17B-010 (7) 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 l,�
IF YES,describe size, type and location:
�. 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 REQUIRED BY
ZONING
Lot Size / I
Frontage ,
112 i
Setbacks Front 4;
Side L % R. L
R:
Rear
Building Height
Building Square Footage
% Open Space: (lot area
minus building&paved
parking
#of Parking Spaces
#of Loading Docks f
Fill: _
(volume&location)
12. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge.
Date: ���' (' v Applicant's Si nature
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.
JUN 2 6 2001 File No. 9N ol
F ,NG, IN PERMIT APPLICATION (§10.2)
UIUDU
PI. of pnn a in ormation 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: //i�
Address: l��'t ���/� ��`% ���LC /����/� Telephone: y/3 "5-3 6 3
2. Owner of Property: .�7 �a�/7�
Address: /3 7 /V 019, 7/4 5 PEE-7 Telephone: 52 ` f
3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain)C_'%'� ✓�=�y ��
�
4. Job Location: y r-
)/<— G
Parcel Id: Zoning Map#° /7/3 Parcel# I District(s):
In Elm Street District A/O In Central,Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property �''✓��c" ���'�' f `i' f�U✓�'
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
General Description
The proposed project that located on 408 Bridge Road, Northampton, Massachusetts consists of
a 22-foot common driveway and 13 new building structures and one existing building structure
for residential use. The project will include excavation, paved driveway construction, building
construction, grading, drainage, utilities insulation, and landscaping.
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? - 'Al P/�?O 6'` ' 5
Needs to be obtained Obtained date issued:
(Form Continues On Other Side)
File#MP-2001-0166
APPLICANT/CONTACT PERSON MULLER WILLIAM
ADDRESS/PHONE P O BOX 336 (413)586-6343 Q
PROP ,T.��N-.408 Bid �.tD
. ,
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FI T
Buildinp Permit Filled out
Fee Paid
Typeof Construction: ZONING- 13 UNITS&COMMON DRIVEWAY
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:
Approved as presented/based on information presented.
JZII'enied as presented:
—zos'pecial Permit and/or Site Plan Required under: §,57� 2—
(/ PLANNING BOARD _ L,," ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § w/ZONING BOARD OF APPEALS
AccossoAY 19'P7-s
Received&Recorded at Registry of Deeds Proof Enclosed 4S
Variance Required under: § w/ZONING BOARD OF APPEALS C• A9 ` ke-Slew—
1A cr4vTi u0 4;6/7,
Received&Recorded at Registry of Deeds Proof Enclosed A�zze
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 Co ission _ Permit from CB Architecture Committee
Signature of Building icial 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.