22B-058 (9). - - - - - T --F
pU .�'� CW
EVIISES TO INCI UDE TH'u___ STRUCTURE IS
_D WIT A. 100.. YEAR FLOOD ZONE
TEMPORARY CONSTRUCTION
EASEMENT, SEE: BK. 216-8,
PG. 79, PARCEL E-20
',RENCE
.AN BK. 80, PG. 37
-AN BK.. 80, PG. 33
� n P't";
BOOK 1332p
PAGE 361
fro iN
��PRN STREET
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:
11. Will the construction activity disturb (clearing, grading, excavation, or filling) o e 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
Department
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge. _ -#--7 If
Date: Applicant's Signatur
NOTE: Issuance of a zoning permit does not relic')Vplicant'sn apburden 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:ADocumentsTO RMS\original\Building- Inspector\Zoning- Perin it -Application- pass ive.doc 8/4/200,1
EXISTING
PROPOSED
REQUIRED BY
ZONING
Lot Size
a 00 �
ff
i G►
�Ll G
Frontage
20
( G •
✓
Setbacks Front
�Z V
Side
L: C �v R:
L: S� • R: Cj(•
L: R:�
Rear
w
G y
%1 ��
11
2-0
Building Height
Building Square Footage
% Open Space: t tarea
minus buildingFt paved
parking
# of Parking Spaces
4
# of Loading Docks
N f A
t/P�
...
Fill:
yy
IJ 1 f1
WA
(volume it location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge. _ -#--7 If
Date: Applicant's Signatur
NOTE: Issuance of a zoning permit does not relic')Vplicant'sn apburden 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:ADocumentsTO RMS\original\Building- Inspector\Zoning- Perin it -Application- pass ive.doc 8/4/200,1
File No -A Pva -
"°' "A"I PTO G PERMIT APPLICATION (§1 0.2)
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
�nn City of Northampton
1. Name of Applicant: W r kt g C4
Address: 4.1 '0
2. Owner of Property:•
Address:
3
4
Status of Applicant: Owner Contract Purchaser
1'x' .7
Job Location: cz,- dilnl_��_
Telephone: L -k 0 S" &- L C�
_Telephone:
Lessee Other (explain) ar*.V_�
01
,<3r) G
Parcel Id Zoning Map# Parcel# District(s):
In Elm Street -District In Central -Business District - (TO BE FILLED IN'BYTHE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property:
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
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 'V< DON'T KNOW YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds? tir
NO DONT KNOW YES
IF YES: enter Book Page and/or Document
9.Does the site contain a brook, body of water or etlancls? 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:\Doc urn entsTORMS\original\Building-InspectorVoni ng -Perm it-App] ication-passive.doe 8/4/2004
File # MP -2012-0114
APPLICANT/CONTACT PERSON WRIGHT BUILDERS
ADDRESS/PHONE 48 Bates St (413) 586-8287 (116)
PROPERTY LOCATION 45 SPRING ST
MAP 22B PARCEL 058 001 ZONE URA(100)/WP 1001/WSP(100)//
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid VOW XWO_
Building Permit Filled out _
Fee Paid
Typeof Construction: ZPA - ADDITIONS
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 PRESENTED:
Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER: g j � wS L
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
Septic Approval Board of Health
Water Availability Sewer Availability
Permit from Conservation Commission
Permit from Elm Street Commission
� a-=�
Signature of Building Official
Well Water Potability Board of Health
Permit from CB Architecture Committee
Permit DPW Storm Water Management
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.