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32C-071 25/26 Maple Ave ZPA 2015-12-21File# MP-2016-0054 APPLICANT/CONTACT PERSON GENG PING ADDRESS/PHONE 782 NORTHEAST ST (413) 253-4730 () PROPERTY LOCATION MAPLE AVE MAP 32C PARCEL 071 001 ZONE CB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid TypeofConstruction: ZPA-BUILDABLE LOT -FRONTAGE-TOWNHOUSE UNITS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans I Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRE~NTED: __ Approved -t,L.Additional permits required (see below) 2,.. iJn" ~~'1)-{I~ PLANNING BOARD PERMIT REQUIRED UNDER: § 3So ·-1 A8U:: of t.ts-e Y' lvS Intermediate Project : __ V_Site Plan AND/ORc...._ __ 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 ____ Well Water Potability Board of Health ___ Septic Approval Board of Health ~Permit from Conservation Commission ___ Permit from CB Architecture Committee -----'Permit from Elm Street Commission ____ Permit DPW Storm Water Management 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 ofMGL 40A. Contact the Office of Planning & Development for more information. II ZONING PERMIT APPUCATION (§10.2) Please type or print all information and return this form to the Building Inspector's Office with the $30fi.lingfee (check or money order) payable to the City of Northampton 1. Name bf Applicant: P, ,.JG: Ge-o eJ Address: l 8 2 N Q~ 'nH:A-&I S '"I-,. fbn&~~ T, /}\It Telephone: 4-:t ~ -2.$3 -4--1 :3 o 2. Owner of Property: P ING-&:eu {;r Address: __ ~c_.S ..... d:.......,.Yh~?----------------Telephone: __________ _ 3. Status of Applicant: Owner X Contract Purchaser ___ Lessee, ___ Other (explain), ____ _ 4. Job Location: 25 yY\ A::PLt ,4v~ I N QflIHA:rhpTD O ,-m A . Parcel Id: .. ~oning ~ap#_._ .. _____ ·. Pare:~!# 13 2L-Ol t · Distrkt(s):_: -------- In Elm Str~et District . ,· , . In Centra!Business District · • (TO BE FILLED IN BY THE BUILDING DEPARTMENT) ·---- 5. Existing Use of Structure/Property: ___ f;_-~Y\1 ........ Q_r_y.,__~L~V~.,-~-------------- 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): ~-std e; of f ?l:!, .. !_ :e oftvC CJ i~h ·f-o wt $..e~ 13u.ttJ)A(;L{ loT · FQ6NIA9€ low>Jtlot.ts~ UJ.;> LIS' 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans __ _ r;~ '.;: 8. Has a Special Permit/Variance/Findi_ng 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 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 __ _ DONT KNOW __ _ YES X 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\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004 II 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 )( I IF YES, describe size, type and location:---------,------------------- 11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 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 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 D epartment EXISTING PROPOSED Lot Size 0, ~4-&.Cf<!. 0 , ~ 4-CLCr-(1 .-, -I -- Frontage ::, (7•..) 7 v. '+'" ~ f-- Setbacks Front Side L: R: L: S-0 •· R: s-v' L: Rear 0 ·~- Building Height ·-· D . ~ S'fo ,-vt Building Square Footage 7, tTCTD ~f -fc () fr;Jr 4tu1, :fs w Hh -e tui % Open Space: (lot area I';] ._s-D ~ I minus building a paved () l lo I fTl71' C:.C. parking # of Parking Spaces 0 i {O # of Loading Docks _ 0 0 Fill: (volume a location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: ---------Applicant's Signature------------------ REQUIRED BY ZONING R: 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. 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