31C-017 (13) File#MP-2008-0033
i
APPLICANT/CONTACT PERSON Wright Builders
ADDRESS/PHONE 48 Bates St (413) 586-8287
THIS SECTION FOR OFFIQAL USE ONLY:
PERMIT APPLICATIO3 CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM OUT
444
Fee Paid CA',
Buildin Permit Filled out
Fee Paid
Typeof Construction: ZPA- 11 LOTS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Buildin Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESYP ED:
Approved L000 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 C ssion
;lo 9/Zce
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.
OCT 1 0 i007
FileNo.
l
n ^t ��VI PERMIT PLJ�CATION(�i o.2)
�Iease type or rint all informatio and return this form to the Buildin
P � g
Inspector's Office with the $i5,filing fele (check or money order)payable to the
City of Ndrthampton
1. Name of Applicant: i")Qr&t4'r &'i 1 Lir✓R-�' i P
Address: 4-8 i3A TF,S 6T MA Telephone: 6,.3(,-
2. Owner of Property: 1406?1 TA L i4 i Lr. -0!:E-4 cLo? Mciv LLC- (ik-55 1��velao r►,t..
e tr Z• mu Pry d
Address: 1=E�t-tzt�� i(2 t i 1 `�;��1,KA Telephone: 4-1-1,5 1-6y j
ser.: -rte E
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) cicr."-9 cT j7Wr-,,:aAS-2
4. Job Location: A Rcg-n as-1 coir tz—, 0-A (i2ey) A"t j 01-ANJ'r.. Q- D7 ziy
Parcel Id: Zoning Map# v w Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: C-\;$Z r t ' L�' Ut�1-�)EVC--i,c'Far :>
6. Description of Proposed Use/Work Project/Occupation: (Use additional sheets if necessary):
SUbV1Vi00 ? � t(L� TO ((zarA TZ II 1,cT5 Atz,-16 oLA4,)E4 -D2iVi=
A'5 5;zE ?LAS05.GnJ A,vD cc i-i $o(Zj T t1
S i ti L
LE H A M i LL). N-o;+n r,,�5 u r ;-s .
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 DONT KNOW YES `� IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book L Page OBJ 0 and/or Document# �� 2 3 r 4--7
9.Does the site contain a brook, body of water or wetlands? NO DONT KNOW %/ YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained date issued:
�9;TI-7r2 rlL A i c&" ` Q (Form Continues On Other Side)
1Docum is\Fnal\Buildin -Ins ector\Zonin -Permit-A lication- v
g g P g PP Pass e.doc 8/4/2004
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y 4
I /� Y
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
IF YES, describe size, type and location:
11. Will the construction activity disturb (clearing, grading,!excav ion, or filling) over 1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This column reserved
for use by the Building
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size ATTA C0
Frontage
v 'r� M,L IJ
Setbacks Front
Side L: R: L: Z :11r7R: 2 M1� L: R:
Rear 2-0
Building Height
341 MA)L
Building Square Footage
Open Space: (lot area
minus building i3 paved r.
parking
#of Parking Spaces CAA A 4- o4r5 p L
J Z i rJ GA<zA&
#of Loading Docks
lvf+�
Fill: N�
(volume Ft location) 310 CJ -eL
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: ice) IJ t o 2 Applicant's Signature
HiQ-16 1 ; c-
NOTE:Issuance of a zoning permit does not relieve an a plicant'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.
W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passilve.doc 8/4/2004