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10, Do any signs exist on the property? YES 4e NO
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property?
YES /NO
I( l�
IF YES, describe size, type and location: • PA' -
11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 re or is it part of a common C( 1L P
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 Sy the Building
EXISTING PROPOSED
Lot Size
Frontage
Setbacks Front
Side I L: R: I L: R: I-= R :
Rear
Building Height
Building Square Footage
% Open Space: (lot area
minus building & paved r
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.
I ,
Date: Applicant's Signature
NOTE: Issuance of a zoning permit does not relic e 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- lnspector\Zoning- Permit- Application - passive.doc 8/4/2004
,
i
l ?
JUL 3.1 2012 File No. P / 3 /J'�
ease type or print all information and return this form to th Building
Inspector's Office with the $15 filing fee (check or money order) payable to the
City ofNorthampton !. r
1. Name of Applicant: X W • [►SC , ?» P L W $.L (ft(p
Address: p�` / 1 r`rlU2 Telephone: L JII /U vV
2. ' Owner of Property:
Address: 1 ( V I w 'TT Telephone:, �� /6Z0
0
3. Status of Applicant: Owner Contract Purchaser e Lessee Other (explain)
-- - -- 4. Job Location: a C.' Y ' I&PVf(t_ J' /
rum Y �"'
i_ 4e{ Jclr� r F c r"=4z. .H �
ti f, .}�"^_n . .k _ xa,rt ' ' - ' i
,� d Mme:
EL...�'
_ t
5. Existing Use of Structure /Property: . :` /.iV L4
6. Description of Proposed Use /Work/Project/Occupation: (Use additional sheets if necessary):
A --C f
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 #
9:Does the site contain a brook, body of water or wetlands? NO , ✓ DONT KNOW
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)
\ T:\Documents\FORMSIorigina !\Building- Tnspector\Zoning- Permit- Application- passive.doc g�
24 NORTH MAPLE ST MP- 2013 -0015
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS #: 1831 2,1 "n p
Map: 17C
�\ !
Block: 001 ZONING PERMIT
Lot: 001 "'( •
Permit: ,ZONING PERMIT APPLI reR
Category: Zoning Permit
APPLICATION PERMIT
Permit# MP-2013-0015
Project # I JS -2013- 000197
PERMISSION IS HEREBY GRANTED TO:
Est. Cost:
Contractor: License: Expires:
Fee Charged:1$15.00 I Homeowner as Contractor
Balance Due: $.00 Owner: J W INC
I
I# of Fixtures: !Applicant: J W INC
DigSafe # AT 24 NORTH MAPLE ST
UseGroup
ConstClass
ISSUED ON: 06 -Aug -2012 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA - REMOVE CARPORT & CRUSH STONE PARKING AREA
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fixtures:
Floor: Type: # of Fixtures Floor: Type: # of Fixtures
Fee Type: Receipt No: Date Paid: Check No: Amount:
Zoning Permit Application REC -2013- 000413 31- Jul -12 1807 $15.00
212 Main Street, Phone:(413) 587 -1240, Fax:(413) 587 -1272, Email:lhasbrouck @northamptonma.gov
GeoTMS® 2012 Des Lauriers Municipal Solutions, Inc.
File # MP- 2013 -0015
APPLICANT /CONTACT PERSON J W 1NC
ADDRESS /PHONE 71 KING ST UNIT A (413) 586 -1000 0
PROPERTY LOCATION 24 NORTH MAPLE ST
MAP 17C PARCEL 228 001 ZONE GB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid J f // Ai 5
Building Permit Filled out a
Fee Paid
Typeof Construction: ZPA - REMOVE CARPORT & CRUSH STONE PARKING AREA
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
IN` 9ttMATION PRESENTED:
Approved 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 Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
___0/1
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.