25C-030 (12) f
10. Do any signs ebst on the property? YES
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES N
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cc?== to bs filled in
by the Baildia9 Department
Required I
Existing. Proposed By Zoning
Lot size '310 Sri 5z /C., �
3( 6ZV
Frontage 0
Setbacks - frn
- side L:_6 R: ��S L: R: 16-
- rear
Building height
Bldg Square footageJr-- �
%Open Space:
(Lot area minus bldg
&paved parking)
# of Parking Spaces
# of Loading Docks r--�
Fill:
(vol-ume-& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my know , dge.
DIII'E: APPLICANT's SIGNATURE
NOTE: lssuanoa of a zoning permit does not relieve an applioant's b rden to oomply wltb all
zoning requirements and obtain all required permits from the Boa of Health. Conservation
Commission, Department of Publio Works and other appiioabla permit granting authorities.
FILE #
�FC,�I� .y Fate No.
rti J
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
DAU1. Name of Applicant:
Address: i (• lL C Ut ' –S Teleph ne
2. Owner of Property: S L( � � Aj
Address: FU7 C ( � Telephone: :)_2 g7 r 7 3
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(expl in):
4. Job Location:
Parcel Id: Zoning Map# s Parcel#361 1—_ District(s): u (L YY
(TO BE FILLED IN BY THE BUILDING DEPARTMENT) /
5. Existing Use of Structure/Property_ k (-S�i rN G �=/� ('f�L (�(� �� C� qC. 0
(zI✓mG u L
6. Descr�' ton of Proposed Use/Work/Project/Occupat : (Use additional sheets if necessa
Uv a (C- n �., ;T� u �r s� ac, itCG� t7 Gc- r�u� j�
— If t
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 Permit/Varia ice/Finding._ev_e_r_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 r wetlands O DON'T KNOW YE
--�..�_S S
IF YES, has a permit been or need to be obtained from the Conservation ommission?
Needs to be obtained Obtained 1 ,date issued:
(FORM CONTINUES ON OTHER SIDE)
f N
File#MP-2000-0102
APPLICANT/CONTACT PERSON David McCutcheon
ADDRESS/PHONE P O Box 43 (413)529-9973
PROPERTY LOCATION NORTHERN AVE
MAP 25C PARCEL 030 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FO I ED OU
ai _
Building Permit Filled out
Fee Paid
Tvneof Construction: CONSTRUCT DUPLEX W/ENC PORCH 59 X 36&2 PORCHES 12 X 16
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 LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presentedibased on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
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 Board of Health Well Water Potability Board of Health
Permit from Conservation Commi
X00 0
Signature of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
Avo*. requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
a +�
NORTHERN AVE MP-2000-0102
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
4417
Map: 25C
'° ° ° ZONING PERMIT
Lot: 001
Permit: ZONING PERMIT APP APPLICATION PERMIT
Category: Zoning Permit
Permit# MP-2000-0102 PERMISSION IS HEREB Y GRANTED TO:
Project## JS-2000-1210
Est.Cost: Contractor: License:
Fee: $10.00 Homeowner as Contractor
#of Fixtures: Owner: David McCutcheon
Applicant. David McCutcheon
AT: NORTHERN AVE
ISSUED ON. 13-Jan-2000 EXPIRES ON.
TO PERFORM THE FOLLOWING WORK.
CONSTRUCT DUPLEX W/ENC PORCH 59 X 36&2 PORCHES 12 X 16
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Zoning Permit Application REC-2000-002050 12-Jan-00 336 $10.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®1998 Des Lauriers&Associates,Inc.