125 Locust DPW File#MP-2018-0004
APPLICANT/CONTACT PERSON NORTHAMPTON CITY OF BOARD OF PUBLIC WORKS
ADDRESS/PHONE 125 LOCUST ST
PROPERTY LOCATION 125 LOCUST ST
MAP 23B PARCEL 014 001 ZONE SI(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: New 4900 sf Storage Barn
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 PRESEJTED:
Approved dditional 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
7/i3/7
' l
Signatur 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.
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File No.
ZONING PERMIT APPLICATION 010.2)
o.2)
Please type or print 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: City of Northampton Department of Public Works
Address: 125 Locust Street Telephone:
2. Owner of Property: City of Northaampton
Address: 210 Main Street, Northampton, MA Telephone:
3. Status of Applicant: Owner X Contract Purchaser Lessee Other(explain)
4. Job Location:
Parcel Id: Zoning Map# Z3 parcel# 0(`- District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property:
Department of Public Works Main Offices and Highway Department
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
New 4,950 square foot storage building
7. Attached Plans: Sketch Plan X Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW x YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW X YES
IF YES: enter Book Page and/or Document#
9.Does the site contain a brook, body of water or wetlands? NO DONT KNOW X 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
W Documents FORMSonginal4Building-InspectoriZomng-Permit-Application-passive doc 8/4/2004