29-111 (13) ALLP,,'J 40 rl,),4 Fa7)
File #57
APPLICANT/CONTACT PERSON:John Handzel
10 White Ave.EAST LONGMEADOW, MA 010284135630085
PROPERTY LOCATION 596 RYAN RD
MAP:LOT 29-111-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Pe it Fi led out
Fee • $30.00
Ty ZPA -BUILD 2 HOMES WITH SHARED DRIVEWAY
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 P1RESENTED:
Approved V Additional permits required (see below)
PLANNING BOARD PrMIT REQUIRED UNDER:* 350— ( II
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 WaterAvailability Sewer Availability
Septic ApprovalBoard 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
Si4ature of Building Official1l, 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 Office of
Planning&Development for more information.
v
AUG - 3 2022
3?-7
File No. -
r«Tr o > uu_ i ,,....b. �• . A TION •10.2)
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)) of Northampton
1. Name of Applicant: J /1k1 A4 . FAbudze (
Address: /0 ��.`TP {�i l , &sr- (r, .,, , f"•g phone: (4/'3)St 3 pn8.s-
2. Owner of Property: /UU -WV //-/o' 'S �;
Address: /0 l - 11 'rIC /2V 2 7 1 ' ''Telephone: 1 `/13J S` d OF-5-
11
3. Status of Applicant: Owner Contract Purchaser _ Lessee Other (explain)
4. Job Location: .S / 4, 1< ' -i
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: VAC vz,-'-, L /I-'SC s4 S Q1,P GS/�j
�r€e /S Gti 4 S Cie 0 a f'c-1 1¢ Ree • �J
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
/3v,'a Tcvo (11� Co.5-7-7 U <Y•, /,1a''es
w,'71-► Or -/ S ,lam 107f%tee w , 7 c cr,ne
- c��oy► � O < . // nryp,
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 DON'T 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 wetlands? 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)
W:\Documents\FORMS\original\Building-Inspector/Zoning-Permit-Application-passive.doc 8/4/2004
File No.
ZONING PERMIT APPLICATION (§Y 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 of Northampton
1. Name of Applicant:
Address: Telephone:
2. Owner of Property:
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s):
i
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property:
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
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 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 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-lnspector\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) over 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
Frontage
Setbacks Front
Side L: R: L: R: L: R:
Rear
Building Height
Building Square Footage
%Open Space: (lot area
minus building a paved
parking
#of Parking Spaces
#of Loading Docks
Fill:
(volume a location)
13. Certification: I hereby certify that the information contained herein is true and accur. ,- to the best of
my knowledge. /�
Date: 2� Applicant's Signature _%. ////%1 .i .,
NOTE: ssuance of a zoning permit does not relie applicant's burden comply wi id all zoning
requirements and obtain all required perms s 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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Y SURVEY.TIELOCATIONS ARE APPROXIMATE TAO DIG,SAFE WOOTO BE NOTIFIED PRIOR TO ANT SI TNIS SURVEY W.CONDUCTED WITHOUT THE BENEFIT OF A TOTE REPORT AND AND ST/EJECT TOAST AND All
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THOROUGH TITLE SEARCH MAY DISCLOSE NE
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