9 Wright MP-20-28. File # MP-2020-0028
APPLICANT/CONTACT PERSON RAISLER CAROLIN E E
ADDRESS/PHON E 9 WRIGHT A VE
-l_oNtN(i Af'f tu>VEO '
THI s 'DoE ~ tJOt ~ RcL~\~
TC) 1'i-J'-'j .B\.l \ i., \) \ N 6t GO O f aJ r-1 -
. . .
PROPERTYLOCATI0N9WRIGHTAVE ~lt\€ftAt,o>J~, We UJIU .. pnJJ-
MAP 39A PARC EL 018 001 ZONE URC(IOO)/ V (De f\ L£Ttttt. p,€Lq\S\1-Jq 1l-lf-
THIS SECTION FOR OFFICIAL USE ONLY: C:O\JeJtl.dvct i F R6yJI) •
PERMIT APPLICATION CHECKLIST
REQU IR ED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin Permit Filled out
Fee Paid
TypeofConstruction: ZPA -2 FAMILY HOU SE i<\fffl.OVE[) Fort. \WO
.,._N=ec.c..w-=Cc.=o=ns=tc.=ru=ct=io=n,_ ___________________ --'"'-'-----f'AMll./i t> w6UrlfvC'""\
Non Structural interior renovations J
Addition to Ex isting
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:
_V_AArnpproved __ Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER :§ ________ _
Intermediate Proj ect : ___ 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 Commiss ion ____ Permit DPW Storm Watei· Management
s~orn ,;iW Date 1
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 info rmation.
2.
3.
4.
5.
File No. (h f?_ ~ 0-.;i.,f
..... ,-,ru-e o print all information and return this form to the Building
ffi e with the $30 filing fee ( check or money order) payable to the
City of Northampton
c ~r<> l:r'lo K'°' ,s r~-;-:c. s:ube I ft7c/1?c. ~(la
Address : d-,j--7 Nor~~ $+,y f-, /l).,,1-(,-.ff.,,., Telephone(Y13)58'i-f7J.--G
Owner of Property: Cc r<> / :,.,e..... R -<.s: le,---r I) c-i.., .) ;YJc/YJ" ban
Address: J-..~ 7 t\Jo,f.."' S:+d:<-:f-, c-1~,f:-t .... pf_.. Telephone: (/13) Sfjy, 17J,.o
Status of Applicant: Owner ..... x __ Contract Purchaser ___ Lessee ___ Other (explain) ____ _
Job Location: uJ V,,... ·'_j l. f I] ve... /Ju f )
cJ,oc.c)
Parcel Id: Zoning Map# 0 3 °I It Parcel#>~A-6 I~ _.bOD~strict(s): _______ _
In Elm Street District In Central Business District. ___ _
TO BE FILLED IN BY THE BUILDING DEPARTMENT
Existing Use of Structure/Property: )) n J / c
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
NO ( o 11 5 t-r u c f-·· t;J '"' ~ ( c. o "=' d
7. Attached Plans : Sketch Plan Site Plan Engineered/Surveyed Plans __ _
8.
p e r JY1 i' 1-;VJ p -J. 00 ~ --0 0 ~
Has a Special Permit/Variance/Finding ever been issued for/on the site? ...0
TC., C-(c_eJ~O""t c..e C.,f-/V\-tA-/,
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 > X 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 y
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
t '
This column reserved
for use by the Building
D tm t epar en
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size • I i A,r<-lvcJ cl.._ <n'\.( -
Frontage .5 7.5 F'U[ + No cL. .. ,..,1~ C
Setbacks Front 15 -f e.t.. j--No (~C, .... 'k-
Side L: IO f:t R: I 5 F +-L: R: L: R:
Rear ?.O C::t
AP Or,> I(..'/¥\\. H
Building Height '
NO C ~~ ""';}<--
Building Square Footage -. -
~)..'\S No C ~ ~ '"I d"L---
% Open Space: (lot area
minus building & paved !vu (~"'">~ parkinQ
#-of Parkin-g Spaces ----lf !\.lo C t"'K...,
# of Loading Docks
0 IV" CC.,., ':H'
Fill:
(volume & location) t
13 . Certification : I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: I\/ If J1 (,. Applicant's Signature
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-lnspector\Zoning-Permit-Application-passive.doc 8/4/2004