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10-012 (5) File # 17 APPLICANT/CONTACT PERSON:HEIPLE EMIL S&PHOEBE WOERNER 141 WATER ST LEEDS, MA 01053 PROPERTY LOCATION 141 WATER ST MAP:LOT 10D-012-001 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 -ADD 2 STORY ADDITION AT REAR OF HOUSE, BUILD 2ND STORY ADDITION OVER EXISTING KITCHEN WING 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: Approved ' Additional permits required(see below) For all projects that need additional reviews 0 .,,c4r1� as checked below,please see the Office of Planning& Sustainability Permit page or scan here PLANNING BOARD PERMIT REQUIRED UNDER:§ 356- q.3 CL7 - 516J041-ug&3 s.- , - • FAR. STMEI OVEC, I 'TCF1e,3 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 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 // ' 3-17 20zy Signature of Building Official Date * Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning& Development for more information. File No. ( . crs/ *30 4/48 11 771,1 ZONING PERMIT APPLICATION, Please type in this fillable PDF or print and hand-write all inforrnallot . and return to the at the (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). tlo��iVh9Elc e?t4�1tj1ft •Coe 1. Name of Applicant: v L t` E,Email: 4/L�fgi f G / • ente Address:/fl NA161(5f OS 1- O f f4 P 1 /i /44 0103 Telephone:/ }3-#71/,7#10 AVA, 1/79/ 2. Owner of Property: f / Address: ,er)vli Telephone: W' 3. Status of Applicant: Owner 2 Contract Purchaser ❑ Lessee ❑ Other (explain) 4. Job Location: !6 / (/!'/ f,�� s 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: LV' ez Z7,4"éZ/4tJ ' 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 1\ oD icoft (5-10420tbj7llD/J(d 164/2_ d!/5 6X CilJMT a.) NU/ZV ,2"4(5Aaa I 4PW/d'V piti/ / V'V ' lea'all C tf or cdecszoc mimapwava pfirafKL(toe"), V6z111-c4 7. Attached Plans: Sketch Plan J Site Plan E Engineered/Surveyed Plans I v ` i y jUI� ti( 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? f" \rd N � off NO Li DONT KNOW I VI YESLi IF YES, date issued: 11 c._ $4P IF YES: Was the permit recorded at the Registry of Deeds? ( NO L_._J 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) 6/7/2023 10. Do any signs exist on the property? YES El NO V IF YES, describe size,type and location: Er Are there anyproposed changes to or additions of signs intended for theproperty? YES L_.1 NO P Po g 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 0 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 7%r 2 sf7- 7 9 �j4-/�- Frontage 57 ( 66 1 Setbacks Front 74/.._ ,itr.- -- J r Side L: 11.0 R: /.17 / L: ill 0 /i R: ! J I L: R: Rear 7— ( �f I, • Building Height / Building Square Footage �oorp/OU filtr.'f lam/g5f4 p/f(porfrog 16,I t' IC ryinie li sasr ./i/tx/Lft'MY G %/ri`ZZ %Open Space: (lot area minus building Et /a/ 6 5 '-f --1 paved parking) lU `v �/ #of Parking Spaces Zr L.fa 3 #of Loading Docks () d Fill: N (volume Et location) V Driveway Grade% 74 /ti '}" 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: 3 /42 Applicant's Signature g;/1 4.iI(./ NOTE:Issuance of a zoning permit does not relieve applicant's burden to comply with all zoning requirements and obtain all required permits from the , , Commission and Architectural Boards, and other applicable permit granting authorities. 6/7/2023 1 .t . ♦, , 1 ' I I i o _ ` — \ \ \ 1 I I I I I ;� // —/ / /I i �\ \ `S_80°3�'4 "� �� /I 1,5' —1 1:29.5 \\ 1 1 1 ' '� ', I / 1 I CONCRETE I 14 ,gyp 1 \ I / \ \i,4 ' ' 7N ' 1 \ - \ \ \ 1 / / / 131 PATIO j $ /g' �7'fin \� _ -- S6(7 � 17/ N 1 / /o / I I PA I I .:Q - t 1 1 1 I • I I / / / � 1 � � 1 � . I \ \ \ I 1 � I I - I I i I _ i" 1 \ i / / I 1 1 / / _/ / / 1 1 1 1 :p, 1 _-___ _______ / / w 1 I \ \ HOUSE i /I j I I I-y 1 NUMBER / 1 1 I I I W // i 1 1\ 1� �c: s- 141 / / I I 1 I / • ,� 'WE / 11 ! 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