24D-089 (5) File#MP-2019-0002 t
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APPLICANT/CONTACT PERSON HARRMGTON MICHAEL L
ADDRESSIPHONE P O BOX 393
PROPERTY LOCATION 64 NORTH ST KHAN M1pEE
MAP 24D PARCEL 089 001 ZONE URC(100)/
THIS SEC ION FOR OFFICIA USE ON
PERMIT, ICATI N CHECKLI
ED REQUIRED DATE
ZONING FO FILLED OUT
Fee Paid
Buildin Permit Filled out
Fee Paid
TypeofConstruction: Z_PA-ADD 3/4 BATH IN EXISTING LOFT ADD 3/4 BATH BETWEEN SUNROOM
AND HOUSE ADD SPIRAL STAIRCASE FOR 2ND FLOOR APMT ADD CARPORT
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:
1/ 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 Commission Permit DPW Storm Water Management
Signature of Building Official Dale
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.
RECEIVED
Jul - 2 2018 File No.
G PERMI'TAPPIWAT'ION(§10.2)
NonT int all information and return this form to the Building
Inspector's Office with the $30)riling fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: MIC IC w+6L L
'
Address: �I AJOIL71'f Ci �,ry Telephone:
2. Owner of Property: I s'l lC' � �� l�r i /lob T4
Address: 4 Telephone: /,t '','ef
3. Status of Applicant: Owner Contract Purchaser Lessee_Other(explain)
4. Job Location: Jpwe—
Parcel fd: Zoning Map#. a!4 D Parcel# 0 1 District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: 7 IEIG �L �%7�'✓[ l`r
6. Descn��jlion of Pr ed Use/Work/Project/Ott pation: (Use additional sheets if necessary):
1 A BR7ti 7AN-67-^L �y7 (/r =*t 5T(A '' Gof,
l--7/1f $ 1 H rns5zk��E� TwcEA1 5�u ect7�v a�
I- SPt 5 v4t - �N57f} L��D �a 2 5c�o�D �i�2 _7
aaFCC-r,E �acEa 1 �ro�srs I �Mwr m"d
(2UCrZ
UD Mep STAN— q ?00F6KetTFf i OG eDP/nRoo6=(,U1
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans _ 6
Pre z4auv6.
8. Has a Special Permit/Variance/Finding ev been issued for/on the site?
NO DONT KNOW YES IF YES, date issued:
IF YES: Was the permit recorded atthe Registry of Deeds?
NO DON'r KNOW ✓ YES
IF YES: enter Book Page and/or Document/7
9.Does the site contain a brook, body of water or wetlands? NO DONT 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\DocumentsTOR S\originar9uilding-inspe wro oning-Pe=t Application-passive due 8/4i2004
10. Do any signs exist 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. Will the construction activity disturb (clearing, grading, excavation, or fitting)over 1 re 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
Int Size
Frontage
5G. � • 8�
Setbacks Front 0 -r
Side L: 10+ R: tp. a L: It f R: 6�' . L: R:
Rear /J. rL rl
Building Height I r "b
Building Square Footage
%Open Space: (lot area /
�
minus building B paved
parking
#of Parking Spaces )_
#of Loading Docks
Fill: 1_O
(voWme Et location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
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.
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NORTH STREET
PLAN OF LAND IN
ORTHAMPTON, MASSACHUSETTS
RANDALL PREPARED FOR
I2@R ar MICHAEL HARRINGTON
035032
SCALE i"=20' MAY 24, 2016
HAROLD L. EATON AND ASSOCIATES INC.
q,, REMSTEREO PROFESSIONAL LAND SUR�EYORS
235 RUSSELL STREET — HADLEY -» MASSACHUSETTS
413-584-7599 413-565-5976 (fox)
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