17C-231 (8) r
10. Do any signs ebst 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. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This columm to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size f
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&pai,ed parking%
# of -Parking Spaces
t of Loading Docks
Fill:
{vol-ume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: I��/'S� G� APPLICANT's SIGNATURE
NOTE: Issuanoa of a zoning permit does not relieve an app oant's burden to oo ply with all
zoning requirements and obtain all required permits from th Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE #
i4
OCT 1 5 2003
-3 7
-- - -- NING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: K (� e t— -k 7 e r g— L
oto29
Address:`PO
t vK /�04 , M
��t ham-p a 4 Telephone:
2. Owner of Property: Fr
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser ""v Lessee
Other(explain): l II
4. Job Location: Nom, , � l., to�P ,�, y✓1
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property P/Zz /7 e J
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
y 5�X' r-?,g
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/Variance/Finding ev ` been issued for/on the site?
Wti�
NO DON'T KNOW
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 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)
File#MP-2004-0037
APPLICANT/CONTACT PERSON KLINGER ENGINEERING LLC
ADDRESS/PHONE P O BOX 1304 (413) 563-1480
PROPERTY LOCATION 34 NORTH MAPLE ST
MAP 17C PARCEL 231 001 ZONE SI
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-ROWING SHELL MANUFACTURE&REPAIR
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 F_9LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION 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 Co on
oe
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.
T MP-2004-0037
COMMONWEALTH OF MASSACHUSETTS
- CITY OF NORTHAMPTON
Map:
aE �
Lonk : ZONING PERMIT
;Permit: _—ZONING PERMIT APPLI� APPLICATION PERMIT
(Category: Zoning Permit
[Permit# MP-2004-0037 _
r--- - PERMISSION IS HEREBY GRANTED TO:
Project# �JS-2004-0621
Est Cost: !Contractor: License:
--�- Homeowner as Contractor
(Fee:
�of Fixtures:j i _ Owner: LHIC INC
Applicant: KLINGER ENGINEERING LLC
A T. 34 NORTH MAPLE ST
ISSUED ON. 16-Oct-2003 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA-ROWING SHELL MANUFACTURE&REPAIR
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-2004-001189 15-Oct-03 MO $15.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2003 Des Lauriers Municipal Solutions,Inc.