17C-204 (2) 10. Do any signs ebst 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 size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE To
LACK OF INFORMATION.
This o02== to be f3.22ed i.:
by the Bai2d£ag Departmnat
Required
Existing Proposed By Zoning
Lot size T 5
Frontage C �
Setbacks
- side L: R: L: R:
- rear I
Building height :zd ' �o
Bldg Square footage
%Open Space:
(Lot area minus bldg I
&paved parking) f
t
# of Parking Spaces i
_ I
f of Loading Docks
0 0
Fill:
vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my know dge
DA'Z'E: )-Z2-y q APPLICANT's SIGNATURE �24'�-N
OTE: Issunnoe of a zoning permit does not relieve an p oanro burden to oompty wltb *1
zoning requirements and obtain all required permits t m the Board of Health. Conservati�
Commission. Department of Publio Works and other plioable permit granting authorities
FILE #
s {j
NOV 3 U I �J
DEPT Of BUILD' G INSPECTIONS File Noepo(
{NORTHAMPTON MA 01060
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: I._- 41t//V W! I .s
Address: YS eeue ( Asi v Telephone: ;7 ra "5 31 7
2. Owner of Property: Llkwer(e w 0-1
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser l/ Lessee
Other(explain):
4. Job Location: C, I tH pt t tQ S� � �Q(fjQ Z ^
Parcel Id: Zoning Map# L/ Parcel# JL-)"t District(s):
(TO 9E FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Am 1'(V
Iwo
-.
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Pflf' rv�,?.,. i &A0 t"►f!12 A (o iAV
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special PermitA/ariance/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,
File#MP-2000-0075
APPLICANT/CONTACT PERSON WILES LYNN
ADDRESS/PHONE 48 REVELL AVE 586-5317
PROPERTY LOCATION 61 MAIN ST
MAP 17C PARCEL 204 ZONE GB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
4�ONING FORM ILLED OUT
ee
Building Permit Filled out
Fee Paid
Typeof Construction:' CONVERT I ST FLR APARTMENT TO HAIR SALON
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 F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
pproved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
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 ission
A?r
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.