34-003 (5) t
� � y# Fi 1 e No.
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ONING PERMIT APPLICATION (§10 . 2)
=,D OR P=T ALL =ORMATION
1. Name of Applicant: U-) .
Address: Telephone:_ 5aG :377S_
2. Owner of Property:
Address: Telephone:
3. Status of Applicant: V Owner Contract Purchaser Lessee
_ — zplain):
4. Job Location: o�U7
Parcel Id: Zoning Map# �> Parcel# ' 3 District(s):-
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property 1/V'0t.
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
S4-r yc_( &6, t t in ( -o L�- y r- S`J
�trv�a�� �q � -� /lwi`c'� G��S��i�►-.. y.� ��Gri1 �G�� ;,e¢c
7. Attached Plans: ✓ Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special PermiWadance/Finding ever been issued for/on the site?
NO ✓ DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T 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)
>uE # 961255
APPLICANT/CONTACT.PERSON:
ADDRESS/PHONE:
PROPERTY OCATION:
MAP PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
lRivildinj! Permit Filled mit
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: '
Approved as presented/based on information presented
Denied as presented:
Special Permit and/or Site Plan Required under.§ ko,to
PLANNING BOARD ZONING BO
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under.§ w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under. § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
Permit from Conservation C mission
Signature of Building Inspec to
NOTE:lssuanoe of a zoning permit does not relieve an npplioant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applioable permit granting authorities. —
Check off all that apply to the project:
use of a common driveway for access to more than one business
V✓ use of an existing side street use of a looped service road
2. Does the project require more than one driveway cut?
✓ NO YES(if yes,explain why)
3. Are pedestrian,bicycle and vehicular traffic separated on-site?
YES NO(if no,explain why)
For projects that require Intermediate Site Plan Approval,ONLY. sign application and end
here.
9. I certify that the information contained herein is true and accurate to the best of my
knowledge. The undersigned owner(s) Planning Board permission to enter the
property to review this application.
Date: 7/1151016 Applicants Signature:
Date: Owner's Signature:
(If not same as applicant)
For projects that require a Special Permit or which are a major project,applicants must also
complete the following page.
4
C. How will the proposed use promote a harmonious relationship of structures and open spaces to:
the natural landscape: 5 V-;-41 sT, -TR.la�
to existing buildings: No I M e,,-c.T
other community assets in the area: CLL-.,N v P p� Fs'F u S Ir I N y I t►0 C�
AC,At-i P EI9
D. What measures are being taken that show the use will not overload the City's resources,including:
water supply and distribution system: f'a ly A'T c yr E Lc
sanitary sewage and storm water collection and treatment systems: P21 vtrr a� SG�P'rt c.
fire protection,streets and schools: (Hvrco v65 R-0" Aew—t;155 -'ro l�i ST rn1(,
�-OTS
How will the proposed project mitigate any adverse impacts on the City's resources,as listed
above? No A w ER2S,:
E. List the section(s)of the Zoning Ordinance that states what special regulations are required for the proposed
project (flag lot,common drive,lot size averaging,etc.)
FLT i--OT ZA a L'F' 6-7— SILT. 6 .13
How does the project meet the special requirements?(Use additional sheets if necessary)?
}im—Ts 5ecrr. co , 13 r Goi .
F. State how the project meets the following technical performance standards:
1. Curb cuts are minimized: Na 0 t N t;w
3
i
i r
8. Site Plan and Special Permit Approval Criteria(If any permit criteria does not apply,explain why)
Use additional sheets if necessary.
Assistance for completing this information is available through the Office of Planning&Development.
A. How will the requested use protect adjoining premises against seriously detrimental uses?
h0+ WI nNOI uVIUS2k COO'L wild C ucf, 'ol�GrL v-.A lo- +rcS IIA4+
a
Wrrt'AkI
How will the project provide for:
surface water drainage: V N fib t f yto�C
sound and sight buffers: 't -}'rGe l+,,2. o v, - ' V\,o-rro u3 roaJ, w Lk
C Lv-a. L„ b� c` �u-Ke 4b Ak. q r"e-� eq v t p vv`r G('V wt P-c-A-
the preservation of views,light and air. k boQ E
B. How will the requested use promote the convenience and safety of pedestrian movement within the site and on
adjacent streets?
-rk 15 W i L-!,. oe'&
How will the project minimize traffic impacts on the streets and roads in the area?
II WILI IrIeAc'yE DPVJ MAiN7AIt,3C"eF-
Where is the location of driveway openings in relation to traffic and adjacent streets?
EKtSTINV SNowN
What features have been incorporated into the design to allow for:
access by emergency vehicles: tY i ST i N y I M MO y C d
the safe and convenient arrangement of parking and loading spaces: QP�K N y 0 N
SITE
provisions for persons with disabilities: tvo L%J R 6$
2
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CITY OF NORTHAMPTON
PLANNING BOARD APPLICATION FOR:
of'Pn°ject.........
Tom.:
» ,,,SATEP`LA....APPROVAL;
»: Interle�late;Pr�ijectSrteplan}
Major Project(Sh+I.. $}ecial.'ermltj
Sp.�CIAPERMTT ;,,
.. . ......IkltC Me..ISOC`PXOjCCt(�PYitlt M. P SMA-: p�11�MYA�
MajnrPit+ojnct(Sit�Plan S iatPermit
Permit YS rquestec#under g Or+ nance Section; + Pg [�
1. Applicant's Name: I r +AL", W G4LLi'�
Address: 14(1- 't1a 7VVJ c�� Telephone: GNo s�
2. Parcel Identification: Zoning Map Parcel# Zoning District:
Street Address: ?,6'] J U 2.:-VT MIA,tA, ?-y9
3. Status of Applicant: Owner, Contract Purchaser, Lessee
Other(explain)
4. Property Owner: f -
Address: Telephone:
5. Describe Proposed Work/Project (Use additional sheets if necessary):
A, wool al It ke. -V rc d vice., 4c,. .�-ow�aa�t,, -b ak-
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th «d'�tw -f'v :�Go�� P��s+��►�1 �'���. �v�-dl1s�y�b�s►v►-ce.
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Has the following information been included in the application?
Site/Plot Plan List of requested waivers fee
2 sets of labels(supplied by the Assessor's Office)
Signed dated and denied Zoning Permit Application
Three(3)copies of the Certified Abutters List from Assessors'Office.
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