24D-089 (2) File#MP-2017-0003 IpptJ CV_ s.
APPLICANT/CONTACT PERSON HARRINGTON MICHAEL L
ADDRESS/PHONE P 0 BOX 393
CPA
if-
PROPERTY LOCATION 64 NORTH ST
MAP 24D PARCEL 089 001 ZONE URC(100)1
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid /% ?C 49Qy
Building Permit Filled out -'
Fee Paid
Tv,eof Construction: PA-EXTEND GROUND LEVEL SUNROOM
New Construction
Non Structural interior renovations
Addition to Existing_
Accessory Structure
Buildine Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THEE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF
„pe
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 Commission Permit DPW Storm Water Management
Q //{/ �r 7- i-/K
Signature of Building OM ial 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.
File Aro.ZONING PERMIT APPLICATION 01 0.2)
Please t r print all infortnation and return this form to the Evill ng
-a
Lspecter's affice with the $30 filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: /f i-r' • {-:'
Address: ? Al !N...), �'� [ „ Telephone: V
2. Owner of Property: l
Address: Telephone:
3. Status of Applicant: Owner s, Contract Purchaser Lessee Other (explain)
4. Job Location: 4' }JI 42( t ? deer _ ry➢11 rO K5/L'f !i ii. ✓ ' di
Parcel Id: Zoning Map# g149 �T.'{S�l� '�Parcel# District(s):In Elm Street District hi Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
n a
5. Existing Use of Structure/Property: SC's;'.` -`= Iff,�
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
fm=./U lii! r_. 12 ?", .SS +C213�
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7. Attached Plans: Sketch Plan :, Site Plan Engineered/Surveyed Plans CF
8. Has a Special Permit/Variance/Finding eve een issued for/on the site? '�'?-1 pYf riCljC.�/
NO DONT KNOW 5. YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document P
9.Does the site contain a brook, body of water or wetlands? NO `f 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 Convnues On Other Side)
W.DocumeaalFOAMOoriginai:Bullding I specmr8Zoning-Pennit-Apphnznoa-passive dor 8/4/2004
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70. 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 ,xi
r/
IF YES, describe size, type and Location:
11. Will the construction activity disturb (clearing, grading, excavation, or fitting) eve}i acre or is it part of a common
plan of development that wilt disturb over 1 acre? YES NO V
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
ERLSiffiG PROPOSED n
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Efl
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Lot Size
Frontage
e c eV
Setbacks Front ,A4
Side L: gj R: 6,5 L: 7 R: i � L: R:
Rear
Building Height
0 3 0
Building Square Footage /
/ 215 7 99
Open Space: (tot area
minus building & paved - i
parking �' i ✓ / 1`l//C? x,
#of Parking Spaces r
#of Loading Docks
Fill: Pf
(voiume & Location)
13. Certification: I hereby certify that the information contained heroin is true and accurate to the best of
my knowledge. /
Applicant's Signature r "=y
Iry
NOTE:Issuance of a zoning permit does not relieve an'applacant'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.
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PLAN OF LAND IN
,:(7i NNORTHAMPTON, MASSACHUSETTS
RA E AL!l°N PREPARED FOR
ZER
MICHAEL HARRINGTON
#35032
1 c+. ,aS'o N SCALE: 1"=20' MAY 24, 2016
sm./0 . HAROLD L. EATON AND ASSOCIATES, INC.
a
4_ ` REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET — HADLEY — MASSACHUSETTS
413-584-7599 413-585-5976 (fax)
email — hleaton@aalcorn
0' 20' 40' 60'
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