38-079 (18) 4 r
r die
002'7 $
Date Filed File No.
ZONING PERMIT APPLICATION (§10.2) -
1. Name of App i --ant: ow �, c � £� �J'
Address : D Telephone: Sg (q 3
Al
2 . ' Owner of P operty: .�AnJ( ��O C��G ,J
Address : , N Telephone: l 33
5 . Status of Applicant:_zowner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# �g Parcel# 7f ,
zoning District(s) (include erl )
Street Address
Required
5 •
Existing Proposed Zdnin
Use of Structure/Property I rAffit(y -3 3) FG�� 1 S .
(if project is only interior work,1 skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: —L:—R:
- rear
Lot size
Frontage .
Floor Area Ratio
. %Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6. Narrative Descriptionof Proposed Work/Project: (Use additiona sheets
if necessary) -ro 8 '4 _ J e _a £ CJ /� T iu S ,Lo s 9! 9'1
i0 of Frt0 JT E1 d 3:�7- -F .4�ni / c~ S
Oi(1 o m d N 2 r w to V5 W ( t EEC` 0 0101 .
7. Attached Plans: Sketch Plan Site Plan
B . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowle e. /nl
Date: Applicant's Signature : q1,J 4 la m
- U - - - - - - --
THIS SECTION FOR OFFICIAL USE ONLY:
YoW presented/based on information presented
ted -Reason:
Special`' Permit and/or Site Plan Required:
Pi•n ng Re d: Variance Required' :
S gnat of Bu 1 Spector at
NOTE: Issuance of a zoning permit does not reliove an applicant's burden to comply Willi all zoning requirements and obtain all required permits
from the Board of Health,Conservation commission, Dopartmont of PublicWorks and other applicable permit granting authorities.
1
NORTHAMPTON SEWER DEPARTMENT ! -
125 LOCUST STREET
NORTHAMPTON, MA. 01060 SEP 4Iop
586-6950 EXT. 277
Subject : Municipal Sewer Availability
Location:
Inquiry Made By:_� 1.
Date of Inquiry: 13-Z3
Municipal Sewer Main in Front of Location: YES NO f
Size/Material/Age of Sewer Main:
.S=- S �s'� ArAc IL
Depth of Sewer Main��a.5��
Size of Service Connection Required:
Comments :
A corresponding "sewer entrance fee" shall be paid prior to making
any connection to the municipal sewer system. Arrangements of such
installation shall be made with the Northampton Sewer Department
with a minimum of 5 working days notification. All work shall
co form NoSewer Department specifications .
aures M. Dost
1
Superintendent of Wastewater
Treatment & Collection.
cc: Samuel B. Brindis, Director, DPW
Peter McNulty, Jr . Assistant Director of DPW
George Andrikidis , Assistant City Engineer
,/ Frank Sienkiewicz , Building Inspector
C: \WP51\Entrafee