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16D-022 (10) Filed MP-2017-0035 APPLICANT/CONTACT PERSON KIRKPATRICK REALTY LLC ADDRESS/PHONE c/o Robinson Properties PROPERTY LOCATION 141 NORTH MAIN ST MAP 16D PARCEL 022 001 ZONE URB 292 / THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FI. LED our Fee Paid araria 11 Buiidini Permit Filled out Fee Paid Tvoeof Construction: ZPA-TO BE USED AS AN ANTIQUE SHOP New Construction Non Structural interior renovations Addition to existing Accessory 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 PRESENTED; I Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER: 5 _ 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 tic 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 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. -7b°)-u-Lsovi)e imA ).cow — 42017 File No. r/ —/ 2' 33 INGPERMITAPPLICATION(§io.a) _ r' • ', : s • print all information and return this form to the Building Inspector's Office with the $30 filing fee (check or money order)payable to the City of Northampton (C )) I. Name of Applicant: M i R F> t&i.i- t{A t3 / Address: 4"7 OEt9 LtTl 'M KS, 110 tie vtr e WI a- Telephone: {(3_ /a 7- 20 r2I 2. Owner of Property: (f '� t_t� f���- L -� 2477Joa-4+RJ1P.,� Address: ?',C' Rob rU- 9u1 PrOp))+r Telephone: I3- barl- cd"ab 3. Status of Applicant: Owner Contract Purchaser Lessee e--• (explain) 4. Job Location: ,h'/ Iv? HcLk Sl, -a Parcel Id: Zoning Map# 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: ts5rS t1. — hug"•% 1 wuJ, f �V b. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Ib b s w,t it 51-ore_ 14 ;P bad ....rxz4 -M ) .('L kioalcl 4,e o t'�� S t t— T /p0-S • ci J.. St ttj \n ?, ckiLic t �i.0 A v�� h to" lcxta 7. Attached Plans: Sketch Ptan Site Plan Engineered/SurveyedtPlans 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 DON'T KNOW YES IF YES: enter Book Page and/or Document N 9.Does the site contain a brook, body of water or wetlands? NO eo 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: (Form Continues On Other Side) N9Ruumene.TORNIB=odgmaITuilding to pectoet7onme£enn74 Applieaztoo-p ssivedoc 8/4/2*M T -(,ys;4V\ -).4 a.x,• i5 .L da uAnc pms•.� (cl." CO-- "sk Vt, U 10. Do any signs exist on the property? YES NO IF YES, describe size, type and location: ;=XiS41 ek �ttL 30 X SO , 1+ ,i4-tc ks • brow l4 e o o� U s( 'Ant coat- -t-ttc zkoe i� lib {cc Occr�' k4 iw -Le Liao((e. „fL -,A. we' wai,. krA r,6; Ase, Are there any proposed changes to or additions of signs intended for the property? YES NO iE YES, describe size, type and Iodation: _ 11. Wilt the construction activity disturb (ctearing, grading, excavation, or filling) over 1 acre or is it part of a common plan of development that win 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 Deportment EXISTING PROPOSED REQUIRED BY ZONING: 111111111.11111.1111.111 Frontage Setbacks Setbacks Front Side L: R: L: R: L: R: Rear Building Height 1 "" Building Square Footage llll % Open Space: (tot area minus building & paved parkin, #of Parking Spaces • • #of Loading Docks Fill: (volume & Vocation) 13, Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: i �'^� Applicant's Signature , NOTE: Issuance of a zoning permit does not relieve an applicant'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. WAtiocumenisTORMS oranal wilding-Inspectonzaa ng-Penni t-Applicaria-pasiVt,ix R14/2004 1/52017 City of NMhampim Mail-141 North Main St • City orthaLouis Hasbrouck <Ihasbrouck@northamptonma.gov>• mpton 141 North Main St 1 message Louis Hasbrouck <Ihasbrouck@northamptonma.gov> Thu, Jan 5, 2017 at 12:34 PM To: pbauhan@gmail.com Cc: Carolyn Misch <cmisch@northamptonma.gov> Patrick, We have reviewed and approved your application for an antique store at 141 North Main Street in Florence. I am assuming the furniture building shop is at another location. Let me know if that isn't correct. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413) 587-1240 office (413) 587-1272 fax https://mail.googlecom/mail/ca/WN?ui=28ik=ec5f19a57e&view=pt&search=sent8ih=1596t223a58edc883im1=159fiPo223a58edrb 1/1