24D-092 (14) File #74 Z-3k
APPLICANT/CONTACT PERSON:SULLIVAN D A& SONS INC
84 NORTH ST NORTHAMPTON, MA 01060
PROPERTY LOCATION 84 NORTH ST
MAP:LOT 24D-092-001 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 -INTERIOR FIT OUT TO CONVERT TENANT SPACE ON 3RD FLOOR TO
OWNER OCCUPIED CONDO
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED: 44D K I Q 361)-(1,301) )
XApproved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
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 Water Availability Sewer Availability
Septic Approval Board of Health Well ater Potability Board of Health
Permit from Conservation Commission Pe it from CB Architecture Committee
Permit from Elm Street Commission Pe mu it DPW Storm Water Management
Demolition Delay
2. ! �. I; f i ?3
ature 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 Office of
Planning&Development for more information.
RECE7VE:17-
-`, File No. 7
Nfll� 1 5 20,,3
Z IING PERMIT APPLICATION (350.4.4)
nF-�
Pi ', , , ivepEln-,o is !finable PDF or print and hand-write all information and return to
(1t0,0
the Buiictlr AA+ redo# at the Building Department (212 Main St.) with the $30 filing fee by
check and money order ((payable to the City of Northampton) or credit card (in person only).
1. Name of Applicant: M4lg I< S LI L1. )1i/i- / Email: MN g14 e b/1 11 ZL)V4 H. DM
Address: $2- $4 NOr?Tt/ STiz0f7/ Telephone: M'S$¢' 63/0
2. Owner of Property: Ibq S Z/1L))/91)/ isas 1Nt.
Address: S 2. 0 86R1/ grAf fr Telephone:I .113 -S"8¢-nit)3. Status of Applicant: Owner aContract Purchaser _ Lessee LI Other (explain)
4. Job Location: b4 HOf Ti sTAFr7
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: oFFiCE - IA SUNL A/0 ? 5otic Ii1C
( 4 fib CoMMf .Clef L 1 4Nrs0
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
IN1f►Ztt,g fir-6Yr: W4tir To L9i/v r Tf /4Iir s141F To F Is4i/9L
C000M'N )UM Cr' Fl M v h1r3. M WY tff ' 1 q Zf bobj-S12t1/4
4Hb IAIPIT To rlfVf 1NO i. f 13Vl LNIWG
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Spe al 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 LJ 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)
("7/202 3
10. Do any signs exist on the property? YES LJ NO El
IF YES, describe size, type and location: 'f)qS' t 4iNTFtt Sgt.( del 5)bt or gy/Lt )1)' ,
k Th 1t//o , s►I4 t c ki4YFnTh n 4/ Sias QY E4 cI/ 1 '/4111 S f i2I N 6E
Are there any proposed changes to or additions of signs intended for the property? YES 111 NO EV
IF YES, describe size, type and location:
11. Will the construction activity disturb (clearing, grading, excavation, or filling) over acre or is it part of a common
plan of development that will disturb over 1 acre? YES n 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 Dept.only.
EXISTING PROPOSED REQUIRED BY
// ZONING
Lot Size w fl" ,&iDR f Il-ver
Frontage
Setbacks Front
Side L: R: L: R: L: R:
Rear
Building Height
Building Square Footage
% Open Space:
(lot area minus building Et
paved parking)
#of Parking Spaces
#of Loading Docks
Fill:
(volume Et location)
Driveway Grade% I
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge.
Date: 11. /3 ' 23 Applicant's Signature gt
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,Historical Commission and Architectural
Boards, Department of Public Works and other applicable permit granting authorities.
6/7/2023
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