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23A-082 (10) Z-6e File#MP-2022-0007 APPLICANT/CONTACT PERSON EZMJ LLC ADDRESS/PHONE 53 FLORENCE RD (413)586-9947 PROPERTY LOCATION 17 MAIN ST-PIE BAR MAP 23A PARCEL 082 001 ZONE GB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCL ED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: ZPA-ADDITION OF TEX DECKING WITH ONE STEP INTO BUILDING 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 PRESENTED: xApproved 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: § 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 Street Commission Permit DPW Storm Water Management • SI6aI Sig ature 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. File No. fry 2,-1v ED ZONING PERMIT APPLICATION (` .f t-2 21 Please type or print all information and return thisif:. -• I the Buil I in • r Inspector's Office with the $30 filing fee (check or money 0�` '��, . City of Northampton as : e t the 1. Name of Applicant: A U.v 6 le it 140 h (18/4 Foie Kc a Pt e /30-r Address: /7 M'h S1- Pore-t', A-(A ©it .Z Telephone: 4/3 3 //'3 283 2. Owner of Property: A401.U--1-Ck u41 cJvi t • Iv s-4 (E-2/I/ L L C Address: 5.3 /ore H.ce /td Pd)/Q t -'P, II.(A C/06ZTelephone: W-3 576 y9 Y7 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) c 4. Job Location: / 7 /14a./Li St �(0re,,4ce, AAA 0/06 `Z Parcel Id: Zoning Map# c2 Parcel#d OL District(s): In Elm Street District In Central Business District (TO BE FILLED IN BY THEBUILDING DEPARTMENT) 5. Existing Use of Structure/Property: igPS/d /. 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): li h(P-1 0 /re x ec Z; e✓ '240 51 i 3 C are a re.(4r(P pee sfakie .) DAP ;Iep u/ cJTh 6 e704ij . No C6 3e3 , h cilue445/d s of C't r e4, f Sp e . T will f ail0c 0,ia.th/4J 7. Attached Plans: Sketch Plan 1` Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW YES $ IF YES, date issued: aOls f ono -o IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW x 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:ADocuments\FORMS\original\Building-InspectorAZoning Permit-Application-passive.doc 8/4/2004 10. Do any signs exist on the property? `� YES 7` NO /� IF YES, describe size, type and location: J kS I hes S S ig'V! S d✓i 1Th f d^^� g/o('( 6 tA,fekk1 6514A iv,�eoi,iroi t ce Pile Gal' ' O.,,to( iE ' ) No C6a.4-feS, Are there any proposed changes to or additions of signs intended for the property? YES NO X 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 JC 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 REQUIRED BY ZONING Lot Size a-y no eeletA4.1 e. Frontage Po ft i70 CNQ4.4Se Setbacks Front 3 Z ' + 4 2.' h D c 6 Side L: (o ' R: "'/A L: (, ' R: a/,4 L: R: Rear Al b, Al/it Building Height No c tt a-vile 5 Building Square Footage % Open Space: (lot area 9/a-0 - y8s y 9/20 -Sia G - Aer yoiy minus building Et paved parking 13 I w�9V90 dea_l/ #of Parking Spaces n a c t O—'tge$ #of Loading Docks NSA "/A Fill: (volume Et location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: 27 Ju 2/ Applicant's Signature dam 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:ADocuments\FORMS\original\Building-InspectorAZoning-Permit-Application-passive.doc 8/4/200-I I'I MAIN St , r r i; �s6vv7 t la(ttuuM� A eiaYv � ) 11,11,