32C-179 (40) JUL. 411.2-005 2:19PM ARCHITECTS INC, ETAL H0, 129 P. 1/2
ARCHITECTS INC.
64 Gothic Street Northampton,Massachusetts 01060
IFAX TRANSMITTAL
DATE: July 11,2005
TO., Jay Flaitnun
413.5863379
FROM: Architects lac,
64 Gothic Street,Suite 01
Northampton,Massachusetts 01060
Richard E.Kalsatios,ALA,
RIC, 332-334 Pleasant Street
REMARKS:
Jay:
Per your.request
Rick
Co:
phone: 413.584.7224
fax: 413.586,7945
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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 sigrls, ptended for the property? YES NO
IF YES;:describe size,type and location:
11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 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 DENIAQ DUE TO LACK OF INFORMATION
"' "This column reserved
µ s for use by the Building
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
Frontage
Setbacks Front IN O rJ` arc
Side L: R: L: �`�� R: /Jo04�_ !L: p6tj,:� R: ��aN
Rear 6
Building Height
Building Square Footage 2-0
%Open Space: (lot area
minus building & paved
parking
#of Parking Spaces
#of Loaning Docks
Fill:
(volume It location) 0 K c,
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge. _
Date: ��) '�C Applicant's Signature l dn�
V
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-passive.doc 8/4/2004
ail !j`r
Jf!L 1 8 2005 ( A��6�
File No
3
. r ,
Please type 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: y AJ_
C _ dnq : 5',W E( D_2
Address: / �I�►) F-0 'kID(� ' K Telephone: LcA -0-1--
!Q
2. Owner of Property: Sam c�
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. Job Location: � -id,5''4/V'T
Farcei Icl Zanng Map# Parcel# bisfinct(s)
M E[rn Street Di,sfirrct In centir 3us�I ess District ,
CT,fl:Bt iLLED IN BYTH,E3BRJILDIN l',EIO MMENT)
5. Existing Use of Structure/Property: LD
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
S-Fa IM,y 6,4'A m i".Cl)y C. Lit 001106
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: ��f6;C�hDa D
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 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\Buil ding-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
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File#MP-2006-0004
APPLICANT/CONTACT PERSON FLEITMAN JAY&MARY LOU STUART
ADDRESS/PHONE 15 HIGH MEADOW RD (413)584-0202()
PROPERTY LOCATION 332 PLEASANT ST
MAP 32C PARCEL 179 001 ZONE GB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FO ILLED OUT
Fee ai
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-CONSTRUCT I SOTRY COMMERCIAL BLDG FOR OFFICES
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 ACTI N HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRES TED:
Approved VAdditional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: § Z�• �'�r
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan
Major Project: Site Plan AND/OR Special Permit with Site Plan � eKt,��r
ZONING BOARD PERMIT REQUIRED UNDER: §
Z, BQ �
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
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.