31C-017 (12) File#MP-2008-0028
APPLICANT/CONTACT PERSON Berkshire Design Group!
ADDRESS/PHONE 4 Allen Place (413)582-7000
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ONING FORM F LED OUT , CZ rill -/-J �r
ee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-40 RENTAL DWELLING UNI`J('S
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Buildiniz Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION P ANTED:
Approved r/ Additional permits required(see below)
`A
PLANNING BOARD PERMIT REQUIRED UNDER: § ),
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan
' C.Ctl�Y1 t!7 ('t v? d
Major Project: Site Plan AND/OR Special Permit with Site Plan lirice %
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
Pe>�om Elm Street Comosion
12C"—
Signature of Building Official v 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.
or Aog69�t
,-,
.File.to .
= . OUB PERMIT'. '.i�'LICA7—TON t 2x,11
��Aase type or print all information and return this form to the Building
inspector's Office uIth the S15l7ling,dee (check ormonev'order)Davable to the
City ol`Northampton -
�'fa ,1AY v1,.�SKG`Y
Marne of vlican.: y1 l,,E r'�T' }4v5P�'tpt_ Felt-� L �� C3L.�#�s sRc 4t=SSG--t�
Address: Au-epJ pt~ , � No2TRA- nt916,,J.PA Telephone: A(3 -582-"7000
_. Own 3, o; Proper �I t: `�Gt(s AT �oS��Tic_ �I L t_ II LLC
dd, ss: 3Z2 N�+r� T sg��t c-,P , mA 011o� Tel p�o.he t3` 7 3? �Zo7
J a-us o` App!ica t: Owner ✓ r-o7rract Pjrchaser Lessee Other (exoiairl _
t. fob Location: V I(-t A G �,j ; tTrNC. 2�909f7
...
..
Pat cwt#d # Zoning tV€ag Parcels Distnct(s).:
ts1.Eirn Street DistniYt In Cetitrai BusEn�ss I3:strict
it �
-= (TO-BE-T ILLED-1N BY THE BUILDINGDEPARTNtIlm- .v
ves�'i tlOn Oi P-oposed Use/Work/`Pr.DJ?c-,/C)c lupc=iov : (Use additiOnai sheets if tierce=sa7y):
GuN 5-re-L)c,11 d,114 D F 40 2NEj" - Q,)E'c.,L-tn!(- UN CC'S w(TI-Itn!
G Ole} a _S1;� =M-G— eARG(=t_.S rPe(z J%C.L-A-4c= 1-Fic — —
19EF-1tJ(-rf JC. 5yk3p,}y;S(CJn! j'4+n1 1 A,-)O ASSGUArFO ,. PAAICte� t 7TM(Tlg-S
?. A. Lached PI ins: Sken;c"1 Plan Jive P!an tri Engineered/Surveyed Plan-,
c�5 u' Special S � rRlt�l xl�a(i nce,/Finding, ever beer, issued,, 'a-/on 'he site?
140 DON i KNOW ES_.,�._s�� IF YES, date issued: q' 04 '04
4
IF YES: Was the Permit reco-ded at t'ie registry of Deyds7
NO DON 7 KNCAV ✓ ES
12en'--r Book PaQe ant/or Document ;=
the site contain a brc)ok, body o Water or uvetlancs? NO � DON! KNOW YES
IF YES, has a permit been or need -.o be obtained froom the Conservation CornTti=sion?
Needs t be obtained Obtained date issued:
'Form Con roues On.Otho-Sloe',
i�,�=oeum�ttt, a ..i�o ,_irsuii�:in�-irs*reao'?� _ e-mrt--.}-�slica,ion-wassi•�.doc _ , 1'�
Do arry sion,,� exist on the Drope—, Y? NO
lF YDS, describe size, type and location:
t"--re any propose, nanoes to or additions of signs intended For the n-ope7ty? Y.-S NO
IF YES, describe size, type and location:
j-i. Will the construction activity disturb (Clearing, arading, excavation, or filling) over I acre o!, is it par: of a common-
plan of development that will disturb over I -acre? YES ✓ NO
it then ') � -ter Mianagernent Pe-nnit frorn DPW Is required.
- _Jh_ - - _!� ., _ n Storm Wd Pe-unit the
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This column reser ed
L 0-r 2
for use by the Build!n6cr
Depzz tMent
EXISTING PROPOSED RE-QU
)[Alp BY
7
Lot Size -
2.4
Frontage -75
Se-backs Front
Side L: P: L: R: L: R:
Rear
Building Heiaht
Building Square Footage
5 ;-:7
%Open Space: (lot area
minis building & paV 4 70
Dar king
of Parking Spaces
5e E
of Loadino Docks
(volume & location)
C c 3 t;On: 1 n c,r P_�),; C-2—1: h n he�-em �s true and accu-7--te �o
;crm_ation cont-a—ed L '-h' ' _1 '-If
rry knov"'Iedge.
Date: 07 Applicant's Signator; "
NOTE: Issuance of a zoning perm it does not relieve an applicant's burden to C� 13-x-viffi all zoning
requirernents and obtain all required permits from the Board of Health. Conser-vation Commission,
Historic and Architectural Boards, Department of Public XVorks and other applicable permit granting
authorities.
L. De anry sions eY.1s' On `ne Dro0e=V? VES NO
IF "�7`, describe size, type and location:
Are there arty proposed changes L.;or additions of signs intende''ni `or the N."oRr;ty? VCS Nn f
IF Y-_S, describe size, type ant location:
i!. ii1 the disturb (Clvaritl',V7. "3di'ly, excavation, O' `I(llrl j over 1 aC'2 0` Is ti pa—,L o`2 COTIrn r-1
V}1
plan df development t lat will disturb Over 7 acre? YES L� NO .
t= '`;'C ft�n e N'Or her ton �tnrm Vvater Management ?e mit Lrom the DPW is r2uuireu.
l2. ALL INFOPIN,AT!ON MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFOPNIATION
This column reserved
'lam( 231 7-ff�Za�-c.oT�`
for use by the Building
'Je z.-rment
1E ST C PROPOSED Rlr{j�itI ED BY' _
`m :ZOI4NG
Lot Size Or) 5F
Frontage
Setbacks Front Z I E
Side L: R: L: P,: �2� L R:
Rear NIA*
Building Height
1 Building Square Footage -
(o� ,�� 01 -
/n Open Space: (lot area -
minus building & Raved
D3rklno
of Parking Spaces + 2 41
_
+ 5 �L-SEre✓E
€of Loading Docks `
(VOlurne & location) f f
L..+--.1-... .. tl...++L,.. LUii4u 1'72 nit o ,.ate, rn Cnn Flnr. `nf
!Juv 111 i:.0 Li:J 1. 1 1.^.1 Gil J' 1....1 L('1�' LI Ol ♦ .., i11�Jt,�iC:llU� �.V�t .....�i ,,� true ui,v uvvu�
Date: /0-3-0-7 Applicant's Signature
'COTE: Issuance of a zoning permit does not relieve an applicant's burden to c *-ca ly xiith all zoning
requirements and obtain all required permits from the Board of Health. Conservation Commission,
Historic and Architectural Boards. Department of Public XVorks and other applicable permit granting
authorities.
iVl ncurn_n:_,,Fr_'r'.A;S nril_ira!'F'ui din^-L-LKt ^tor. vn:r:2_"::-nit-nppii�arion-pasit-e.dt�c R- ".•)(�:
Dc a.7 y sions ey:_st on he p,-c;peri,1! NO
iF YES, describe size, tvDe and location:
Are there any propose-1 changes to or additions of sions intended for the D-rope,-`y? VCS N0
IF YES: describe size, type and location:_
1. Will the construction activity disturb (clearing, pr acing, excavation, or fl"ling) over acre or is it part of a common
plan of development that wail disturb over i acre? YES ✓ NO
IF YES, then a NOrt"ampton Storm Water Manaoement Pen—nit from he DPW Is ;euuir eu.
ALL INFORMATIONMUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This column reserved
LOT Z$ �uRNL[C l��" for use by the Euilding
Ile;7zrmeat
EXISTING PROPOSES? D BY
Lot Size
9, 365
r'rontace
6 7' (AA OSEi2) I
Setbacks Front
2.11 �
Side L: R: L: b ,! R: Z2 I L: , R:
?ear 2
Building Height -
Building Square Footage
(Z9w6-ua6r vwrs C�ss� — 703Z 5P
9�Open Space: (iot area
minus building, & paved / o�
Darkina
of Parking Spaces
-
r of Loading Docks _
Fill: l
(Voiurne " location)
c ri#jnnTinn i h=rahvrertifx.that th. rl nrmsti7r, rnn+ r�+ 4 �1
J . r"iin i1L>" t�) r.)6 ?�� �r!-t�r.'atD rn tri C] heft r.f
a 3� f�r1JVlleuU'�':.
Date:
/U• 3.07 Applicant's Signature i
NOTE: issuance of a zonirig permit does not reliei,e an applicant's burden to coIv xsz all zoning
requirements and obtairi all required permits from the Board of Health. Conse tion Commission,
Historic and Architectural Boards. Department of Public X orks and other applicable permit granting
authorities.
P .