22B-043 (21) File B MP-2017-0044
APPLICANT/CONTACT PERSON YUP COFFEE ROASTERS INC
ADDRESS/PHONE 5B HERITAGEWAY (413)210-9892
PROPERTY LOCATION 296 NONTUCK ST
MAP 22B PARCEL 043 001 ZONE SI(I10)/WP(73)/URA(231
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT Fee PaidRBuilding,Permit Filled out &ic33))
CX) `1
Fee Paid
Tyneof Construction: INSTALLATION OF A GAS FIRED COFFEE ROASTER,AND ASSOCIATED
EOUIPMENT AND PRODUCTION OF ROASTED COFFEE. RETAIL SALE OF BREWED COFFEE
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
INFO ATION 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
2110116
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.
• File No. ma-l7 'Y
ZONING PERMIT APPLICATION(§lo.2)
Please type or print all information and return this form to the Building
Inspector's Office with the 530filing fee(check or money order)payable to the
l�} (� City of Northampton
1. Nemeth Applicant o
r coJrrz. ec71ge25 )rtc. FEB -3201I
nae 575 hmegrTAltWFit/S.OearLctq1 y$Teleprmr.:1113' 2.IO-
z. Ownerprom.
of eMSetbraCk t11L1�
Address 212.aiCki% &. `4T LitiC MA 00 I'Teleprone. 1413- 315.-074)5"
1 Status of Appieenm Owrer Contract FeChasn Lessee see X Otlwr;erpler
c
a lob Lccabon ' 9cJ Arlin
Parcel Id Zoning Map# Parcela _Dist metre
In Elm Street Dlstdct In Central Business District
ITO Bt PILLED IN BY flit BUI LgtG DEPARTMENT i _
5 EFleshing Use of Structure/Property: f 1 !h
DescMtlun or Proposed Use/Work/Prolect/Occupauoru Use additDye sheets it ns eserth
IuYnBAJ-411C14 of M Gptl-FtECID Coin R sin? h54c5.1(trui
F1h'ip-P-dr AND P oPk-'tNJ or K4 'JI5t.(cfit ge:?ML swiE
pf swam (°rites.
/ Attached Plans Sketch Plan X Site Plan I nemeeredrsmveYed Pryers
e. Hasa Special Permit/Variance/Finumgoer been issued form mem la
r0 X DONT KNOW YES IF YES date issued
IF YES Was the permit recorded at the Registry of Deeds.'
la DONT KNOW YES
IF YES: enter Seek Page _.. and/or Ikxumenr„ _.
Dees erre sew contain a brook,hods of water or wettande NO Dal KNOW YES
IF YES has a permit beer,or need to be other ed from me ConwrnNon Commission'.
Needy to be mrarned Obtained date ryued.
N0 VEt' -wo magi Iain(ckfrefost r r. r or.✓r..zn..
°P (bcrrairr fV IS Doke -
C,47at`/ rt / n1 VC .'
_)tiV)M.9Q6 leela) IJ, ti/dC
( swat )
it] any sins exist on the Pmlvrzv' YES NO iy.-
IF YES.descnbe eze.type and locanm
Are there any proposed changes to or additions of signs intended for�teep�pro�pe�N�^��p�id S x� _NC
IF YES,desnbe size_type and location_ 76 �l.fl.` _ 1
n.
Will the construction actintydtitum(cleanng,grading.pita.ation.or filbngl over I acre or is it part of a comnmr
plan of development that will disturb over t acre' YE) NO _
IF YES. then a Northampton Storm Water Management Permit from the DPW is required_
2. ALL INFORM/PT/ON MUST SE COMPLETED,or PERMIT CAN BE DENIED DUE TO LACK OE INFORMATION
this eelinIi swamped
for use by the Building
DepartmentF.XIS[WREQLIG PROPOSED REOIIPFO P\
III al Nin.
°Wei '
Frontage
7e£ tot Res-1
(Setbacks Frust Sig sy6J
Side C R- 1 _• L. R- L'. 0..
Rear
Ruilding Height { __
20 Zr
Budding Square Faye - - -
91.I R451= I!{.IvX II NWo S(' J
ouebSpan t pa area
minus -. _..
I.aibmlmnsera.ed if-aa F1��
ni
O of Parkin45Wces
$of Loading Docks �Ir
Fill.
'volume a location
O. ieby certify that the information contained herein IS true
and accuia to The The best of
knagEggigg
Date�my z(t(/ ? Applicants Signature 741( "✓ ' �a YJ/.
NOTE:Issuance nig permit diteoliat ruling. applic 'x bander olk milli all x
and obtain all required permit.from the hard of Health.Cou rnIIIiim Cnnunioioas.
Iliiing
thirie and inhitortnra f4orMs,IMpxrtrnenf of Pnlsl is It isrks and other applieaMe hermit granting
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c- 283 Old Cricket Hill Rd. • Conway, Mu 01341
Phone: (413)369-4242 • Fax(413)369-4314
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5 �� - " 283 Old Cricket Hill Rd. • Conway,Ma 01341
Phone: (413)369-4242 • Fax(413) 369-4314 I