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25A-107 (18) *4 s 1. 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Do any signs exist on the property? YES ✓ NO IF YES,describe size,type and location:_ 04 F'A -rpNe-e �rj_froPe, / G ,X L , Are there any proposed changes to or additions of signs intended for the property? YES '� NO ✓ IF YES,describe size, type and location: r I. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This column to be filled in by the Building Department EXISTING PROPOSED R 3013 WD'-Y Lot Size 7b ' x -11 of ]p' X 110 oi ac its J, Frontage 1 70 1 74 las Setbacks Front J nom, 1 Side R:L: ' i t (L: 15 R: 1St I,. i,40 R: Do f O Rear Building Height + Building Square Footage Li ' J� 0 UO mil? M a%Open Space: oot area minus building&paved 3J 35 parking #of Parking Spaces #of Loading Docks { Wc e Fill: (volume&location) 12. 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 a 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. f File No. `MO-6ca ZONING PERMIT APPLICATION (§10.2) Please type or print all information and return this form to the Building Inspector's Office with the $10.filing fee (check or money order) payable to the City of Northampton 1. Name of Applicant: CAr i s+o f tier- 4- CX4 \6L A q.0 a dro Address: 04/f Telephone: It/3 5'Y` 7 3 7 3 2. Owner of Property: bt•Af-u4,/ PICr�C. (Ovc�6M�wtw», ltkS� C/o CL� 1-C)e"4-h,a ►4gk� �ro Address:—,.0 01 IS W r�O_Mea13+�, MA Telephone: !J1 sg�/ /535 , 3. Status of Applicant: Owner � Contract Purchaser Lessee Other(explain) 4. Job Location: 3!;T 6r%c6 S`t AJOf`wltlw-f 4m,,, M11 a Parcel Id: Zoning Parcel# 1p Z District(s): SR w In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUMDlNG-DEPARTIvIEN'1M 5. Existing Use of Structure/Property r)F�tc C 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 1v�►Skfkr_1- a` k S4jrJ "o" Cnm6w.LQe Pre. e-9 INee.e,J gap'Aq p xt5 ` rvr skra..9e. of VA'c t snow Piov. oFr-tce fglC si6axaif 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special PermittVariance/Finding ever been issued for/on the site? t.l NO DON'T KNOW YES `� IF YES,date issued: Nl4rtk ;CjC'/ IF YES: Was t he 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) File#MP-2002-0026 APPLICANT/CONTACT PERSON AQUADRO CHRISTOPHER T&CYNTHI ADDRESS/PHONE 355 BRIDGE ST (413)586-7373 O PROPERTY LO T t 355, RDE ST P R tN) }Ulm THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FO FILLED OU ' ¢Permit Filled out Fee Paid T_ypeof Construction: ZONING-CONSTRUCT 31.5 X 31.5 GARAGE New Construction Non Structural interior renovations Addition to Existiniz 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 FNTED: Approved V 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: § qr ,� 61;r- �s/ef- Finding // Special Permit Variance*n i1#'L.�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 Elm Street Commission 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.