32C-230 (12) MAP '52G
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Q) Owner:
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Project Name:
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iLlY
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q2, Location:
��oPosEU X25 35'+ N oj2�kAM�N
I Date: Qj 0
I � Revisions:
Exis'�rJ�
10'
/ EXISTS Nra� (DO� � Scale:
pR�opoSEb �IS-fl N�
6J IZb or as noted.
GU Approvals:
n�sHEO UN�
FtT� �oo�(T'f�►NT of
S1��TU� bENI oU S N i;D
Sheet No. I of I
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) ove; 1 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
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
o, ',Ob s 10, 300
Frontage
10D ` ) 00 `
Setbacks Front (,-
Side L: Z`�}� R: 4 l L: ,y`♦r R: rj i L: R
51 �+ I
Rear
Building Height
34E
Building Square Footage f W 16-W 5F
Jb o sF Zl�f
07 a-
%Open Space: (lot area
SF
minus building Fr paved
parking L b 5(Z b5rg
#of Parking Spaces
#of Loading Docks
Fill:
(volume Ft location) —.
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 0 Io Applicant's Signature bv�'311
NOTE:Issuance of a zoning permit does not relieve an dpplicanrnen to corTip"ly*kaf l 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-Inspeetor\Zoning-Permit-Application-passive.doc 8/4/2004
File No. � da,
,�ZQNWMOIE 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
'At Citytof,Nortthampton
1. Name of Applicant:
Address: Ti 4 '1 G/{S, Sf- N 6 A1Tk`&t A fl'�('�P4 Telephone: 7 8 b-
2. Owner of Property: A�� Ve�'sn N
Address: S10 M&M 5r,o /V akmA me"N Telephone: t�jp 'a f �3
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. Job Location: `'���v� �����D�"� 'Df� / AA
PaTCeI Id Zoning Map# Parcel# Distr<ct(s)� -
in Min-Street Distract �n'Central Biastness Distn
(TO;BE:FILLED fN'Bl!THE°BBUI+LI (NG DEP�ARTTME1N�Tr)
5. Existing Use of Structure/Property: 11-6 VI"S < RUGTVA.6 beb 01 1�
yi!.16tH! p pom v r4(- fft n -e- ,1- - We ON ts�" , oNE oN 3 (2,-.
IT- 0 t to a-µ
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
9 A-P—A*11;-
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 X — 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 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.doe 8/412004
File#MP-2007-0012
APPLICANT/CONTACT PERSON Wright Builders
ADDRESS/PHONE 48 Bates St (413) 586-8287
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM ILLED OUT
ee ai —
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-2 FAMILY W/DET GARAGE
New Construction
Non Structural interior renovations
Addition to Existing
Accesso1y 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 Special Permit with Site Plan
Major Project: Site Plan AND/OR Special Permit with Site Plan
ZONING BOARD P RMIT REQUIRED UNDER: § 9.3 Pry
Finding Special Permit Variance* 11'1
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 BuildingOfficial 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.