07-012 (14) File#MP-2006-0112
APPLICANT/CONTACT PERSON HOMSTEAD KERRY M&NEIL P
ADDRESS/PHONE 408 NORTH FARMS RD (413)584-0458 Q
�Y4 moono,
=non 014 001 ZONE RR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
CZONING FO' . FILLED OUT i
ee 'au t, . / 1.
Building Permit Filled out
Fee Paid
TvoeofConstruction: ZPA-DET ACCESSORY W(UNDERSTANDING ZBA APPROVED BREEZEWAY
BEFORE OCCUPANCY OR BLDG PERMIT
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 PRENTED:
_ -,[roved lorAdditional permits required(see below) /
PLANNING BOARD PERMIT REQUIRED UNDER: § /t a r/6, U/SP
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan
Major Project: Site Plan AND/OR I/Special Permitpwith Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: § /0,./(J
Finding Special Permit V' Variance* -$9)4y/
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 Co Sion
e1Z06
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.
II V
J LJin n
File No. i C(C/I/k
r ZONS ItERMITAPPLICALION .§10.2)
Please type orrirint all information and return this form to the Building
Inspector's Office with the$15 filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: NFrS L .m2cl12Y f{onsrt'rL5
Address: 401( _. A. • :.?a 5 7elephane: .C.,-,34` Oi-se
2. Owner of Property: r=t[ € r-Ke22Y FfcaiS7'/--A-f� ._
Address: 'FOC< Vo,a fl F lei< r�_Telephone: c2 4 - Q_4S1 C ._
3. Status of Applicant: Owner 7‘ Contract Purchaser LesseeOther(explain)
4. Job Location: SA 44 L
Parcel Id: Zoninghtap# Parcel# District(s):
In Ern Street district In Central Bnsiness.District
(TO BE FILLED^� IN BY THE BUILDING DEPARTMENT)
C65. Existing Use of Structure/Property: t`P S t T Px lc PE-
6.
. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
j'J Ei4-c tf t=t A-cc ec502,-r rie CYC' L CO/ Qb'Dra'Srf-r017a)G
Z 73 4P'r ' :,7� "r321-`F7P-O,W k.)frr 1 F ?(A/CT 36 rorZC
OCCuPAiii“ F getii „ as fez of Er rssugnucC ..
7. Attached Plans: Sketch Plan 'K' Site Flan )G Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for ton the site?
NO 'Jen- DON'T 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 Page and/or Document 1/
9.Does the site contain a brook, body of water or wetlands? NO DONT KNOW " ,YES Y.
IF YES, has a permit been or need to be obtained from the Conservation Commission? it p
Needs to be obtained Obtained , date issued:
{Form Continues On Other Side)
W9OocumenrsVFORMSVnpinal8Building.lnspectorZoning-Pnrmit-Application'passive.doe 8/4/2004
beta
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. Witl the construction activity disturb(clearing, grading, excavation,or fitting)over I acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO ,,,S._
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
D• nrtment
EXISTING PROPOSED REQUIRED.BY
ZONING
Lot Size ...
{j Act?E S 3 firm e" ( '4"0 00 O
Frontage 13 Q Ft S A4,116
Setbacks Fronti 000 10
Side L: R: I.: !2Ga R: 1401 L: C5- R:/2-
Rear 3 70 ` 3o
Building Height �.._
20 ` 3 5
Building Square Footage .. —.......
%Open Space: (lot area
minus building&paved y.4)000 sq.,Pc 8". 01
Parking
#of Parking Spaces
#of Loading Docks �.
Fill: EMI
(volume &location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge. ,rye/} J/ f
Date: `�"'2 4' - i7 Applicant's Signature / /e../ �7 "�` .=.ov/
NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply with alt 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.
W9DocumwdzoRMs‘onyissiusuiltllns-Insgztorzoiiug-Pumit-Application-pn iwto,, 8/42004
/
HE�Ert T.
/ Vex. LINGER.
GRACE F; VoLitexrc, 62.
r
T. a o 00000 Fin o C0 o47 o o a 0 as o oo _ -_ -
'` fOO,Op rr n
f .�nkx 7- / <1?4444 H" �r� X?I°34 —W7 F0
n k
...iie:01.41/01,
• .80 rF' W 0eZi'JAY i
lin
I
1
1
j
I
i
l
1
11
I
t
1
1 .
1
Ii
0r
1