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38A-086 t i File#MP-2004-0152 APPLICANT/CONTACT PERSON Community Builders,Inc. ADDRESS/PHONE 322 Main Street ()737-0207 Q PROPERTY LOCATION PRINCE ST LOT A MAP 31 C PARCEL 017 001 ZONE RR 3�g _0 W THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM ILLED OUT _„ _ __ '—"Fe eaic Iy 7yJ /c7 Building Permit Filled out Fee Paid Typeof Construction: ZPA-RENO 2 APARTMENTS,TOTAL 33 UNITS New Construction Non Structural interior renovations Addition to Existing Accessoa 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 PRES ED: Approved dditional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER: § Jl Intermediate Project: Site Plan AND/OR SS ecial 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 Peimlt frOiTi Conservation Coii1T111SSion Permit fiioaii CB AiCh2teCtLile�oi.IniitCC Permit from Elm Stree ommission �b 4 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. r . File No. �a Please type or print all int0mation and return this form to the Buildin6 i Inspector's Office with the $15,filing fee ('check or money order)p€-yabto to the City of Northampton. i 1. Name of Appticant: -►-- - Address: -,bi>9!-+r4G "A, (I-) 1/D -2-zf Telephone: �t/_'a-`7. 7-D c)-7 HUSP r,pc L H tov' -af�►`�za-►�, !_4_.G. �l cam'. ��,~�,=Trr 2. Owner of Property: ! �f 4f Address: 5 c x--," .` � r i c Telephone:�#/?� 775-x3 0 3_ Status of Applicant: Owner Contract Purchaser_LLessee- Other(explain) 4. Job Location: C t.►o 17 W4 Mt_. . 5. Existing Use of Structure/Property , --yk,, t_-_c 6. D scription of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): L QL — E:- )Cf E►r-1 C/ 5'1�tJG 3 ti??-F .5 T"fliE�- E F- E-L—0f ov k { - PL-A-�'►-t` �t> ►-7-{�r�s�t. ��Jc� tt-tCrc v►7i= �StT� ttitP?-,oVEmE-r-47Z5 TCS '.s,ti-t c'S r""c- 'iT--li- C1C t S f--►�} Q/��? fG{tet! ! G t Ui-/t- ► 7��, 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans _ 8. Has a Special Pennit/Variance/Finding ever been issued for/on the site? NO DONT KNOW YES x IF YES, date issued: ZI 1-1 IF YES: Was the permit recorded at the Registry of Deeds? 140 DONT KNOW YES 1F YES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wettands? NO _ DON7 KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Obtained , date issued: Ly r i (Form Continues On Other Side) APR 2 9 20U04 1 .. a � r 1 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 ANO IF YES, describe size, type and location: >_1�..1 �c ?�:� �p rc�,..4Cf e., r3 5���,�- �rA►.,�rg) 11. ALL INFORMATION MUST BE COMPLETED,or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This coh nn reserved Dor use.by the Buildings F 2&ISTING PROPOSED; P, Ac Lot Size 2-,Z 5•�, _ "- Frontage Setbacks Front 39' - Side L: R: � ' L: 2,5 ' R: Z6 Rear ,� h f s-, Building Height t - G4 Building Square Footage , s' %Open Space: (wt area minus building E paved parking - #of Parking Spaces -70 #of Loading Docks Fill: (volume Et location) 12. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: Applicant's Signature NOTE:Issu=4 of a zoning permit does not relieve an applicant's burden to ply with all zoning- requirements oningrequirements and obtain all rewired permits from the Board of Health,Conservation Commission, Historic and Architectural Boards,Department of Public Wort s and other applicable permit panting authorities. 0©0"pdf i i i i