32C-272 (6) File 4 MP-2019-0071
APPLICANT/CONTACT PERSON O'CONNELL KILLIAN
ADDRESS/PHONE 610 STATION RD (413)575-5209()
PROPERTY LOCATION 50 WILLIAMS ST
MAP 32C PARCEL 272 001 ZONE URC(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Tvccof Construction' BELIEVES PROPERY HAS SECOND LOT AT THE BACK WOULD LIKE TO
DETERMINE IF ITS BUILDABLE AND IF SO PROPOSES TO ADD AN 8 X 2 BEDRM UNITS AT BACK
OFLOT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Buildme Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON /1
INFORMATION PRESENTED: l
_Approved _Additional permits required(see below) L
�a3
PLANNING BOARD PERMIT REQUIRED UNDER: § �, ,1 / �{
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan � � o
Major Project Site Plan AND/OR Special Permit with Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received& Recorded at Registry of Deeds Proof Enclosed ,1 ZIP
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability se-
Septic Approval Board of Health Well Water Potability Board of Health (11U'
_Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Signature of Building 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 of MGL 40A.Contact the Office of
Planning& Development for more information.
v4a q--71 RECEIVED
File No.
ZONING PERMIT APPUEATIO V 01,QN2)p
Please type or print all information and return this o to the Buildin
Inspector's Office with the $30filing fee (check or mono y ;he
City of Northampton NORTHAMPTON,MA 01060
1. Name of Applicant: 1 VCG✓[n$11It , 1 IInnt-
Address: 56 V l lI r.JAS 5- 1 C,0 C / V Telephone:
� 1
2. Owner of Property: I tlltFU 0 ,04,J1.1 II /1
Address: c dY uTelephone: 4�3 S' San
3. Status of Applicant: Owner Contract Purchaser_Lessee Other(explain)
4. Job Location: (g.X l�ictm S
Parcel Id: Zoning Map# Parcel#I - District(s):
In Elm Street District In Central Business District
(TO BE FILLEDIIN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: 4 Y 7M� �(
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
�K s-eCCAAok 4 &S-Ijd (JV��k v (t- add � x 2 �(
t� tom rx?A 4>�e61 lo
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 ONT KNO YES
IF YES: enter Book Page and/or Document#
9.Does the site contain a brook, body of water or wetland 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:
0�oN^\Q � (Form Continues on Other Side)
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i
to. Do any signs exist on the property? YES NO
t 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 fjlY"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 reseroed
for use by the Building
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Sue
Frontage
Setbacks Front
Side L: R: L: R: L: R.
Rear
Building Height
Building Square Footage
%Open Space: (lot area
minus building It paved
parking
#of Parking Spaces pO
#of Loading Docks
Fill:
(volume Et location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge. �n I
Date: I2— ` 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 pertnits from the Board of Health,Conservation Commission,
Historic and Architectural Boards,Department of Public Works and other applicable permit granting
authorities.
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