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24D-308 (2) • 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 X 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 EXISTING PROPOSED REQUIRED BY ZONING Lot Size �I 5Q 1 .`41 4 ?" --^ Frontage Setbacks Front Side L: R: L: R: L: R: Rear Building Height C • Building Square Footage _ 33t7 )Q % Open Space: (tot area minus building & paved j S t � parking J , 6.-N # 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. Date: ® Applicant's Signature 11111111111r 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- Inspector\Zoning- Permit- Application- passivc.doc 8/4/2004 File No. ZONING PERMIT APPLICATION ( §i o.2) 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: (f i 1 1�- ST Address: I0 , W P-P rf 0. • Telephone: 4/ 3 6 '3: %*5 2. Owner of Property: yitw II> STA Address: 1 0 2. 8 Ai4 (-Raft P0 . Telephone: '413 5 s 8 7E S 3. Status of Applicant: Owner 7 Contract Purchaser Lessee Other (explain) 4. Job Location: 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: F\ i i -+..1Lm 6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary): - r - c) (2ACs ki CQ4 GE. o_ VENio 1,i C SNAcm I ', r i c --- 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 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 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- Inspector\Zoning- Permit- Application- passivc.doc 8/4/2004 hti� - ' Date Filed . - File No / /�/ ,. � - J'J N - 2 2009 - RE OF HOME OFFICE /OCCUPATION ( §10.2 & 11_11) - With- -tahe Building Inspector _ 1. Name of - -' 5t 0- - Address: /04 RA- JG2 -elFt -P,( Tel `-t I .3 x-53 - 4 V-7 i.5- 0 2. Owner of Propert� : Y Address: /OA ( - / c V2D r Telephone: lq ) 3 s - - 3 . Status of Applicant: ✓caner Contract Purchaser L essee Other (explain: ) 4. Parcel Identification: Map if , Parcel t , Zoning District(s) (include overlays) Street Address _: • 5. Narrative Description n of Proposed Home Office: (Use additional sheets if necessary) - D t ✓SC.;- 1 > t rJ' � "--> Siva -- p x -/K T02 , 6. Is this a legal residential building ?. T t- YES NO .7. Will there be an employee /owner who doesn't live in the home YES NO 8. Will you ever see clients or customers at your site? YES Ns How often For what purposes 9. Will there be any signs for the Home Office? YES NO 10. Will _there be any goods sold from the premises or any sale of goods stored on premises, either retail or wholesale, or display of goods on premises? YES 11. Will there be any outdoor storage of materials? YES TO 12. Will your use be totally within a building and not cause any outward manifestation (including traffic generation, parking congestion, noise, air pollution; and materials storage)? YES NO If NO explain: . 13_ Attach Plans (if applicable) 14. Certification: I hereby certify that the information contained herein is true and accurate. . I understand that if any infoLulation is incorrect, my permit is null and void and I may be liabl or -on- criminal fines and criminal and civil actions. Date: d. / ( Q i Applicant's Signature: ' • THIS SECTION FOR OFFICIA.L USE ONLY: Approved as presented /based on information presented APPROVAL EXPIRES ON DECEMBER 31 OF THIS YEAR AND RUST TEEN BE RENEWED Denied as presented - -- Reason: - Signature of Building Inspector Date NOTE: Izs•,tance of a perilt does not relieve an applicant's burden to comp w;th au zoaing roqulremantz and obtaln all require-d por from the Eioard of Health, Consorvatk.n Commission, Doparttnont of Ptr5 k Works and other applicable porrrnit granting authorftlos. File # MP- 2009 -0102 Sr° � ,rte APPLICANT /CONTACT PERSON STARR DAVID J & JULIE ?` 0� ADDRESS /PHONE 102 BANCROFT RD 5f g 7-2 'VC - 7'7 t/7 PROPERTY LOCATI OV ifs" 2.2 c/"0 MAP 4D P _ ' C 0: srs /( 3.i ititiASitote /'d?/l THIS SECTION FOR OFFICIAL USE 01 hA1T- PERMIT APPLICATION CHECKLIS ENCLOSED A 5, t/ , VY' icy ZONING FORM FILLED OUT Fee Paid C"-7c, D /V Building Permit Filled out // 3/6�/ ,� Fee Paid �0 l � / Typeof Construction: HOME OFF /OCC - VENDING MACHINE BUSINE `' � / 0 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 Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER : § Intermediate Project : Site Plan AND /OR Speci lPermit 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 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.