22B-111 (4) 10. Do any signs exist 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 NO
IF YES, describe ci7a type and location:
r�
11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common
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
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
,30� S�
Frontage Z&x 0'T
Setbacks Front -3a 0 0
Side L: '100 R: L: �� R: L: /S—R:
Rear
Building Height
Building Square Footage
7006) 3360,
1%Open Space: (lot area
minus building&paved
parkinq
#of Parking Spaces
#of Loading Docks
l�
Fill:
(volume& location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: �r(� r Applicant's Signature PP 9
--N-O-TE-Issuance r,f a znninQ Hermit does not relieve an applicant's burde to comply with all zoning
-------rL-gnirenrentsanrl obtairrall requiered peitsfrora. he--R4 aid—al Hpal onseryafion Commission,
Historic and Architectural Boards,Department of Public Works and other applicable permit granting
authorities.
W:`Documents,,FOR-MS',orieinal\Btilding-InspectorZoninS Permit-Application-passive.doc 3i4/Z004
File No. q
3 APR 2. ? 1J T `P1G ' fl :
'lease type or pri' # all information and return this form to the Building
spec a»'s (1�se tiVX the $15 filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant:
Address: AW
2. Owner of Property: eF Z7,e57 ri 7
Address: 54 'Telephone:
3. Status of Applicant: Owner - Contract Purchaser_ Lessee Other (explain)
4. Job Location: c� ✓ 182��,/CL�
Parr, t f`cf anu€g NCao# �ar�et#�
tri Elm Street Qistr€ct in CentraE Bus€ness t1 tstrtct- -
( 'BE'F[C/E-ED.,
i .€N BY.. HE BC1[CQtlVO QEf'ARTMQV Z;-
5. Existing Use of Structure/Property: G! t1 y s '4'6 66-
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
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? AVID
Needs to be obtained Obtained date issued:
(Form Continues On Other Side)
W:DocumentslFOR:viS',original\Building-InspectorZonin�--Permit-Application-passive.doe 3h4/=00 4
File#MP-2008-0069
APPLICANT/CONTACT PERSON MATT MURPHY
ADDRESS/PHONE 135 DUNPHY DR (413)584-5900 O
PROPERTY I7 SPR_NG ST
4. . . - WP/WSP
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ONING FO FILLED OUT
ee
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-OUTDOOR PAVILION W/2 BATHROOMS&KITCHEN
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 VAdditional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: §_ SP -�~�� ��� Z.
Intermediate Project: Site Plan AND/OR y Special Permit with Site Plan 3S�
Major Project: Site Plan AND/OR Special Permit with Site Plan
S9
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
ermit from Conservation Commission Permit from CB Architecture Committee
Permit from EVS Commission Permit DPW Storm Water M agement
Signature of Building facial Dat
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.