51-009 File # MP -2011 -0046 Li1-6Cjt
APPLICANT /CONTACT PERSON FAPPIANO SHERYL (, I (7 S Ca
ADDRESS/PHONE 141 KENNEDY RD (413) 586 -4191 0 Cif' TIK6
PROPERTY LOCATION 557 EASTHAMPTON RD (A ( f °
MAP 51 PARCEL 009 001 ZONE BP SR 100)/ j �) ' Le tr O) 0 g. N c-
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING e' FILLED OUT f 9
Fee Paid
Building Permit Filled out
FeN Paid
Tvpeof Construction: ZPA - ADULT DAY HEALTH & SPA
New Construction
Non Structural interior 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 PRESENTED:
Approved i 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 3 g ; (
ZONING BOARD PERMIT REQUIRED UNDER:
Finding Special Permit ( Variance* ' , ►� •
g P i�'�I'��
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required: u r ' Ik/y fl/I1JVI f�
I
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
Signature of Building Official Date I
b g
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 information.
'ICI 20 2010
File No. gPli
ZONINO POIVIIT APPLICATION (1o.2)
Please type or print and return this form to the Building
Inspector's Office with the $15 filing fee (check or money order) payable to the
City o Northampton
1. Name of Applicant: %Oil
I IP
Address: 1- 4 I 'VP-A VA> r-
2. Owner of Property: 11V/a /AY 1 56'e-Ki
Address: _ li-M1111 S f elephone:
3. Status of Applicant: Owner Contract Purchaser Lessee 1 --° --- gther (explain)
4. Job Location: • LaZa-(2-- Ci ay? L
ikawargifs..ordr
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: a.)9 Lir +9 ono]
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
k. it,t+ het '61 k.,_r)cl
batk,s, P o 4
P r • 0 IP .-
di 0
at
I -6-
HakIS 4 f_ 4,4
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 DONT 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 #
1.-.
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-InspectorVoning-Permit-APplication-passive 8/4/2004
10. Do any signs exist on the property? YES NO
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IF YES, describe size, type and location: LP-LC / = - u �
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,��� � X�� �\_] /7-kl
yw ��� " /�/r��~ � ' ��=~~ - \ ��' ` ' ' ^
Are there any proposed changes to or additions of signs intended for the property? YES / NO
.L
��\ &�'--
|F YES, desc�be�zo.type and \ocadon:-���-�_ ,- ~~ "~._
11. Will the construction activity disturb (c|eahng. grading, excavation, or filling) uver�acreorisit part ufacommon
plan of development that wiKdisturb over 1 acre? YES NO [~^ l-
{F 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 El paved
parking
# of Parking Spaces
# of Loading Docks
Fill:
(volume & location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
O / Date: ' ~^ -' App|icant'sShgnature � ` '� L^ )( )
NOTE: Issuance of a zoning permit does not relieve an appl nt's burden to comply with all zoning
0[i Architectural Boards, Department wy Public Works and other applicable permit granting
authorities.
W:\Documents\FORMS\original\Buiiding-InsPector\Zoning-Perrnit-Application-passiveAloc S/4/2004
Oct 213 2810 12:44:23 1413387692S -> 4135871272 Jones Group Realtors Page 002
OC1-19-1n )E:7P FROM: CANC.5.S AtTH LICGS DS 4 135969702 TO:14133655 P. 1
7 4 1- d r): ( .., . Q..."-ii-----)
130 any signs exist on the property?' YES
e 7 -- ..1 c
If YES, ficcriLlti. 31ze,. type arm! tocation:g,f2p..321',":;, k_____0
i
Are there ally proposed cfnang es. to or additions or signs intended for the property? YES
IF YES, describe size, type and location:
11. Viiiii th42 con.struction activity oitg.turb (citaring, grading, excavntion, or fitting) over 1 acre or is it port of a common
plan of develpprntrit thot witi disturb cver I acre? `i'E$ MO _;e,.....
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
It ALL 0.4FORMATION MUST 5E COMPLETED, el r PEPMIT CAN RE DEWED DUG TO LACK Of tN rORMATiiphi
Tiris cohman reserved
for imst.
In the 0
JC>c t ar mem
EXISTING PROPOSED thliVitkifitrigiMil
i'C' MI
. ,
Lot size
-_.....* P, 3 7 acre,3 - 3 - e? a c -i--s
..
Frontage
5 0 1 a - 5 - 0 i - 4k I t4e.k-fittio l F.5.4 1 ,41. g . i'Or
Setbacks Err- - 5 0 5 - s / tFCrf,V,Plik. 7,
1 Side I: 10 i R: f 8 L ,-7 0 f ft;
Rear 6
, rh - 1,4 . 6 1 1.1' titAc a f
_l 0# 5 ilaf l 't
. &De fri54t stiLt +To 2
vi'4,-;ar L ig.t.;; 1 241.4; :4144 . '
Building tiedght , , .. • . 0. :rev p I P _ 1 all N. a .1i , ' „.'
a r 1 . ,P? - A t i:40 34 4.14 4 :0011'.:q
Orl-e S ft)ej Cir,e, 5_31Qrj VT, ' fir
ti.uilding Square caotage li7 : trirgatZil '1,;'
A'.:44.
%ppen sre-Ecia-iiiriT--- .........._____„„,...„,....._ ,
3 47, 4 1 4 ' ;; IT''
mantis building a pAVO'Ci O . )clf.'41cA. - tui , d4A4
9 9Lpg L O " 5' q 7b ? CP?' i
aarkih: di '
ft of P r
Pr in Spates. — I riFti-,,,,e
:: ,
• :,9,5.::
(-)
U Loadi i
ng bock .
F --- -----
of 7,...:!Ite,•*..3..47y$wIttak
volume Et location).
13. certification: i hereby certify that the information contained herein is true and accurate to the best of
rriy knowtedw,
f
Date; ,./ ' / CI .... . _ Applicant's Signature _ea ilj ..1 4 4..i
. ,
NOTE: Isananco of a waxwing permit dotes not relieve an appi mattes - b . rd to COMpiy I/6th An zo in
requirements and obtain all required permits from. the Board. of Health, Comacrvation C oracolsaion,
Historic and Arebitoctairal Boards, Department of Public Works and other applicable pc ttgi-rntb
g
authorities.
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