46-052 File #43 Z—OK
APPLICANT/CONTACT PERSON:CHRISTINA DIVIGARD
79 ISLAND RD NORTHAMPTON, MA 01060(860)543-0289
PROPERTY LOCATION ISLAND RD
MAP:LOT 46-052-001 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: ZPA -CONTINUE TO USE BARN FOR GARDEN/FARMING/WORKSHOP
STORAGE BUT WILL EITHER REPAIR OR RECONSTRUCT
New Construction
Non Structural Renovations
Addition to Existing /1
Accessory Structure �, 1
Building Plans Included: ✓✓✓
Owner/ Statement or License G
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INVORMATION PRESENTED:
XApproved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Penni With Site Plan
Major Project: Site Plan AND/OR Specia 1 Penn ii 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 'ewer Avaliability
Septic Approval Board of Health Well Water Potabilit Board of Health
Permit from Conservation Commission Permit from CB hitecture Committee
Permit from Elm Street Commission Permit DPW Sto Water Management
Demolition Delay
1, ICENV
Si�jature of Building Official Da
Note: Issuance of a Zoning permit does not relieve a applicant's burden to co u ly with all zoning
requirements and obtain all required permits from Board of Health, Conserva ion Commission,Department
of public works and other applicable permit granting authorities.
* Variances are panted only to those applicants who meet the strict standards of I(;L 40A.Contact Office of
Planning&Development for more information.
FIVE . '
C7
30'
File No. MAY 1 1 2022
ZONING 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
City ofNorthampton `� Ira Ivespool
1. Name of Applicant: Ch if l St ►'1 GL Div, G)Cl 1' OI C(,{ '
Address: l I spa► Ck- Ida Cl `1 Telephone: (e l\ . OO SC-}3 0 2S-1
2. Owner of Property: L_.1 ►�1 ctGU PIbet-n Ol VY1
d
Address: Jo I SI a I'1 COL . Telephone: f) 3 S • zi Z4-4
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) Pr2DSpr hVe_.,
I � toUy-e r
4. Job Location: ISLG)'1d aol1 Pot21✓I L-(o - DSZ -0D )
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDINGDEPARTMENT) ll
5. Existing Use of Structure/Property: Ord C 1/To((Yl t ►'io , >le l�I GI�l C (�( � ✓t T
S�►�a�� vvo(Cst op
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
�G VVI,12_ 0. S e x i s-1 �,�1 , w 11 l Ye OC i r OK rep vv1 s tYLA (
bctrn in saw Inc G .thCY) ) San e. ' I t arld
same,e, oU wl-e v1 i c m
7. Attached Plans: Sketch Plan V 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:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T 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 beenor 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.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:
11. Will the construction activity disturb (clearing, grading, excavation, or filling)7er 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 reserved
for use by the Building
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size M
3.L1 c& cs
Frontage N
Setbacks Front 16 ►
Side L: R: '`12 I L: R: L: R:
Rear r'. I b 22
`1 W
Building Height a-I- .Fycy\ y�
25 at rear
Building Square Footage
3 ,5' X tiy,s 1 I —1 1 3 s-c
% Open Space: (lot area
minus building Et paved q?°/b
parking I a
#of Parking Spaces
n c►ry__ cLk SiFtod-rCi
#of Loading Docks
Fill:
(volume Et location) /C_-
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 51 [l I 2-0 2 2- Applicant's Signatur
NOTE: Issuance of a zoning permit does not relieve an plican ' burden to comply with all zoning
requirements and obtain all required permits from the B d of Health, Conservation Commission,
Historic and Architectural Boards,Department of Public Works and other applicable permit granting
authorities.
W:\Documents\FORMS\original\Building-lnspector\Zoning-Permit-Application-passive.doc 8/4/2004
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