ZPA Demo 2013-01-04File # MP-2013-0067
APPLICANT/CONTACT PERSON OBER JEREMY D
ADDRESSIPHONE 8 HOCKANUM RD #14 (413) 658-7583 ()
PROPERTY LOCATION 23 FAIR ST
MAP 25C PARCEL 255 001 ZONE SC(lOO)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Pennit Filled out ;:r;;Jo ifp=t
Fee Paid
T:meofConstruction: ZPA -DEMO HOUSE
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 FOLLOWlNG:tECON HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION P ENTED:
__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: s__________
Finding,____ Special Permit _____ Variance* -----
___"Received & Recorded at Registry ofDeeds ProofEnclosed'--____
___Other Permits Required:
___CUrb Cut from DPW ___Water Availability ____Sewer Availability
___Septic Approval Board ofHealth ____Well Water Potability Board of Health
___Permit from Conservation Commission Pennit from CB Architecture Committee
--Yermit from E~Street Commission Permit DPW Storm Water Management
~. Hlsro(l...\<:j\ 0
~ J I
Signature ofBuilding Official· _
COMAlHS8(d JJ
A 4?
...... -
'DtAM
Date
D€d,.Jt1
I/Y/r3
I I
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 ofMGL 40A. Contact the Office of
Planning & Development for more information.
'jO ~--~0I3.-
.Jl?P-/3-t:,7
NORTHAMPtoN. APPLICATION(§10.2
Please type or print all information and return this form to the Building
Inspector's Office with the $ls.filingfee (check or money order)payable to the
City ofNorthampton
1. Name of Applicant: -::S-ere..~~ D. 0 b lLr
Address: ~S £C\.\{" ~\ TeLephone: ':\ \ 3:. -(0 S ~-,S 8..3
2. Owner of Property: SClVV\.~
Address: "6 l\-a::,~\I\v"'" Lot ~. \Y tvoc\-~~-.pTelephone:101\ 4 \ 3. ... "S~-"J.SC
3. Status of Applicant: Owner '6 Contract Purchaser Lessee Other (expLain)_____
4. Job Location: #'3, ~r Sot I\rO("+Mvv--p1Or) (V'..-Ct
Parcelld: Zoning Map# ~S C Parcell AS.) District(s):_.l..QO.JJlttl,...J\~____
In Elm Street District In Central Business District, ____
'0 BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: Re $'\o..e."'(f I q bC\.....J.orJ I
6. Description of Proposed Use/Work/Project/Occupation: (Use additionaL sheets if necessary):
o -€-vv---e\'):10V\ at ~"l(Sl)¥\~ hous.e
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans ~~
8. Has a Special PermitlVariance/Finding ever been issued for/on the site?
NO_4---_ DONT KNOW ____ YES ____ IF YES, date issued: ________
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW ____ YES ___
1<
IF YES: enter Book _____ Page and/or Document # _______
9.Does the site contain a brook, body of water or wetlands? NO Y. DONT KNOW ___ YES __
If' YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained _____ Obtained , date ,;);)u""u. __________
(Form Continues On Other Side)
8/4/2004W:\J)ocuments\FORMS\origina\\Butlding-Inspecto!\Zoning-Permit-App\icljiipn-passive,doc
y:.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) 0;t1 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
-y_.......".._........
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size lo,50 () JO 1)0 b
Frontage bO' roo r
Setbacks Front
Side
Rear
L:
, r\S R: '7
II'" f
, IIIL: \ S R:
, \ L,"
L: R:
Building Height SO{ 3~1
Building Square Footage
')J-3<G \1 &,00
% Open Space: (lot area
minus building &. paved
parking 90% 90%
# of Parking Spaces l-{ ~
# of Loading Docks 0 0
Fill: .
(volume &. location) a -0
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: \ J~JI ') Applicant's Signature ~w =:J D·~
NOTE: Issuance ofa zoning permit does not relieve aft applicant's burden to comply with all zoning
requirements and obtain all required permits from the Board ofHealth, Conservation Commission,
Historic and Architectural Boards, Department ofPublic Works and other applicable permitgranting
authorities.
8/4/2004W:\Documents\FORMS\original\Building-Inspector\Zoning-Perrnit-Application-passive.doc