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17A-226 117 Lake St zpa 2017-09-21File# MP-2o18-0015 APPLICANT/CONTACT PERSON MALONE PATRICK M & SHERYL A ADDRESS/PHONE 167 AUDUBON RD (413) 584-6679 () PROPERTY LOCATION 117 LAKE ST MAP 17APARCEL226 001 ZONE URB{lOO)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid TypeofConstruction: ZPA-CREATE 3RD DETACHED UNIT STRUCTURE 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 PRES~NTED: __ Approved _~/_A4•dditional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER: § Intermediate Project : v'site Plan AND/OR ___ SpecialPermit with Site Plan Major Ptoject: ___ 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 3 5 O ./ irJJ CJA h.,r, 0-..\\' Permit from Conservation Commission ---___ Permit from CB Architecture Committee Permit from Elm Street Commission ---Permit DPW Storm Water Management ---- 9 /31 I Date I f\7 Signature of Building 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 $15.filingfee (check or money order) payable to the City of Northampton 1. Name of Applicant: fa-f:r; ( h a,.,j ~ ~ I?/' 71 f14{(J)1 f, Address: It 7 Ave! vktm Rd} LeedsMIJTelephone: 'ilJ s,;;.o-r;rJt/ 2. Owner of Property:fllfc,'ch..Ovt) <iili,ujL ~ , Address:/ 2 7 &dkc ,Sf-cee + Ror/l,1(-f' Telephone:{j;i}3}_d-~~(Jr: 3. Status of Applicant: Owner ~ Contract Purchaser Lessee Other (explain) ____ _ 4. Job Location: r r 7 Lah. e... Sr te.e f: 5. Existing Use of Structure/Property: .:;_ t:kn? ~ 11 Ce.S; cJ-f:t, k uJ kJ ,I) 5L 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 7. Attached Plans: Sketch Plan X Site Plan _tf~--Engineered/Surveyed Plans __ _ 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO ___,)c'-'--_ DON'T KNOW ___ _ YES ___ _ IF YES, date issued:,,------- IF YES: Was the permit recorded at the Registry of Deeds? NO ___ _ DON'T KNOW ___ _ YES ___ _ IF YES: enter Book ___ _ Page ____ and/or Document# _____ _ 9.Does the site contain a brook, body of water or wetlands? NO DON'T KNOW __ _ YES __ _ IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ___ _ Obtained _____ , date issued: ______ _ (Form Continues On Other Side) W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive,doc 8/4/2004 10. bo any i.tgns exlston the property? Y£s ---· NO ,~ ;;....:...;c; IF YES, d~rtbe size, type and location: .. ·. ..· . . _ . __ . ~ . . ·-------,s .. _ • .;.~, •. d . . . __ Are there any proposed changes to or additions of signs fntended for the property? IF YES, de$Cfibe slz~. type and iocatlon: _________ ....,...... ________________ ...__-,-..,...__~-.....;... 11. wm lhe construction actMty'dlstvrb {Clearing, grading, excavation, orflUlng} over 1 acre or is Jt part ma.~ plan of development that will <.flsturb.over 1 acre? YES_ NO ~ · lF YES,theo a Northampton Storm Water Management Permit from the OPW is required. 12. ALL lNFORMATION MUS,T BE .COMPLETED; or PERMIT CAN SE DENIED OUE TO LACK OF INFORMATION · · ·· 7hltil colwn:n rssen-ea ·for wie by tbe Blllldlng 'lh .... .. ioartiilent EXISTING l'ROPOSED ' REQti1RBD BY .. ZONING Lot Size ':2.,q, ~b'S' SQ~T ,Z..0 I 't £. 4i -sq ,rT (,) . I./, (4 O,...~r(} 0-.,., i ~Of<.\ Frontage ?fJ,-.;( r .. -~ iJ ' s Setbacks Front 't_ 'L, ,I ~I I I Side L: R: :2_ I L: R: L: R: :;.or;-" . Rear . . . .. . . Building Height 3 ~ 3 )_ . · aundtng square Footage ' } ') ~---l, ~~t <.2, l':::, 0 t/. ~ :r::.r. 0 .. . % Qpen Space: (lot area 1, /. .,. minus f:>uildfng & paved b] I ... patkina .. ... # of Parking Spaces • :s 6 . ... # oftoading DocK$' (J C) . .. F ill: 0 0 (volume & location) . . I J\lo+t S Co\fera.q ,e_ yrof<:r',(D: J> "14;.,') +. $-f' c V c,h ( t) -, 18 ~q ;j::-r -~ f"- 2 b) 15 b 5" 5'<? ,i:::-,.. ~ ~ c_ 0 r1e. (' :: 37% ln rt e'I; sH "i'} '; p""I,~, ·r 5+-r,.,e-1,,re) e_ov~_ ... I '3S--~ 5q .\'.:I --,z_o, 'B"b<, ~~ n r I ~ 1 « I~ ·-l'b\·--"r" l.:;, ,/ (V~ "' 2 DtJ €., I D,'c;h-; c.+: VRB I~ Lot t 20) <&I/; S<jl ~ 0~ 't71 a. cre5 ( I i ""'~··-~ l-Jl--·-· o...ppr-o'I( JqCp.:/-,'r,V'\ ~t I .vf-P'f'O(>PS eoJ 1 rd t.) ri j' .J. '5 hvJvrt f751 lf"1.x sB' I 1~8' -:) , (, O l/ SQ t:r I I \ f \ I ,xff' i\t \ R~~es+-~r de.+~ r M~vwd.;·~ -tv r t4t cre~H(J'VI of l +f,i;" J de +-t:A-+-a.l.ie c-' U C/1 J I-'>frv t-f-u re. p~ + I' ,' (. h µ()l{" ti}· l 17 L~ke S't. 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