24D-217 7 Perkins ZPA 2017-05-22File# MP-2017-0061
APPLICANT/CONTACT PERSON TOUSEY JOYCE A
ADDRESS/PHONE 7 PERKINS AVE (413) 586-4468 ()
PROPERTY LOCATION 7 PERKINS AVE
MAP24DPARCEL217 001 ZONE URC(lOO)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ZONING FORM FILLED OUT
Fee Paid
Buildin Pennit Filled out
Fee Paid
T eof Construction: ZP A -REBUILD FRONT S
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/ Plot Plan
REQUIRED DATE
THE ~OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRES.JNTED:
__ Approved ---tL"Additional pennits required (see below) .
. PLANNING BOARD PERMIT REQUIRED UNDER: § ---------
Intennediate Project : ___ Site Plan AND/OR ___ Special Pennit with Site Plan
Major Project: Site Plan AND/OR Special Pennit with Site Plan
'j'};D~J,3 {Aj_{io) ZONING BOARD PERMIT REQUIRED UNDER: §
Special Pennit v· Variance* ------Finding ____ _
___ Received & Recorded at Registry of Deeds Proof Enclosed ____ _
___ Other Pennits Required:
Curb Cut from DPW ---___ Water Availability ___ Sewer Availability
___ Septic Approval Board of Health ____ Well Water Potability Board of Health
___ Pennit from Conservation Commission Pennit from CB Architecture Committee ---
Permit from Ehn Street Commission ---____ Permit DPW Storm Water Management
Signature of Building Official .
J'J 1B 117
Date I
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 orily to those applicants who meet the strict standards ofMGL 40A. Contact the Office of
Planning & Development for more infonnation.
File No. 6P-/'),/~ii ;i_,
___ '..lf ase type or print all information and return this form to the Building
', fins~lr:: or's Office with the $30fi.lingfee (check or money order) payable to the
-.<.'. n.n~·\1 si City o-rNorthampton -· !..<b.. ~·
\\ 1i N "of Applicant: __ :Ji_tJ_ld+-~~·~~~~_,._._-__________________ _ rL Ires: "J 'Pe.,-!<Ji\s fm.,, I ~ Telephone: S?;l,-ip/6'l
·-Owner o'f Property: _ __.~""-'-~--------------------------
3.
4,
5.
6.
7.
8.
Address: ___________________ Telephone: __________ _
Status of Applicant: Owner X Contract Purchaser ___ Lessee ___ Other (explain) ____ _
Job Location: "7 ?er-l'l~ ·Avt..
Existing Use of Structure/Property:_-.L..ftS-==_._1-'--~= .. __,,·=-_-__..2-"--'-8 .... ~='-.:..,·=~---------------
Description of Proposed Use/Work/Project/Occupation: ,(Use additional sheets if necessary):
RL~JJ -Fornt ,s-tcps :to rY\OJ.t.. f}\em. ~c-, Currtnf~ -~ • 3 c-<TnC!fC!e-
Gkfs wlffe_ a oliif1AW0 Sv.Jt~l:SR ffJJf'Ch .. ~crs. [m/lJJ. ffkt_.-1t,p Sf~f! f6J~
«ft:~ e,n.t,yh "tt> f'l"atL o. s@l. l~!J?~ /JevJ Sfeps w-rJ.J.. k ~ .
Attached Plans: . Sketch Plan X Site Plan Engineered/Surveyed)>lans ---,--
Has a Special Permit/Variance/Finding ever been issued for/on the site?
'
NO ___ x_·._ DON'T KNOW ___ _ YES ___ _ IF YES, date issued: ______ _
IF YES: Was the permit recorded at the Registry of D~eds?
NO ___ _ DON'T KNOW ___ _ YES ___ _
IF YES: enter Book Page and/or Document# _____ _
9.Does the site contain a brook, body of water.or wetlan~s? , ,NO l DON'T KNOW YES __ _
IF YES, has a permit been or need to be obt,ai_ne? f~orn the Conservation Com )sion?AECEIVED
-.:,•'
Needs to be obtained ___ _ . Qbtained _____ ,
8/4/2004
10. D any signs exist on the property? YES ___ _ NO x·
F 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, ex~avation, or filling) )(r 1 acre 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 Managenient Perm1t from the DPW is required.
'
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN[BE DENIED DUE TO LACK OF INFORMATION
· ' 1his column reserved
for use by the Building
De artme~t ,------------r----=E=x=1=s=T=1N=-=-=G,----.-------=p=:a,=-o=p-:::Q-:::S=E=D,----rr
Lot Size
Frontage
Setbacks
Building Height
Front
Side
Rear
Building Square Footage
% Open Space: (lot area
minus building 8: paved
parking
# of Parking Spaces
# of Loading Docks
Fill:
(volume 8: location)
/2 I -It, /,olAJt. i 6 -fo pt,reJ.-
L:?J Jg' R: ?& 3
~~ 2.-'
*1~-tt,
1
;(, 2,250 ~,--fr.
L/
f./f> ~-fo forch ,}Jv.:t~epr ~ ~ da.tl' cJos,..r--t" ~ 1,k:w,J I<..
L: /JD~ R: fJ{)~
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Da e: __ 6_,(_f_l.,.../20_1_7~. __ Applicant's Signature ---*6-'-f-· .I..r-+-'~'"""-__ _,,_· _______ _
• I (/
N TE: Issuance of a zoning permit does not relieve ari 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-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
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