Loading...
31B-003 Al ! „ : 0 0 0 ; 14 �OF9A 9y 0 , p � '5',/ r. ...s < F 2�� A 0 1' F A 9 T ' ,s / F o S ti p p G 5 te, ti� S P,oJto`�•oo°'X•e t o � � O h � � 0 Bo R C'c y SO .0" J ` \'. , s G -1 0 co / ,e6,..,;„ o / s r e < � p`L G t, J� (it �h Z` <c"? `oQo o oe . _ 0 6 t ^y � O Q ^ , m o o. Q c o o. ; a , a ( v P 0 9.1 SQ. FT. . 1i Ss. Qs y ZP ` e ce ii0 4. k P 0 0 o ry a e c ,,,P s upole up12 o� ae' D ,,,-.PP r ��O :- \\</;› X01 c. pk -exstN 44 .53' , \/ 0 0 30• L -51 45 N W q Atli) R..--47 R..--47 .o� I pk 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 • EXaSTING ----- PROPOSED R E U.1RED BY Lot Size O _. . -. 3 Frontage __.__ -- -_. _. - . • _.. _._. -- Setbacks . Front 3o art' Side L: R: L: R: /c9 Fee L R • �ttc+rl+ Rear �� CY _ N Building Height !T cfP) Building Square Footage 1 �i 322 C5 C � r u � % Open Space: (lot area 3 yao 7° ( ���� minus building 8 paved parking fS J /p # of- Parking Spaces CQ'Y 3 _ # of Loading Docks . Fill: (volume It location) 13-Cer lificatiorr: I hereby information contained herein is true and accurate to the best of my w ge.__..___ • Date: 1 / 3J Applicant's Signature NOTE: Issuance of a zoning permit does not relieve . licant's burden to comply with all zoning reginieinents and obtain all required permits • in of Health, Conservation Commission, - Historic and Architectural Boards, Department of Public Works and other applicable permit granting authorities W:\Docuuiients\ FORMS \original\Building - Inspector\Zoning - Permit- Application- passive.doc 8/4/2004 • • RECEIVED JAN 1 7 2012 � � � File No. / d .�,...y -�Mr , � � E au w.�*s A n e - a AT., �4{ �- t e � � Ia, € ' 1 22 . ....``, , r5t': 4. . ,. aw. t ,s24 .,w n„.,,��.. ..:., ;;; ,, n ` �, " ,‘,:-1.,-,,.: 1 , �, la lt , 4s.. 4 . Please type or print all information and return this form to the Building Inspector's Office with the $15 filing fee (check or money order) payable to the City of Northampton 1. Name of Applicant: i c it y ii Co✓'e/n'o 0111 �` 0 Address: , 5 ---z-/- g 4 Y S on r 57- 'i- °' ' c9 .- >'8 > S' 2. Owner of Property: / t ta,nc>/apiY'a cP5 c-3 J /3) // /- / C� : . ,.a YrtiG w,p rG H € /e' ( c, Address: (2 sc./pi fir r/ c 7c, - R ,N -,' Telephone: 1 "//3 ._.s .e" >p 3. Status of Applicant: Owner Contract Purchaser // Lessee Other (explain) __ �X A 4. Job Location, Cl�6 6 c!1-? C./ 6 - T- 21 rntsi r.TR,I.kgis,,,,,,,,,,ov,,,a,*,-4,144izt, T V. r !' d 9 � . 1 , i., i� - : ' -::-A-61,6 s p + , ' - h , 4 .� . it � ri 5. Existing Use of Structure /Property: 5rn 441'l7 H 0rhE 6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary): ! .1 v ) 16, G .0 9., l'crJ! Ca (0/ 77 eb •P C 7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans X 8. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO DONT KNOW X YES IF YES, date issued: IFYES - - mss the permit recorded at the Registry of Deed T NO DONT KNOW YES IF Book Page dTor "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\FORivMS\ original \Building- Inspector\Zoning- Permit- Application- passive.doc F 8/4/2004 I. • File # MP- 2012 -0069 APPLICANT /CONTACT PERSON GRANDONICO KATHRYN ADDRESS/PHONE 25 N PLEASANT ST (413) 253 -7879 () PROPERTY LOCATION 66 BANCROFT RD MAP 31B PARCEL 003 001 ZONE URA(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid ✓ Building Permit Filled out Fee Paid Typeof Construction: ZPA - 2 CAR ATT GARAGE 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 CI DE SC BACK INFORMATION PF NTED: Approved Additional permits required (see below) kEt (kc t° t3 Ar1. ED PLANNING BOARD PERMIT REQUIRED UNDER : § 11'3 tTH S u 1)69 -.A, i Intermediate Project : Site Plan AND /OR Special Permit with Site Plan I 'O S61 Major Project: Site Plan AND /OR Special Permit with Site Plan GA • ZONING BOARD PERMIT REQUIRED UNDER: § Is O — TA 61-1 (fV t ENS OA /pfh) i ( J Finding Special Permit 1 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 / // z Signature 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 the Office of Planning & Development for more information.