®alth, Doinservotion
Commission, Department of Publio Works and other appliomble permit granting authoritias.
FILE I
Fr�,
I� Ui AUG - 0 2003
File No. J_ -�`j
DEPT OF BUILDING INSPECTIONS
lot OM NWHANPTON,MA 01060
ZONING PERMIT APPLICATION
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: .�. '��7% 1€ �i fc
Address: -� J� '' >° Telephone:
2. Owner of Property: �7 A,/ �l ,�e /0
Address:Z 3 7 -?ZO9 L. •/"/�1. L f�/ Telephone. � �j
CS' F.
3. Status of Applicant: Owner�Contract Purchaser Lessee
Other(explain):
4. Job Location:
.�
Parcel Id: Zoning Map# 02V Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of StructurelProperty xy-
6. Description of Proposed Use/Work/Project/Occupabon: (Use additional sheets if necessary):
t
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
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 7 ' 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-2004-0015
APPLICANT/CONTACT PERSON NESTOR CAROLYN
ADDRESS/PHONE 237 PEARL ST (413)536-5549()
PROPERTY LOCATION 359 BRIDGE ST
MAP 25A PARCEL 085 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FO ILLED OUT
ee
Buildiniz Permit Filled out
Fee Paid
Typeof Construction: ZPA-2 FAMILY
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 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:
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 Commis 'on
72�� - 9 ?le 3
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.
F ' MP-2004-0015
a ,
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 4302
Map:
Block: ZONING PERMIT
Lot:
Permit: ZONING PERivITT APPLI APPLICATION PERMIT
Category: Zoning Permit
Permit# MP-2004-0015 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2004-0202
Est.Cost: Contractor: License:
Fee: $15.00 Homeowner as Contractor
#of Fixtures: Owner: NESTOR CAROLYN
Applicant: NESTOR CAROLYN
AT. 359 BRIDGE ST
ISSUED ON. 14-Aug-2003 AMENDED ON. EXPIRES ON.
TO PERFORM THE FOLLOWING WORK:
ZPA-2 FAMILY(MUST HAVE SINGLE ENTRANCE FOR BOTH UNITS)
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Zoning Permit Application REC-2004-000395 06-Aug-03 2737 $15.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2003 Des Lauriers Municipal Solutions,Inc.