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43-039 .., -).-- 2— P■ UT 0 /lel 1 1 r , 22' Fr 1----- e• t 14' 1 ---- 1 8,..„4. ,....9i. 1 1 22' 1 i _ 1.'.. 1 I _} • 12 0 1 - te•-ini' . QS Ts. 59-- , tiV-2i' t i'" 11Y-Si. 13'-6i° / • >4- I 1 1 I i I 2 Av ,t--\ v- `p`. LXi 5 %/.n vFati, .) & fav ford - -- ter--- --- � 1 4 , _iti' _ . 8` -9 ` F , - H . E 2 1e•_ y. ... •i, ,_____I, 1 ,• 13,-5A. f - 4-4 - 1 - 1 , i______ 1 ......: 30•_7+, 10'-0' 10:-10k -10 1 f`-11a' 1a. —r 3 ,, 11 1. I I t - , 4' '')< i s ) y 10. Do any signs exist on the property? YES NO f 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 S4 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 Th is c e o reserved R Cr� r� SfcacTv (j f'rAC 1"r°1°-) f e artment eBuilding EXISTING PROPOSED REQUIRED BY ZONING Lot Size C I 3 0 333 Frontage f Y' l c 1 � Setbacks Front tl 2 1 Side L: U R: II L: * R: 2 , L: R: , � 8 Rear '13 "13 Building Height t49 ' 1S' Building Square Footage 1 58'I 114y % Open Space: (lot area o � minus building Et paved S !a parking # of Parking Spaces Z # of Loading Docks Fill: � I (volume & location) k) N A A 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: 1 C/ 3c) 20 A.. Applicant's Signatur ,— - - ______ NOTE: Issuance of a zoning permit does not relic e an app . burden to comply with all zoning requirements and obtain all required permits from the : oard 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- passive.doc 8/4/2004 RE(; o� ► 3 o 2012 - � File No. M P / 3 5 3 • io i. « r•a t +o NINE PE. IT'APPLICAT ION ( .i0.2) 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:-..„. jaryt, 5 k d Address: 3'2 A M A Telephone: 1-0.3 , 530 ,3 q 5 2. Owner of Property: 'JAr∎er 1)4,_. A ■(2_ Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) 4. Job Location: 7 2 A dn i:)r IoTro, ca__ r MA 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: LSt(c, 4 i ca 6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary): 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 X YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW S 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- passive.doc 8/4/2004 File # MP- 2013 -0053 APPLICANT /CONTACT PERSON BARANOWSKI JAMES J & SHARON L GUYOTT ADDRESS/PHONE 72 AUTUMN DR PROPERTY LOCATION 72 AUTUMN DR MAP 43 PARCEL 039 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out n � 3 ( I Fee Paid p� Typeof Construction: ZPA - ADD ATT GARAGE, ENCLOSE PORCH 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 INFQRMATION 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 Signature of Building Official Date � 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. 72 AUTUMN DR MP -2013 -0053 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIS #: 8280 r ti Map: 43 Block: 039 Vb ;! Lot. o ZONING PERMIT o l Permit: ZONING PERMIT APPLI APPLICATION PERMIT Category: Zoning Permit Permit # MP-2013-0053 PERMISSION IS HEREBY GRANTED TO: Project # JS- 2013 - 000817 Est. Cost: — Contractor: License: Expires: Fee Charged: $15.00 Homeowner as Contractor Balance Due: $.00 Owner: BARANOWSKI JAMES J & SHARON L GUYOTT # of Fixtures: Applicant: BARANOWSKI JAMES J & SHARON L GUYOTT DigSafe # AT: 72 AUTUMN DR UseGroup i ConstClass ISSUED ON: 02- Nov -2012 AMENDED ON: EXPIRES ON: TO PERFORM THE FOLLOWING WORK: ZPA - ADD ATT GARAGE, ENCLOSE PORCH 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- 001733 30- Oct -12 2533 $15.00 212 Main Street, Phone:(413) 587 -1240, Fax:(413) 587 -1272, Email :lhasbrouck@northamptonma.gov GeoTMS® 2012 Des Lauriers Municipal Solutions, Inc.