32C-316 (10) File #28
APPLICANT/CONTACT PERSON:BEEK DARRIN W & KATHARINE E EWALL
40 HENRY ST NORTHAMPTON, MA 01060
PROPERTY LOCATION 40 HENRY ST
MAP:LOT 32C-316-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $30.00
Type of Construction: MUDROOM ADDITION
New Construction
Non Structural 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 DRESENTED:
Approved '/ Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§ I •/ f7
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan 9 I Lt 141' `' 5
MajorProject: 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 Perm its 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
Demolition Delay
///7g /11-7-402-2
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 Offi e of
Planning&Development for more information.
APR - 8 2022
File No. (i qi
"f®►2"di,irosel}tlf GbdS
_.� •NING PERMIT APPLICATION(§i o.2)
Please type or print all information and return this form to the Building
Inspector's Office with the $30 filing fee (check or money order)payable to the
r ,a I� City of Northampton
1. Name of Applicant: J/ � 1 ✓� l c k \a i-e-
Address: "1 0 1-i-e In Telephone: t OO'C0
2. Owner of Property: D Cn rr ‘k n S 2 2,Ac_ V`\-4-e-
Address: I 014-e-r) v'' J�( Telephone: K' I -7 - &O
3. Status of Applicant: Owner X Contract Purchaser Lessee Other (explain)
4. Job Location: ID +6 n r
Parcel Id: Zoning Map# �G Parcel# `�7 (f District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: T,(`' '""` � 1C- vs)l sect v) n6`1C, L .(-Ltl.-
v 5\f-kae2A
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
kk(A', 4-i. o,r, YY1 U - COO On e_11966"n Sl 00 04'0 fO(Ck 1n 1 d 1.''�-�G bn
co . (-ev(iavc4\ o 2OrLL .Jvk { - Iocc hov1 g-
V)(A c as okkzy- ( t \
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 7 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:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doe 8/4/2004
10. Do any signs exist on the property? YES NO x
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES NO Xi
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 X
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 çioo ,
c „ r _
Frontage
Setbacks Front
Side L: S' R: ,' L: 3' R: L: R:
Rear
Building Height
5A-10r `,)
Building Square Footage
1 'I'1 '27 c.Th l 5 `>
%Open Space: (lot area
minus building& paved 3' I ` U/" ���o _
parking
#of Parking Spaces
Z 2— 1
#of Loading Docks
L
Fill:
(volume & location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
1 .
Date: I I'1)-1 Z7-. Applicant's Signature ( L
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:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
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-- NOTE—
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SO'
TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT
BUILDING LOCATION ACCURACY IS NOT GUARAN
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HENRY STREET
f/k/a MEADOW STREET
TO: FLORENCE SAVINGS BANK AND
COMMONWEALTH LAND TITLE INSURANCE COMPANY
TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED
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