32C-001 (23) 10. Do any signs exist on the property? YES LI NO
IF YES, describe size, type and location: jltiy�� A" scyaloTL, i c-,N (A-Ys
kKaJ AA 1`1/8 "�o L WI AIO �'<t 0-. AR'n t 5 q u c ua
AA A4 COL X17"t( fA4&AX- � � S?,s Ce- Af 9
Are there any proposed changes to or additions of signs intended for the property? YES '� NO
IF YES, describe size, type and location: � AIWA! 64,c1 41/1( Ntir Nt7 pRoey tmr" rV R&S-m 0Ri f
P1P FKpX 3` K ?j
11. Witt the construction activity disturb (clearing, grading, excavation, or filling) over acre or is it part of a common 3
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
De artment
EXISTING PROPOSED REQUIRED BY
Lot Size ZONING
Frontage
Setbacks Front AO 40 ono
Side L: R: L: R: L: R:
Rear l�Jhj G�
Building Height Building Square Footage
Open Space: (lot area
minus building Ft paved
parking GW °C� Ak G4—
#of Parking Spaces C�'"°''
Ak#of Loading Docks
04 CV"66 Nb C1/19 64,-
Fill:
(volume Et location) jjb ej/o rG (a&-
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: _(A �g ' `"( Applicant's Signature /
NOTE:Issuance of a zoning permit does not relieve an applicant's burden 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:\DocumentsTORWorigina]\Buil din g-Inspector\Zoning-Permit-Application-passive.doe 8/4/2004
File No. " `" �
ZONING :PERMIT APPLICATION 010.2)
Please type or print all information and return this form to the Building
Inspector's Office with the $15 filing fee (check or money order)payable to the
--- City of Northampton `
LIJ 1. Name off Applicant: 9�/lPr�
UJ c.Addf.ess: 116 el r%An r cA- � NPP'mw-("ON , NU- Telephone: G'bS 06 4-1
I.l l 2. liowner.9f Property: -kPAf S AOL,E p v f",N A/*N N(-5'& 9NV (mil
dress: l�° /V* / ST• ,-4rd V%coR- kp T\X% f7'*v , Mk` Telephone: 12 roe 2 CN,
tatus of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: 1QeTtl L'
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
$ - vz�& ,
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 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\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
File#MP-2014-0111
APPLICANT/CONTACT PERSON Thomas Douglas Architects
ADDRESS/PHONE 196 PLEASANT ST (413) 585-0641
PROPERTY LOCATION 150 MAIN ST
MAP 32C PARCEL 001 001 ZONE CB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT s
Fee Paid o W/O
Building Permit Filled out
Fee Paid T5=r= ��t MA4(j C R A G
Typeof Construction: ZPA-LOWER LEVEL RESTAURANT&BAR _
New Construction REv is W -Fo 2 a 2F``' l�"C (�t®!�
Non Structural interior renovations F 0 6P T i AIL, Co b€ Co N C61-CN
r.
Addition to Existing Fu t. cbl;
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
INF RMATION 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 Pen-nits 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 Connnittee
Permit from Elm Street Commission Permit DPW Storm Water Management
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.