25C-105LOCUS. -AEF£RENCE
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LOCUS REFERENCE
Book 4468 Page 287
see also:
Plan Book 92 Page 33
Book 270 Pages 190 $.191
v
S?►AGE S-- --r " 14
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) ovar 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
T)Pnl'1rtmPnf
13. Certification: I hereby certify that the information
my knowledge.
Date;
Applicant's Signature
herkin is tru>Md accurate to the best of
NOTE: Issuance of a zoning permit does not reliede 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
It
Frontage
zq-%. 3 -3'AV6C S i
U2.4- 4, kA7_q c
r
G
Setbacks Front
WV
Cq,,,_
J
Side
L:�6 R: 'Z3 /
L: RI:
L: R:
Rear
L!
Building Height
� '2,z,
/ f
Building Square Footage
% Open Space: (lot area
minus building & paved
parking
# of Parking Spaces
; t
# of Loading Docks
Fill:
(volume & location)
13. Certification: I hereby certify that the information
my knowledge.
Date;
Applicant's Signature
herkin is tru>Md accurate to the best of
NOTE: Issuance of a zoning permit does not reliede 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
!L ; NOV; - 8 2013 '
Eec,t, _.. f �-_Ctions �, File No.
ONING PERMIT APPLICATION: (§10 2) :`
Please type or print all information and return this form to the Building
Inspector's Office with the $15Filing fee (check or money order) payable to the
City, ofNorthampto
1. Name of Applicant:�� fD �. 0_T 6_4 S
Address: 3 lL�� b S—T Telephone: 17 < L9
2. Owner of Property:
Address: Telephone:
3. Status of Applicant: Owner IContract Purchaser Lessee Other (explain)
4. Job Location: 5,a," C
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE'FILLED IN BY THE BUJLDI.NG DEPARTMENT) .
5. Existing Use of Structure/Property:
t
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
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 >0 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 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:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
File # MP -2014-0047
APPLICANT/CONTACT PERSON RAPTELIS S NICHOLAS & CARRIE GILBERT
ADDRESS/PHONE 236 BRIDGE ST
PROPERTY LOCATION 236 BRIDGE ST
MAP 25C PARCEL 105 001 ZONE URB(100Z/
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 - ADD STUDIO/LIVING SPACE TO DET 3 CAR GARAGE
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 PREMED:
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: § ---5S0 — *a r C
Finding Special Permit
Variance* �r
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission
Permit from Elm Street Commission
Signature of Building Official
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.