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31D-126 (14) File 9 MP-2016-0080 APPLICANT/CONTACT PERSON Peter Frothingham ADDRESS/PHONE 181 MAIN ST (413)585-5910() PROPERTY LOCATION 79 MASONIC ST-FIRST CHURCH OF CHRIST MAP 3 1 D PARCEL 126 001 ZONE CB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Pen-nit Filled out Fee Paid Typeof Construction: ZPA-RENOVATION&ADDITION 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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 Ehn Street Commission Permit DPW Storm Water Management Sign 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. i-- � r File No. /Iry ZOXJNG PERMIT APPLICATION(§i o.2) __.Please jyjp or rint all information and return this form to the Building Inspector's Office with the $15,filing fee (check or money order)payable tQ the City of Northampton "t Office of Peter Frothin ham RAS 1. Name of Applicant: g Address: 181 Main Street, Suite One Telephone: 413 585 5910 2. Owner of Property: RAPS Real Estate Address: 74 Masonic Street, Northampton Telephone: 413 584 3232 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) Architect 4. Job Location: 79 Masonic Street, Northampton Parcel Id: Zoning Map# Parcel# District(s): In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: Christian Science Church Reading Room, containing office and educational uses. 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Renovation and addition to existing structure to accomodate relocating law office. 7. Attached Plans: Sketch Plan X Site Plan X Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW X YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW X YES IF YES: enter Book Page and/or Document# 9.Does the site contain a brook, body of water or wetlands? NO X 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) W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004 10. Do any signs exist on the property? YES X NO IF YES, describe size, type and location: Two free standing signs; one for parking lot and one for building. Are there any proposed changes to or additions of signs intended for the property? YES X NO IF YES, describe size, type and location: Remove existing, provide two new on building. 11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan of development that will disturb over 1 acre? YES NO X 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 UNKNOWN UNKNOWN Frontage 69.04' SAME Setbacks Front 4.4' 4.4' Side L: UNKN R: UNKN L: 5' R: UNKN L: R: Rear UNKNOWN 5' Building Height 23.5' +/- 25.5' +/- Building Square Footage 1540 +/- 1920 +/- % Open Space: (lot area minus building Et paved UNKNOWN UNKNOWN parking #of Parking Spaces 7 6 + 1 Hcap #of Loading Docks NONE NONE Fill: NONE NONE (volume Et location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: 12 APR 16 Applicants 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:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004 The 0Fficc of P� PETER FROTHINGHAM L R c g i s t c r c d A r c h i t c c t 181 Ann Strcct,Suitc Onc Northampton MA 01060 USA 413 585 5910 TRANSMITTAL 13 April 2016 Louis Hasbrouck,Building Commissioner Office of the Building Commissioner Puchalski Municipal Building 212 Main Street Northampton NL-A 01060 Re: 1514—79 Masonic Street Offices 1 completed Zoning Permit Application Form 1 copy each of Schematic Design sheets SD1-4 1 copy of edited property survey 1 check in the amount of$30 FOR YOUR REVIEW Peter