23D-112 (3) File#MP-2008-0008
APPLICANT/CONTACT PERSON MULHOLLAND MARIE B
ADDRESS/PHONE 584 ELM ST (413)586-0161 ()
'lRO` ERTY LOCATION 584 ELM ST
AP 23D PARCEL 1 01 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ING FORM EI .i.ED OUT .,^a
Fee Paid i 2If eer---
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-BED&BREAKFAST
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:
Approved Additional permits required(see below) pp
PLANNING BOARD PERMIT REQUIRED UNDER: § 3 o 4p, / / /0. n pe 42i 0Anti
Intermediate Project: (/ Site Plan AND/OR �pecial Permit with Site Plan 6*&
Major Project: Site Plan AND/OR Special Permit with Site Plan Bk p'
ZONING BOARD PERMIT REQUIRED UNDER: § 011 idL'
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 C o scion
..---- ,,,,,,--A.,...
.....
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.
AUG - 7 2007
File No.�/"n
Q�?og-
PIease type or print all information and return this form to the Building
Inspector's Office with the .el5 filing fee (check or money order)payable to the
,�J� City of Northampton
1. Name of Applicant: f" /CIE€ Al i/A(7//6 6/
Address: Shy /41 S7'• Telephone: %�� -G/G I
2. Owner of Property: etBPY e - f?c//4
Address: � Telephone:
3. Status of Applicant: Owner i/ Contract Purchaser Lessee Other (explain)
4. Job Location: Secs.,e_ cskiE G ./
' "'3.'x-ram"- "`:sue - �+ s -`�- � --.. `�•-y� r �' r.. .r — �....<_!
- '_'v". �� y`'•t -
5. Existing Use of Structure/Property: Pre je41-4 Zor.,e.cI ( Q .v (.f
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
z ,;v,GIAZA4 ;S -kr- ,w zi(p1 eI (lid - ,.�) ��-p j Cve+
C7 ( ) rietyamxa- A pre - y icL
(0..t4'f' ll'9(n (Li) QLei.•Li i ie� [ LL s P�C�!k .J �l) S/e74.-(7. Attached Plans: Sketch Plan Site Plan L// ✓ Engineered/Surveyed Plans
$. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW L. YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document#
9.Does the site contain a brook, body of water or wetlands? NO ✓ DON'T KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , date issued:
(Form Continues On Other Side)
W:1DocamentslFORMS\ori2inaTBuildine-Ii,sN....torZoning-Permit-AppIicdon-passive.doc 8!4/2004
10. Do any signs exist on the property? YES - NO
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES ✓ NO
/
IF YES, describe size, type and location: p` l G " .(i) 414 a e0 Flla((I t l L� t?•2 1U✓)
11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO Cc..,� acL,,1j r'01. �1.0‘
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This column reserved
for use by the Building
Department
EXISTING PROPOSED R Q�I1$'Y`
Lot Size
Frontage
Setbacks Front
Side L: R: L: R: R:
Rear
-Building Height
_ 1-
Building Square Footage
.-%Open Space: (lot area -
minus building & paved
parking
of Parking Spacesffr -
L
#of Loading Docks
Fill:
(volume & location)
III '7 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 6/?"0 Applicant's Signature,/Y--)
C-./"
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:\Docunen«'FORMS\onginalauiidina-L.speao'.Zonine-Permit-A iicarion-pzscive.doc &/4'20U4
-NOTE-
-THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT
OI�ST__ ED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED.
I,
,` IJ ULDING LOCATION ACCURACY IS NOT GUARANTEED
AU
' loco''
NOTE:
SUBJECT TO AND TOGETHER WITH
EASEMENTS AND RIGHTS OF WAYS
OF RECORD.
`o APPROX. LOCATION OF
/\• ,/ BIT. CONC. PARKING
38•89
Q<<\/
41
L_ __ — -
r rA
5
'L.
�6,2‹
o #584
TRACT 2
L �
PLAN BK. 131, PG. 46
TRACT 1 SANITARY SEWER
EASEMENT
19 7.76±
ELM STREET
TO: NORTHAMPTON CO-OPERATIVE BANK AND
FIRST AMERICAN TITLE INSURANCE COMPANY
TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY #250167
-NOTE-
SURVEYOR: Gf� ` _�� THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
-OF �,q -MORTGAGE LOAN INSPECTION PLAT-
NORTHAMPTON, MASSACHUSETTS
PREPARED FOR
IZER En MARIE B. MULLHOLLAND
9 So3aa2�� SCALE: 1"=40' SEPTEMBER 14, 2006
� uRv��° HAROLD L. EATON AND ASSOCIATES, INC.
"rtrnIl REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET - HADLEY - MASSACHUSETTS