25C-240 (7) File q MP-2019-0070
APPLICANT/CONTACT PERSON O'CONNELL KILLIAN
ADDRESS/PHONE 610 STATION RD (413)575-5209()
PROPERTY LOCATION 227 BRIDGE ST
MAP 25C PARCEL 240 001 ZONE URB(79)/SC(20)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid f.(
Building Permit Filled out
Fee Paid
Tvueof Construction: WOULD LIKE TO CONVERT CURRENT 2 FAMILY HOME BACK TO 3 FAMILY
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
INFpRMATION PRESENTED: Sh`
C/Approved _Additional permits required(see below) eA
?,„A
+
PLANNING BOARD PERMIT REQUIRED UNDER: § S�{41}
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan
Major Project: Site Plan AND/OR Special Permit with Site Plan Il.�
ZONING BOARD PERMIT REQUIRED UNDER: § �yy/
Finding Special Permit Variance-
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required: Z
CO 1C
Curb Cut from DPW Water Availability Sewer Availability CNty
Septic Approval Board of Health Well Water Potability Board of Health
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 caning
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.
RECEIVED
File No.-9'P-16(-Cil C) JON 12 2019
ZONING PERMIT APPLICA77O (§
Please type or print all information and return this fo itABuildingo
Inspector's Office with the $30 filing fee (check or money order)payable to the
� /�' City ofNor//,thampton
1. Name of Applicant: V"(ki NW �� ? (1/�/1V'Pn(I ( �
Address: !ZT IJ<1 f & l l-'J AC 0 Telephone:
2. Owner of Property: I kc,v7 ceCC�ed
Address: 610 5111/ OA 20 f�,tt6NTry( Telephone: Ci\3
3. Status of Applicant: Owner ontract PuOrchaser Lessee Other (explain)
4. Job Location: ZZ-1
Parcel Id: Zoning Map#—j L,— Parcel# District(s):
In Elm street District In Central Business District
O BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: ` Y 1lL �>� 'Na'-, pnell1�
6. Description of Proposed U
lIs��e
,,/Work/Project/Occupation: ((,Use additional sheets if necessary):
�G CWV&k V/aL<' 1A 96aIAk\ "lA/4 log-it^
( L�)IfA 6LrVM CkA6- _ l� '2. "--NA
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
B. Has a Special Permit/Vara ce/Finding ever been issued for/on the site?
NO DON 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 wedan 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:
(Form Continues On Other Side)
F', i l r or y Q Comcs�si. 1�-�-
W U)acume TOR Sbd6in ]l uLldmB lwpeaolZo g-Pe t-Application-pa ve.doc S/4/2004
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 NPl
IF YES, describe size, type and location:
11. Will the construction activity disturb (clearing, grading, excavation, o ) over 1 acre or is it part of a common
plan of development that wiU 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
De torrent
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
Frontage
Setbacks Front
Side L: R: L: R: L: R:
Rear
Building Height
Building Square Footage
%Open Space: (lot area
minus building&paved
parking
#of Parking Spaces
#of Loading Docks (O
Fill:
(volume& location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: V ` `— `e-\ 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 Healthy Conservation Commission,
Historic and Architectural Boards,Department of Public Works and other applicable permit granting
authorities.
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