32C-166 (31) File#MP-2017-0018 s!*- TO
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APPLICANT/CONTACT PERSON MANHAN NARROW LLC p1
ADDRESS/PHONE 196 PLEASANT ST (413)585-0641 0 ` f 'I/ } 0 1,(04M^
PROPERTY LOCATION t%-P EA5APTS9=� 7O n�Iv S I FrAutAp f 0 - • ;
MAP 32C PARCEL 166 001 ZONE CB(l00)/ l stiCiQ�,'I,��F,�I
THIS SECTION FOR OFFICIAL USE ONLY: Y�x` '
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED 91,1T ,�/
Fee Paid 0.5.377 /7�0
Building Permit Filled out
Fee Paid
Tvoeof Construction: ZPA-RENOVATE PART OF THE 2ND FLOOR FOR OFFICE USE.INSTALL 3 NEW
EXTERIOR WINDOWS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Buildine Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESKNTED:
Approved %/Additional permits required(see below) i1/2 '
PLANNING BOARD PERMIT REQUIRED UNDER: § /��/,� (�
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan " N
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 Wel Potability Board of Health
Permit from Conservation Commission IV Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Signature of adding Oficial _— 7° Date 9/0/61/4
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.
St? 1 3 2016 C
File No. /CO5b77
DEPT.OF Buimiu, ING PERMIT APPLICATION ($io.2)
Please type or print all information and return this form to the Building
Inspector's Office with the $3 0 filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: Thomas Douglas Architects
Address: 196 Pleasant St, Northampton, MA Telephone: 413-585-0641
2. Owner of Property: NIS Building LLC C/O HPMG
Address:150 Main Street PO box 686, Northampton, MA Telephone:413-582-9970
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) architect
4. Job Location:
Parcel id: Zoning Map#_ Parcel# Dlstrict(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: Business use
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Renovate part of the 2nd floor for office use. Install 3 new exterior windows
7. Attached Plans: Sketch Plan yes Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW XX YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW XX YES
, IF YES: enter Book Page and/or Document#
9.Does the site contain a brook, body of water or wetlands? NO XX 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 bviginal\Building-Inspecror\Zoni og-Perini t-Applicatiompassive.doc 8/4/2004
10. Do any signs exist on the property? YES XX NO
IF YES, describe size, type and location: no changes to existing
Are there any proposed changes to or additions of signs intended for the property? YES NO
IF YES, describe size, type and location:
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
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
no changes to existing
Frontage
no changes to existing
Setbacks Front
Side L: R: L: R: L: R:
Rear
no changes to existing
Building Height
no changes to existing
Building Square Footage
no changes to existing
%Open Space: (lot area
minus building & paved
parking no changes to existing
#of Parking Spaces
no changes to existing
#of Loading Docks
no changes to existing
Fill:
(volume& location) no changes to existing
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
g/13/16 Thomas Douglas
Date: 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'originahBui!ding-InspectoryZoning-Permit-Application-passivrdoc 8/4/2004