32C-180 (11) File#MP-2016-0082
APPLICANT/CONTACT PERSON STEPHEN D ROSS
ADDRESS/PHONE 36 SERVICE CENTER RD (413)584-1224
PROPERTY LOCATION 342 PLEASANT ST
MAP 32C PARCEL 180 001 ZONE GB(Iaa
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT L4
Fee Paid 2 6 Z5
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-REMODEL INT I ST FLR SPACE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 079160
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:
Intennediate 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 Commission Permit DPW Storm Water Management
Signature of Building Official Date
t, I
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.
1
[x)
i
File No., �j '~
ON PE 'M�IA;PPCAflN'r� i o.2
Please type or print all information and return this form to the Building
Inspector's Office with the X30 filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: l�Qa�_/lJ BOSS G��AJ �L Gpj.pT9A&T-C),
Address: 3� �tBVIG� C&N�TER N�lON Telephone: Al ' �� 7—
Address:.
2. Owner of Property.
Address: cl d X107 ST, IJQP- NAME 1yN Telephone.- ' dor-, -cu OU
5LAT1;_: l v t
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) (!�Q�(ZAC- OF,
4. Job Location: 5� Z IFLEk,5 J4T TPS No2Tt4AMP'ioN
Parcel Id:. Zoning Nlap# RarqeI# District(s):
In Elm Street.Distri t 1t�Cen ral,t3usiiness;DistHot
(TD BE-F(LLED,, [31'17 E BUILDING,DEPARTMENT)
5. Existing Use of Structure/Property: L 19E1�-,lDE;jj7j L_
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
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 DON'T KNOW X 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 r Page and/or Document#
9.Does the site contain a brook, body of water or wetlands? NO X_ 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:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
10. Do any signs exist on the property? YES X NO [[
IF YES, describe size, type and location: NV1�� IA, -ut�
M\tjuhA WNiN,', fl
Are there any proposed changes to or additions of signs intended for the property? YES X NO
IF YES, describe size, type and location: �?tMOVt--- t—Yk 7i1.2G AVJ&J t , /'.TEw T$ �,
11. Will the construction activity disturb (clearing, grading, excavation, 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
Frontage No GtkA-,PCr--
Setbacks Front
Side L: R: L: R: L: R:
Rear ND c+1P,/JzZE
Building Height
Nc� Gk��N�ti
Building Square Footage
N o ct-E�.N�E
% Open Space: (lot area
minus building & paved V0 GNANC�E
parking
#of Parking Spaces
N v
#of Loading Docks
NONE NdNE
Fill: NOhI� NvNP—
(volume & location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 1� Applicant's Signature
NOTE:Issuance of a zoning permit does not relieve an pp cant'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-passive.doc 8/4/2004