24D-089 (3) Filen MP-20I7-0057
APPLICANT/CONTACT PERSON HARRINGTON MICHAEL L
ADDRESS/PHONE P O BOX 393
PROPERTY LOCATION 64 NORTH ST
MAP 24D PARCEL.089 001 ZONE FRC(10a
THIS SECTION FOR OFFICIAL USE.ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
F
Fee Paid
T ,eof Construction: ZPA-RELOCATE MEASGS IE EG -SS FROM 'OUTH SIDE OF BULDING TO
NORTH SIDE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
BuildingPlans Included:
Owner/Statement or License.
3 sets of Plans;Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
Approved LAdditional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: § i . 9 �' CA'
A II
Intermediate Project: _Site Plan AND/OR _Special Permit with Site Nan
Major Project_ Site Plan AND/OR Special Permit with Site Plan
MCR�, 3 CA.J (to,
Finding Special Permit I,....._ Variance* ,NoNC1lN fdiC,m tTy
ZONING BOARD PERMIT REQUIRED UNDER: §_ 5C J
_. 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
cam j L-- t X' cS .117
Signature of Building Official Date
Note: Issuance or 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.
2
' 7-6 ' c /L d 89
File No.
ZONING PERMIT APPLICATION ($i0.2) 1
Please type or 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
1. Name of Applicant: /1111 A( C G )-{tllatz./ j(>
Address:9 MI)UL( t - .. 2Df2<NCE ,4tt La/064Tetephone: t{(- ' S 74-`. ' 6"LIS
2. Owner of Property: `S'*t^9 f ..._
Address: `'/1"7N('{ Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. Job Location: 6 H AJO( Tfr1 i /Za- 4)(lid i Hitnt1)1611 /- O /660
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: /U I i
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
(Xi-kT& n 2 f ntir Cr £64E c.,6
ec/1l f;(-) (17 H �fPc r�( 1-'"�C4LL-9/ ( c�
ic l 7l Sae
7. Attached Ptans: Sketch Plan V Site Plan ✓ Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Findingevvei been issued for/on the site?`
NO DOME KNOW f% YES_ IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO _ DONT KNOW
IF YES: enter Book Page and/or Document#
9.Does the site contain a brook, body of water or wetlands? NO V 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)
�Ilfib f .
W: Jocume NSFORMSiPIl 1BuildiRa-1tSP onsZening-➢erre t)Apphcatio -p 4Ive.io Si4h�4
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. Wilt the construction activity disturb (clearing, grading, excavation, or filling) racre 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
Setbacks Front
Side L: R: L: R: L: R:
Rear
Building Height
Building Square Footage
%Open Space: not area
minus building E paved
parking
#of Parking Spaces
#of Loading Docks
Fill:
(volume & location)
13. Certification: I hereby certify that the information contained hein is true :.=accurate to the best of
my knowledge. /
/
�y
Q
Date: J
Q- )Vi
Applicant's Signature t
NOTE:Issuance of a zoning permit does not relieve an a• .licant's burden to comply with all zoning
requirements and obtain all required permits Yr. the Board of Health,Conservation Commission,
Historic and Architectural Boards,Department of Public Works and other applicable permitcan�te,ingK f
authorities. •a •`SVii. ,
W\Documerv\FORMSIoriginapBuilding-InspectorZoning-Permit-App'Icatlon-passive doe 8/4/2004
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NORTH STREET
PLAN OF LAND IN
;r NORTHAMPTON, MASSACHUSETTS
aalloau #`; PREPARED FOR
ra MICHAEL HARRINGTON
/35032
4 + wr'&,/ SCALE: 1"=20' MAY 24, 2016
". suave" , HAROLD L. EATON AND ASSOCIATES, INC.
c REGISTERED PROFESSIONAL LAND SURVEYORS
• 235 RUSSELL STREET — HADLEY — MASSACHUSETTS
413-584-7599 413-585-5976 (fax)
email — hleotonoaol.com
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