23B-011 ZPA 2010-10-14---
File # MP-201l-0044
APPLICANT/CONTACT PERSON 193 LOCUST ST ASSOCIATES LLP ':h~
ADDRESSIPHONE 193 LOCUST ST '?1 ~!lAU p~5&'...., -" 70
PROPERTY LOCATION 193 LOCUST ST
MAP 23B PARCEL 011 001 ZONE SI(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Building Permit Filled out
Fee Paid
TypeofConstruction: ZPA -ADDITION
New Construction
Non Structural interior ren~o~v,-"a~ti:,Lon~s!-_____________________
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets ofPlans / 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/OR'--__Special Permit with Site Plan
Major Project: Site Plan AND/OR Special Permit with Site Plan
ZONING BOARD PERMIT REQmRED UNDER:
Finding_____ Special Pennit _______ Variance* ______
___.Received & Recorded at Registry of Deeds ProofEnc1osed.____~
__Other Permits Required:
Curb Cut from DPW ___Water Availability .___Sewer Availability
___Septic Approval Board ofHealth ____Well Water Potability Board ofHealth
___Permit from Conservation Commission ___Permit from CB Architecture Committee
___Permit from Elm Street Commission ____Permit DPW Storm Water Management
Signature ofBuilding 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.
oel 1 2 2010
! \ FileNo.
Please type or print all information and return this form to the Building
Inspector's Office with the $lsJilingfee (check or money order) payable to the
City ofNorthampton (1011 fi£2cl
, /7.. • f,.t(t m 1-10., ~
1. Name of Applicant: /\IOY' i A;}.m .t9/-on 17r..Qa. Pe d 12MI Qd.-J., ,
Address: / %.3 /-.0 C!-OV-.t-\.. ~\/:uuL-;-Telephone: .:5R "i-g 7 (J Q
2. Owner of Property: Nc>r 'I h 2. rrvp hrrz. 4 r..Q ;;;Z ;?-'2-d l~hIe4d
Address: !" S'~ cd:/' ~ Telephone: 0~ Ce h ~
. / /J ...-ch i t:k...J-..
3. Status of Applicant: Owner ~Contract Purchaser ___ Lessee____ Other (explain) V
4. Job Location: ,I 9.:2 L 0 CJ.-/\S+ 0/-yLgj:
Parcelld: Zoning Map#______ Parce(#______ District(s):_________
In Elm Street District In Central Business District~___
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: f?e d I 'cz hid-l' 0 ental e'J IJI C~
6. Description of Proposed Use/Work/ProjectlOccupation: (Use additional sheets if necessary):
Jnfe.r/e,,:C re.n t) (/ ;;J h 6Y}4 / \. 5/11f ?g !, 2h?r:!j;) Noy111...6 n S-f-C&'
oj eX!sl-lfA--j /;u:ug c/VL:e
7. Attached Plans: Sketch Plan V CJsite Plan v:: Engineered/Surveyed Plans ___
8. Has a Special PermitlVariance/Finding ever been issued for/on the Site?
NO DONT KNOW YES v/ IF YES, date issued:>..¥i1/e::JO / D
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES ____vi
IF YES: enter Book ____ Page ____ and/or Document # ______
9.Does the site contain a brook, body of water or wetlands? NO ___ DONT KNOW ___ YES y/
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained -~\,L../--Obtained _____, date issued: _______
(Form Continues On Other Side)
8/4/2004W:\Documents\FORMS\original\Building-lnspector\Zoning-Pennit-Application-passive.doc
YES / NO ____10. Do any signs exist on the property?
IF YES, describe size, type and location:_-li~'_'.:s..V-.JI5'=L-_'--=-a"-<'0r1-(.:::C'~:...:.::::,,---,,_<...;.I-__ ____I-o_~"-.5'~h_R.._I2-,t:
Are there any proposed changes to or additions of signs intended for the property? YES __NO V
IF YES, describe size, type and location: _________________________
11. Will the construction activity disturb (clearing, grading, excavation, or filling) o~/ 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
I EXISTING PROPOSED REQUIREDBV
ZONING
LotSize SJ-j-l 731 sf. B.;;l~
frontage /9&
, .s fi.211A-f<
Setbacks front 7.2.. '-J.f II SaVIA-L-
Side L:--.5'j-D R: 59-:3 L: s~R: S'CVv-<Q... L: R:
Rear c2o' S.;;;;;.~
Building Height I&' I "1-5 5.;z~
Building Square Footage ri;:<;rJ7. 690/ nl"srFI. 71/7
hr?1f.,;zg70 hff1T.,;z. g 70
%Open Space: (lot area .36,7 % 35: 0
0
minus building & paved 7"Iparking
# of Parking Spaces J.,8 68
# of Loading Docks
0 0
Fill: 0 0(volume & location)
!
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: ID/j /ID Applicant's Signature ~~h.... T/
NOTE: Issuance ofa zoning permit does not relieve an applicant's burden to complywith all zoning
requirements and obtain all required permits from the Board ofHealth, Conservation Commission,
Historic and Architectural Boards, Deparbnent ofPublic Works and other applicable permitgranting
authorities.
W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive<doc 8/4/2004