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32A-153 (9)
OCY,03-2006 06:02 From: To:0220439062764479300 F.3/3 ca? � C aL ,.,z .j -� J� 6 C 1 4 C � r i I I 1 I I � 4 l alp OCT-03-20©6 08:02 From: To:0220439062764479300 P.2,3 ah 4 S ry C� QCT-04-2006 11:37 From: To:4135871272 P.2/2 ( 11-F, / 9, S 7-RO PG 04 C/ 4 , 7?2 r,vi A+ - S �*Sf/��vS , -Of -effA1P-.-CE /4.4.r SJ&4c , I-fAA-r W i ,SL- wa2/zt v6c 0 2 er e k to,S ErD l / C t-JA A.,, , 10. Do any signs exist on the property? YES _ NO IF YES, describe size, type and Location:�'�ru As,,-to Are there any proposed changes to or additions of signs intended for the property? YES NO IF YES, describe size, type and location:194pt=c 7K4z� �A'-'N n ��� �dc ixx-VL-"1�S 11. Wilt the construction activity disturb (clearing, grading, excavation, or filling) aver 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 Frontage %eca G�".0'50 Setbacks Front Side L: Q R: 3 L: R: L: R: ;!ft,}to Rear Building Height t Building Square Footage v�g@�t ,, w f Open Space: (lot area minus building $ paved ��� parking #of Parking Spaces �. #of Loading Docks Fill: (volume It location) rs 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: 4n 3-{ -6 Applicant's Signature ^� ' 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:A Documents\FORMS\original\Building-Inspector\Zoning-Peimit-Application-passive.doc 8/4/2004 G`v // File No. / ZONING PERMIT APPLICATION 01 o 2) Pleasetyp-e-er-pirint all information and return this form to the Building Inspector's Office with the $15 filing fee (check or money order)payable to the City of Northampton 1. Name of Applicant: =j 7 � Address:644 pt s la e,td=�Telephone: 4L3 , 2. Owner of Property: `rtM41" Z-0 Address: �X 4--?A 4 Amtl Wilt e's'cort--"2:L s- Telephone: 1363 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) 4. Job Location: `' Parcel Id: Zoning Map# °t Parcel# 3` District(s): 007 In Elm Street District In Central Business District (TO BE FILLED IN''BY THE''BUILDING DEPARTMENT)_,_ 5. Existing Use of Structure/Property: 19 SnItelJ6 AMA 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): °$ y CSt> �e l C�►J 1 ®r-�CiL r rt`re�5"� �`!g«ft✓�nsLosJ `� SV��� ,,,F,kJJV27c%;�t.x��; T�r_..ClarJ��t� �f,,,,�Y��..f A.�� f'�✓:.�aiiljt�,�`'�7 � �lvP:.�' �d,Ot=i'•J�d�'✓``� Cli.Ji. "t```�1 N°/d'--� I3 �J✓1�r.i ��2-it-/'� -�.."�st!�. �lb?O ��s�-�"G'��'11 w..r.7�.��19/,jAC,��'t.J �t�y 6 f+u ! �- f1��?- ►1�u5%G ,o�e?� , .e, rz yP s37�•cC esrE: FG.v ir�€?�7" - 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 YES IF YES, date issued:Sf311LI4. - .�,e:u%�64• f 0- x"44, ��i��� _ Gam.-Tj l�f+L BtLsr.<.::•K�._; �=seHt�: 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 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) 'A�\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 84/2004 File#MP-2007-0039 APPLICANT/CONTACT PERSON REED BRANDON ADDRESS/PHONE 64 PINE GROVE (413)222-7248 Q PROPERTY LOCATION 18 STRONG AVE MAP 32A PARCEL 153 007 ZONE CB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED RFQUI ED DATE ( ZONING FORM FILL OUT Fee Pai Building Permit Filled out Fee Paid Tyneof Construction:_ZPA-FITNESS New Construction Non Structural interior renovations Addition to Existing AccessorV Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF RMATION 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 Commiss' n Signature of Bui ing 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.