32A-195 r• ,
o
From: Christopher/Aisjah Flynn June 17th 2005
24 Phillips Place
Northampton MA 01060
To: The city Planner
We intend with building permit to renovate existing 100+ year barn on
24 Phillips Place, Northampton with upgrades to foundation, electric
and water service for the purpose of workshop/artist studio.
Signed
C ristopher lynn Date
�N- 1�
Aisjah Flynn q Date
The foregoing instrument was acknowledged before me this 30th day of June,
2005 by Aisjah Flynn she is personally known to me or she has produced her
driver's license as identification.
Print Name:
4ZI4.9�.g a PING WIENER
Notary ublic Nary Public
Y Commomveatth of Massachusetts
My commission expires: rf � MY Commission Expires
April 20,291E
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 DUS TO
LACK OF INFORMATION.
This col== to be filled in
by the Bcildiag Department
Required I
Existing Proposed By Zoning
Lot size
Frontage
7 Sn vVI
Setbacks �►
- side L:&0 R: L: R:_
/S
- rear T 4-1 L 2-0
Building height
Bldg Square footage
CEO 5 S-
%Open Space: n
(Lot area minus bldg
&paved parking)
# of Parking spaces %. U /V
#- of Loading Docks
Fill:
{vo1-ume-4 location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DAVE: /z-/as APPLICANT's SIGNATURE
NOTE: Issuance of an zoning permit does not relieve an lioant's burden to oomply mgtb all
zoning requirements and obtain all required permits f m'the Board of Health. Conservation
Commission. Department of Publio Works and other mpplio ble permit granting authorities.
FILE #
1
,�I�� - 0 2005 ,
H Fi 1 e No. ,5-"
^` ;^r,eON G PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: '-yt—s 4 1::;2
Address: T �/ ��r'Ily s ���� Telephone: <96 7� 7Z
J
2. Owner of Property:4LY1
Address: � �f Telephone: �-
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# -2 c� Parcel# District(s):�:,�/1�'�
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property &: b C,->�
A-,,Z ca— A
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
tS jf. Gt ,a CcNG7'r{ Ce-rr`r"I4cc 404115t. TG' 0—
1
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 Permit/Vadance/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_ 4___ 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)
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VAMP ,. . . Apr tt.
File#MP-2005-0135
APPLICANT/CONTACT PERSON FLYNN CHRISTOPHER T&AISJAH T
ADDRESS/PHONE 24 PHILLIPS PL ()584-7474 Q
PROPERTY LOCATION 24 PHILLIPS PL
MAP 32A PARCEL 195 001 ZONE URC
i
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FO ILLED OUT
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-RESTORE CARRIAGE HOUSE TO HEATED/PLUMBED STUDIO
New Construction
Non Structural interior renovations
Addition to Existing
Accesso1y 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,QAMATION 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 Commis ' n
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.