31A-034 (4) File ff MP-2018-0072
APPLICANT/CONTACT PERSON STEIN CYNTHIA
ADDRESS/PHONE 7 FRANKLIN ST (512)560-2839()
PROPERTY LOCATION 7 FRANKLIN ST
MAP 31A PARCEL 034 001 ZONE URB(100)
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid V "
Building Permit Filled out
Fee Paid
Tvpeof Construction ZPA-MASTER BED D1T1 ON BACK OF HOUSE
New Construction
Non Structural interior renovations
Addition to Existine
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 PRESENTED:
_Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project: Site Plan AND/ORSpecial Permit with Site Plan
Major Project: Site Plan AND/OR_Special Permit with Site Plan`
ZONING BOARD PERMIT REQUIRED UNDER: § 35
1 Finding Special Permit ✓/ Variance' rJ
(NC2bAStN�
Received&Recorded at Registry of Deeds Proof Enclosed NdN�dp(o(LMt CS
_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
"s b of (g,
Signature6/ld�ng Official Date
Note: Issuance of 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.
Gid it I l
File No. M12 - 19- r7
N NG PERMITAPPLICATION 01o.2)
JDE�
¢a�sg(} a or rint all information and return this form to the Building
ctor's O ce ith the $30filingfee (check or money order)payable to the
D�NGINSPEOTIONS City of Northampton
PTON.MA 01050 �meo Applicant: 11�� \a S vkn
Address: YdnFIIY\ 3V IJCrJsCA�,SAAKJ\OA MQV Telephone: Sta-S6o-2839
2. Owner of Property: Cy VX C-""r r
Address:-747v-,"" y.\TN so' `0 ^'Q�ti WA Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. Job Locatiow 7 :F`- ttA l Sk- NLK�^Z)'Aq\an M4 OLOGO
Parcel Id: Zoning Map# 3 1 A- Parcel# Q 3� District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property:
oQr V6,ViVk.- rXV r�sde✓�.
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Vic- WlSh +C' boy\d, a- dawv+us.� a-�_r�s. +�nas-1e.r �j�edrAmm batik
O�-tr +V\.O-
kLn2yko >5-2
7. Attached Plans: Sketch Plan Site Plan ✓ Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW ^ YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document #
9.Does the site contain a brook, body of water or wetlands? NO ( 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)
W'.\Documents\FORMS riginal\Building-Inspector\ZOning-Permit-Application-passive&. 8/42004
Ema"I; Cyr, -�1 5�E-7- ln Qvnl° . con--,
W. Do any signs exist on the property? YES NOIF 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. Will the construction activity disturb (Clearing, grading, excavation, or filling) oyQr 1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES_ NO M
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 BV
ZONING
Lot Size
IO , o35 No ca^a�o�
Frontage
5S' no �haMo�
Setbacks Fronti5• _6,t no it,c Oe
Side L:Z,-1- R: 1�,-7' L;nod rncycR; 9s' -W% L: R:
y
ei 1'C A non-Go+1F0(nt
Rear 1311-w. G� - -� ¢"1btt.�
Building Height
ZB` ho CHd✓1C�Q.
Building Square Footage -To1-ca LAviy%b tqolB tga81S' ac Z44
%Open Space: (lot area nor` per saca:LZr 2654 hon-Pe"m -1301
minus building B paved wit, 101035 L-0-T = too 3s,
Arkin ocv� > -l490 0 0 = 67'X0
#of Parking Spaces
3
#of Loading Docks O
Fill: O
(volume& location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: ) 5 /6 Applicant's Signature
NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply with all 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.
W\Documents\FORMS\original\Building-Insp Oor\ oning-Permit-Application-pus,,doc 8/42004
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FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT
AN ACCURATE SURVEY AND IS NOT TO BE RECORDED.
LOCATION ACCURACY IS NOT GUARANTEED
40'±
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