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31B-310 71 State ZBA 2015-05-21------ --- Building Plans Included: File # MP-2015-0081 APPLICANT/CONTACT PERSON MICHAEL'S HOUSE LLC ADDRESSIPHONE 480 HAMPDEN ST PROPERTY LOCATION 71 STATE ST MAP 3IB PARCEL 310 001 ZONE URC(100)! THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Typeof Construction: ZP A -ADD 20 PARKING SPACES New Construction Owner! Statement or License 3 sets ofPlans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: __Approved ---tL'Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER: § :35 0 ---!l·~ Intermediate Project: ,. Site Plan AND/OR'--__Special Permit with Site Plan Major Project: 12'" 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 ofBuilding Official 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 ofMGL 40A. Contact the Office of Planning & Development for more information. Please type or print all information and return this form to the Building Inspector's Office with the $1sfilingfee (check or money order) payable to the City ofNorthampton 1. Name of Applicant: K\d.~'s h1>S>$<Z LL~ -&'\d~ (~t~ls\ Address: c..(~ Ltoo t\QA/~~6~v\ 61= Telephone: Y.\;).... S=Q4 ,...~a~ 2. Owner of Property: M) (1Ub.-s1;::"J B~"E>s:. LLC Address: '-I:~ \j~'-I~~~'-\ 6t) b:",t:f~Il'1 ATelephone: y \2> -03 't-OJ-tt3 3. Status of Applicant: Owner p-(Contract Purchaser 1essee___ Other (explain)_____ Job Location: ______-I-__~4. 5. Existing Use of Structure/Property.·_-'---"-"'''-'--''-'---'-=~--'-''-"''-''''1t---\f--4'=-='~~~-1r-----=--='''':C.~-'..::..~ 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Add C\-"'1 Qc\t\ \~~l Q,\ 2:n.... rQ.{KI~~ 'S ~"'--~~ , 7. Attached Plans: Sketch Plan Site Plan .X Engineered/Surveyed Plans 8. Has a Special PermitlVariance/Finding ever been issued for/on the site? NO DONT KNOW YES IF YES, date issued: _______;x. IF YES: Was the permit recorded at the Registry of Deeds? NO ____ DONT KNOW _____ YES IF YES: enter Book _____ Page _.,--___ and/or Document # _______ 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) 8/412004W;\Documents\FORMS\original\Building-InspectorlZoning-Permit-Application-passive.doc I NO ____10.· Do any signs exist on the property? YES --t~- IF YES, describe size, type and location:.________-r-___...-___---,_______ I.Q"'ntl~Cc:ht:n:'\ 'b'esY\ it C0{ ~ 0..)1= Are there any proposed changes to or additions of signs intended for the property? YES ___NO~ IF YES, describe size, type and \U"'(l~IUI • _________________________ 11. Will the construction activity disturb (clearing, grading, excavation, or filling) o.;f? 1 acre or is it part of a common plan of development that will disturb over 1 acre? YES __ NO....p...­ 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 I.ty_ qb{Qac) Sf"-+(-qD,O<X) ~f Frontage 35~\35(f Setbacks Front 5d-\s;t' L: R:Side L: \ C \ \ R: \D\'L: \C>\' R: \t:t \ . Rear I3'{ \ 3~' Building Height 45' 4S' Building Square Footage ILL 5+7-6r I']J J5.::r ~ SF I % Open Space: (lot area Iminus building a: paved 3lt(S/6~ LtQc5joI (!arking # of Parking Spaces "Zc Q.Q:\\~D\,\ C\\~\ # of Loading Docks cpcp Fill: cp(volume a: location) -,4 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Oat.: 51 k:21 10. AppUcant" Signature (L~t: ~~.p NOTE: Issuance ofa zoning permit does not relieve an applicant's rdento comply with all zomng requirements and obtain all required permits from the Board ofHealth, Conservation Commission, Historic and Architectural Boards, Department ofPublic Works and other applicable permit granting authorities. 8/412004W:\Documents\FQRMS\origina1\Building-InspectorlZoning-Permit-Application-passive.doc r .... / /i (iii I!