30B-073 (13) ' ' ' rile q MP-2002-0070
APPLICANT/CONTACT PERSON Dietz&Co.Architects
ADDRESS/PHONE 17 Hampden Street (413)733-6798
PROPERTY LOCATION 2v SOUTH ST-
[.fi4t7�.ABf'ARLRf.OS'Oi51 LOxh7RB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM ILLED OUT
ee 'au e5. 4)lo0 a--/Q "
BuildingPermit Filled out
Fee Paid •
Typeof Construction: RENOVATE 1ST FLR VET'S OFFICE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owned Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRES TED:
Approved Ybenied 4
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project : Site Plan OR Special Permit and Site Plan
Major Project: Site Plan OR Special Permit and Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: § 9` — FX/ 5(Old
o/' US[`
Me-
Special Permit Variance' e_ ��
Y/j/
Received&Recorded at Registry of Deeds Proof Enclosed zj,pA//jgr.ercentro
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 C mission
�� /2-/6 /ZOO/
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 40k Contact the Office of
Planning&Development for more information.
• sCErU
D
DEC - 4 2001 may/
File No./1�ya—oa—70
-rtL,4* .- l6'fa tail•
MENG PERMIT APPLICATION (§10.2) Ca-a)
y
Please type or print all information and return this form to the Building Inspector's Office with the
$10. filing fee (check or money order) payableto the City of Northampton�y,
I. Name of Applicant: F�` -'j D(etZ nen t cakrQ „ ( rv2al erea7it ii
Address: 11 k1cw��,tPt2e�n�,,,����s'��r 4421F-If 1 - Telephone..: 133=b19€
2. Owner of Property: f' t -tilrvr'r r Ibl`t u&Ie12-4p"1c1 Gu S CC'
Address: 22'l loom Brite Telephone: 59> - 6309
3. Status of Applicant: Owner __Contract P.urccjha�ser Lessee Other(explain) / r-a tTecr
4 Job location: "1"7-1 So V TH
Parcel Id: zoning Map" �Tl ParcdI# r/ 5 Distrlef(0: 61i42
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMEN[)
e�(0
5. Existing Use of SvncwNProperry U reU "Y Gu N)l G �/r- s4 lcc Oi
GGN J IGY�2 rite-€KLcn \ 1sEti,Lb,Jfo2Mf6
6. Description of Proposed Us/Work/Project/Occupatiorn (Use additional sheets if necessary):
Wtl>Jog- f7-41iCUk ioPS Ta pe e tto-O rdr2e6t 4 e ice To
kowec*w1 I-owt 4 PeUISc Uf2,.u1A-7rm.)
7. Attached Plans: Sketch Plan X Site Plan EngineendfSnrveyed Plans _.._
8. Has a Special Permit/Variance/Finding ever been issued for/on the site? -
`
NO 7<. DONT KNOW YES IF YES,date issued:
IF YES: Was the permit recorded al the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page _ and/or Document
9. Does the site contain a brook,body of water or wetlands? NO >e- 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 Sidc)
•
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:
I1. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED
DUE TO LACK OF INFORMATION. This column to be filled in
by the Building Department
EXISTING PROPOSED
ZONING, _
Lot Size et36 (-4P— IRI`136
Frontage 14- 1 147-- I
Setbacks Front IDI 10 1
Side L: 61I R: "2)171 L: Cl' R: 3.51 L: It:
Rear Qij 931
Building Height 2 Grog-tes Z s1QRtc
Building Square Footage 19•12-411 7-t1i 2,141
511 1 571
" geztis . si✓
Open Space:(lot arta I°h936 0
minus building et paved - It 590 = 4 -4 42-7b
Parking 9'446
tk of Parking Spaces S ✓f PC S 5 SPA-05
ft of Loading Docks
Fill:
(volume& location)
12. Certification: I hereby certify that the information contained herein is true and a .to to the best of my knowledge.
Date: "Zi°7-0 Applicant's Signature
NOT&Issuance of a zoning permit does not relieve an applicant's . .•• • ., .ly with all;ening 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.