38B-246 (12) File 8 MP.4019.0059 c
APPLICANT/CONTACT PERSON G&S SANDLER AQUISITIONS LLC
ADDRESS/PHONE 3 OLIVE ST (413)586-8533()
PROPERTY LOCATION 3 OLIVE ST
MAP38BPARCEL 246 001 ZONE UR%100)/
TIII,S SECTION FOR OFEICIAL USE ONLY:
PERMIT APPLICATION CHHBCUIST
LOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee PaidBuilding Permit Filled out
Foe Paid
Tweo$Construction: ZONING-PRQFFSSII NAL OFFICE-FILED BY POTENTAIL TENANT-JENNIFER
BpoIN_.
New Construction
Non SIBKNW interior renovations
Addition to Existing
Accgss�Structure
Building Plans Included:
Ownerl Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PR
E�ENTED: })(,Sp ADDRESS ("T C"'E, (;K-
6
JC$ MP-cbW-df4)
Approved 1/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 ENDER: ii350- 9,3 URN6f IN 1J0NCDNf6RwiiN6 UZ
Finding Special Permit_ _ _ Variance•—.
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 CB Architecture Committee
Permit
from Elm S/tucat Commission _ Permit DPW Storm Water Management
Signature of Building Official Date
Now: 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.
I� hq McNo. RECEIVED
ZONING PERMIT AP1 (§ o.W
Please type or print all information turn this form t e Building
Inspector's Office with the$30 filing fee(cheii ayable to the
�
(' City ofNort " nr�+nMwon � �,rso
7. Name of Applicant: . 14I1 n�rt4 r 16')q I j
]� n
Address: � � LI OcSPpkA. Rfi1- �� kafIC M�4 ')'elephone:
2. Owner of Property: Cn S G n!A y'r J I S{-16vL5 L L-
Address: 3 U11\.K, S e , Gm��Jn,/YI Telephone:lU)3) 51�6f 1�c5n
PtosPacbei
3. Status of Applicant: Owner ,,—Contract Purchaser Lessee��// Other(explain)
4. Job Location:_E)t 1e 'aie�jX KbAgaMID '�io 3o
a
Parcel Id: Zoning Map# .f D& ParcelN� �T/ District(s):
In Elm Street District In Central Business District
TO BE FILLED
( IN BY THE �/BUIL(DIINNGG DEPARTMENT)
5. Existing Use of Structure/Property: R Ui2,ejj�i(y)rL 00N (x,
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
P(-ok-5Si� 6l . oj�k UG
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 DONT KNOW \/ YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document#
9.Does the site contain a brook, body of water or wetlands? NO 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:
(Porto Continues On Other SiOe)
WODocumenb\FORMSbriginh uilding-Inspennrt ning-Pnmit-Applicutiun-passive.doc O��/ 84/2W
10. Do any signs exist on the property? YES J NO
IF YES, describe size, type and location:
X iV or \Jes Sidey-F 6u
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 Ming)ove 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
EXISTING PROPOSED REQUIREDBY
ZONING
Lot Size
. I1Z �C - Chan
Frontage �0( C�
Setbacks Front
Side L: R: L: R: L: R:
Rear
Building Height I t�_ {7d S�I�p� yny14Q�— C61aA
Building Square Footage ) Z l0 C F S4� �Ib
U / V J r J _
Cl7a�
%open Space: (lot area {10
minus building R paved SS/nQ,
parkingClan
#of Parking Spaces C
1 V Jo.Wl2i— 11 e
C�4
#of Loading Docks N
JXOc'1 S0.W1Q=y1�IG
Fill: Uh(Cy+/JI,J�
(volume&location
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
II r
Date: Applicant's Signature �
NOTE:Issuance of a zoning permit does not relieve so applicant's burden to comply with at 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 ND mmenisTORMSbriginal\RuildiM-Inspecm,iZo ing-Permit-Application-pmsive.dm 8/42004