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Book 270 Pages 190 $.191
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Book 4468 Page 287
see also:
Plan Book 92 Page 33
Book 270 Pages 190 $.191
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ug'33'
�J�1D GE �T�E�T
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) 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
Department
13. Certification: I hereby certify that the information contained herein'is t ue and accurate to the best of
my knowledge. f,
Date: q 3--114 Applicant's Signature
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.
W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
EXISTING
PROPOSED
REQUIRED BY
ZONING
Lot Size
Frontage
L4 S D&E ST
Setbacks Front
Lis f
S {� fA C
Side
L: Zc� I R: 2.,31
L: R:
L: R:
Rear
1. i
Building Height
Building Square Footage
l'l L4 Lf "Z FWc4LS
Open Space: (lot area
minus building & paved
Q
parking�
/O
# of Parking Spaces
# of Loading Docks
`
Fill:
(volume & location)
13. Certification: I hereby certify that the information contained herein'is t ue and accurate to the best of
my knowledge. f,
Date: q 3--114 Applicant's Signature
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.
W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
APR
ons
File No.
ZONING PERMIT APPLICA TION:010 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
City ofNorthampton
1. Name of Applicant:C� (Nz � Ci -1 G LAS �-V-T L,i�
Address: 27' 9, -1Q -k -b & E ST Telephone: Y G S23 1'396
2. Owner of Property: S�
Address: Telephone:
3. Status of Applicant: Owner// Contract Purchaser Lessee Other (explain)
4. Job Location: �3G°
Parcel Id. Zoning Map# Parcel# District(s):
In Elm Street District In Central Business.District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT) .
5. Existing Use of Structure/Property: CAF- G hi"fZA(m
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Si\1 i K\ -G S('NC�-
7. Attached Plans: Sketch Plan )<- Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW X 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 X— DON'T KNOW
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , date issued:
YES
(Form Continues On Other Side)
W:\Docu..nents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
File # MP -2014-0078
`Tfl I R.D tktiTt w o m -D
APPLICANT/CONTACT PERSON RAPTELIS S NICHOLAS & CARRIE GILBERT
ADDRESS/PHONE 236 BRIDGE ST
PROPERTY LOCATION 236 BRIDGE ST
MAP 25C PARCEL 105 001 ZONE URB000)/
E-CpAJR,�C- T+N6
wLietss 13u i �� l SAVE
gR.INkLjft ►NSTA61-£�
THIS SECTION FOR OFFICIAL USE ONLY: �6�t1'p�� cn®( 96 3.2)
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA - ATT 3 CAR GARAGE FOR STUDIO/LIVING SPACE
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 P�TED: \
Approved dditional permits required (see below) I
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 ERMIT REQUIRED UNDER: § 9 , � _%� 5 C+
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
Signature of Building Official
Well Water Potability Board of Health
Permit from CB Architecture Committee
Permit DPW Storm Water Management
14 /
�-
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.