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22B-067 215 Spring St zpa driveway 2012-01-26----- File # MP-2012-0070 APPLICANT/CONTACT PERSON CRIMSON &CLOVE FARM ADDRESSIPHONE POBOX 60606 (413) 772-9197 0 PROPERTY LOCATION 215 SPRING ST MAP 16CPARCEL042 001 ZONE URAlWS!WSP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: ZPA -WIDEN DRIVEWAY 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: § ________ 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: u __________ Finding,_____ Special Permit _____ Variance* __----'Received &Recorded at Registry ofDeeds ProofEnclosed_____ __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 StoOO 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 ofHealth, 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. JAN 242m2 .a"~..o,, type or print all and return this form to the ~.....a.a...a..a.aJL~ Inspector's Office with the $:l5filingfee (check or money order) payable to the City ofNorthampton 1. Name of Applicant: /Uc,lC:,'1 FrI!J e:rd -Lr,M>C2V'7 +CloveJ kr~c.k Address: P(2!?ox., 6'CleO 6 P 1C2 rePLCr;.AI-Telephone: Lj I ) -? ?-b-~/9 > r' 1/ V;r.C)6~ 2. Owner of Property: &:f'c>J t-c9od AIl'2cr~~h1e1 Address: fo BoX' F4 ~ A/odl.ezn/dkrt, AdA Telephone: ttt;3 -5PY-c:;g (f-1 I 0t-06(9 3. Status of Applicant: Owner ___ Contract Purchaser ___ Lessee'--L-+--_ Other (explain)_____ 4. 5. Existing Use of Structure,property:_......!~'__!...!.e..:o_.l'Ic:...;c.\q.....Ii./_1/'______'&~~;..;.r....::h___]~'___!...:j...!...1"....:>5' /:...;f'l~/:....:l~(LL/'J..I....!,...L.,(;e?.......,:::::::L._~I---~C).....L__ ...... r:. CVvJ <;4.; re to/J-ee 5 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): .-Lve l-J'O'U/) [,it? l:.Q L.....--, j~...:::z C>(lf IS-Jr, V-Pl , 7' +c.? oL~' T~,'s. I.. £c2u.1i. qL/~~ c'vr c v ~/.CJ~£ r-~ ec.. ~,''E'r- r Q.!::l d £'':i l -er e t--. t...r'f.-I t::J. {" p Ct-""tJ e2rl+ -fo >ort:5 <;.f. I 7. Attached Plans: Sketch Plan x Site Plan Engineered/Surveyed Plans ___ 8. Has a Spedal Permit/Variance/Finding ever been issued for/on the site? NO ____ DONT KNOW -....::;KI,---YES ____ IF YES, date issued:.________ IF YES: Was the permit recorded at the Registry of Deeds? NO ____ YES ____ DONT KNOW _~I>(.--_ IF YES: enter Book _____ Page _____ and/or Document # ______ 9.Does the site contain a brook, body of water or wetlands? NO f?( DONT 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\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004 ___ 10: Do any signs exist on the property? YES 0( NO ---­ ! IX 3 I r,______ r,~!--. t1 -I:Le rdc:JIF YES, describe size, type and location::_~'E!::."c::-~~_~_I-~"':::~~_~'~"""L7~""'-#<:::1-_....:...!_'e.~~:..LC_c_-,-_...:_...!O..._-=-....:~:::s...:--2­ Are there any proposed changes to or additions of signs intended for the property? YES ___,,----'--­ 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 fK 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 bythe Building Lot Size Frontage Setbacks Front Side Rear Butlding Height Building Square Footage %Open Space: (lot area minus building &: paved arkin # of Parking Spaces # of Loading Docks Fill: (volume &: location) EXISTING PROPOSED L: R: L: R: () t 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: II '-Ila Applicant's Signature _~....:;.::;;...:::",."""""' ,'-bc-·-'~>:::-=--'---=-=------I I NOTE: Issuance ofa zoning permitdoes not relieve an applican"s burden to complywith all zoning requirements and obtain all required permits from theBoardofHealth, Conservation Commission, Historic andArehiteetural Boards, Department ofPublicWorks andotherapplicable permit granting authorities. W:\Documents\FORMS\original\Building-Inspector\Zouing-Pennit-Application-passive.ooc 81412004 1/24/12 10:46 AM To see all the details that are visible on the screen, use the "Print" link next to the map. http://maps.google.com/ Page 1 of 1