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23B-019 iv < O K `_"1 n ',$'. "' N .D •d .`� N ." Z :0 F r ,_, C y O fl- ti O it Q' O rc O S (iq O a`GJ � �+ a • � �fD "` �"� f�D N d �''(9 !D � .�q N � d cs �n yra y o Nr.w w n y " �.H •P C h aoa o 0 0 ° o 'Q O n Y O p (D C cD y C S � N G �O�U [D co '✓' c y � w �. "ej ry �. �'�' � C ens �. � CD o CL w °o a m o n s S 10 �•oA O A � C W e„r �� .b �as ° �•R7 �`� ° > 0 o- y = CD ro a @ ? _: to m o •+ O c CP cs X 7J Vi'z7. O w C m ^O N' CD UP 0 ov,oy n � 3 H n. y N O ° C, CD =2 O Q �' n Q �O4 pq L1 cna 5 ° n.O Sn w cr y� r ° r r rt w O C b0 7 o O W N w d W 10. Do any signs exist on the property? YES NO IF YES, describe size, type and location: *�� 2� r "En c nA \i6, (A Are there any proposed changes to or additions of signs intended for the property? YES NO V IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 e or is it part of a common plan of development that will disturb over 1 acre? YES NO L/ 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 ' l �I Setbacks Front 1 � Side L: R: L: -La` R: 3L)- \o" L: R: Rear ap' Building Height a s' Building Square Footage 1 SUv %Open Space: (lot area minus building &paved parking (0ck, Uv #of Parking Spaces #of Loading Docks Fill: (volume & location) h 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: �" I 30 Iq Applicant's Signature NOTE:Issuance of a zoning permit does not relieve an applicant's 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:\Documents\FORMS\original\Buil ding-Inspector\Zoning-Pemut-Application-passive.doc 8/4/2004 .MR 6 2QiA ' i18CtnC,Ptumbin9 &Gas is►sPO`'Ons File No. 9P -- ZOIIIVG PERMLT APPLICA`TI011T:(.§l0:2) Please type or print all information and return this form to the Building Inspector's Ofice with the $15 Filing fee (check or money order)payable to the City of Northampton 1. Name of Applicant: Address: �3 /ZJTO—f'2 f� Eezi !' z i {�LC� Telephone: cat-S- S Fit— t 'F 3 Ir 2. Owner of Property: y�� � k/Y l lt� /-V A If Y7 - -— Address: 2> k j �'Y-e e rl1(),4 gvhj F�Telephone:_ X100-1 3. Status of Applicant: Owner Contract Purchaser 1' Lessee Other (explain) 4. Job Location: �U �CL -c�� r ems{ (uvn{�r3�,, �. N-)R O c c;e Parcel Id: Zoning Map# Parcel# District(s): In Elm Street District In Central Business District TO,BE FILLED IN BY THE BUILDING GDEPARTMENT) . 5. Existing Use of Structure/Property: (A )CA S CA 11 c U S c n S 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 0 yvx-ce�t Ctj&j2-.r -e5 S -- 7. Attached Plans: Sketch.Plan Site Plan Engineered/Surveyed Plans 8. Has a Special Perm it/Variance/Findi'ng ever been issued for/on the site? NO DON'T KNOW V 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:\Documents\FORMS\original\Bui lding-Inspector\Zoning-Permit-Application-pass ive.doc 8/4/2004 File#MP-2014-0084 SE?BACK rA t l S r Q . SHoi�N Q� f�utic,D 1+� APPLICANT/CONTACT PERSON KELLEY PETER ADDRESS/PHONE 503 NORTH FARMS RD (413)320-2446() QiL R AM AJ'P 1.1(A T W N 5 PROPERTY LOCATION 30 HATFIELD ST MAP 23B PARCEL 019 001 ZONE SI(100) THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: ZPA-LANDSCAPE BUSINESS 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 INFQRMATION 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 Commission Permit DPW Storm Water Management C, "`, / .4 t l c 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. , 30 HATFIELD ST MP-2014-0084 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIS#: 3001 Map: 23B Block: 019 Lot: _ ZONING PERMIT - 0©1 Permit: ZONING PERMIT APPLI APPLICATION PERMIT Category: Zoning Permit Permit# MP-2014-0084_ PERMISSION IS HEREBY GRANTED TO: Project# JS-2014-_0_01825 Est.Cost: Contractor: License: Expires: Fee Charged:$15.00 Homeowner as Contractor Balance Due:$.00 Owner: LONGTIN KYLE R r#of Fixtures 'Applicant: KELLEY PETER - . - -- D1gSafe# AT. 30 HATFIELD ST UseGroup - - ConstClass ISSUED ON. 18-Apr-2014 AMENDED ON. EXPIRES ON. TO PERFORM THE FOLLOWING WORK. ZPA-LANDSCAPE BUSINESS 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-2014-006007 16-Apr-14 3331 $15.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbrouck @northamptonma.gov GeoTMS®2014 Des Lauriers Municipal Solutions,Inc. Qt _ort�1 6E�' PRori?�� U45 f 16 .50� i5 1 VVf Q ( I i,�(7`CV dV�SNh G 6ktf, C-�1 40 PM FA C-6 , — �,°I`��,00 LPG_ -----.------.-._______ i 0 �I