25C-123 222 Bridge St ZPA 2017-08-28File# MZP-2018-00021
APPLICANT/CONTACT PERSON: FILAS MICHAEL & HEATHER POLSON
222 BRIDGE ST NORTHAMPTON, MA 01060
PROPER TY LocA noN . A"l 2,. . a__ 1 f-1 >-i/J
MAP:LOT ZONE F' I r (7' t
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid $30.00
Building Permit Filled out
Fee Paid $30.00
TypeofConstmction: REMOVE EXISTING STAIRS AND PORCHES & RECONSTRUCT WITH FLOOR 2
STAIRS ON SIDE OF HOUSE INSTEAD OF IN BACK HOUSE
New Constrnction
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 TIDS APPLICATION BASED ON
IN]JORMATION PRESENTED:
_tJ_A Ppproved __ 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
___ Demolition Delay
d--~ Signature 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 ofMGL 40A. Contact Office of
Planning & Development for more information. ·
/-, , f)~INGJ!ERMIT APPUCA1'IQ1Vf§1o.a)
( \ ,\(P , as,};ype or P1?11t all infor~ation and return this form to the Building
1nspe~~?(,, Office with the $3 o filing fee ( check or money order) payable to the
\\ /./cf;\:i~~,;/ City of Northampton
~'8\{p AA I I F. I ~~e of Applicant: /"tt c4\.~eA ~-U
Address: Z..22 'gj,Jj~ 5-\-. Telephone: c.._t,3 ... $"8~-°{'01,7
2. Owner of Property: M CC H AE:L ff L...A-5 &, Ht~ Tlt ( It f>" L.5d N
Address: 1,:z~z_ J$ r ~ Jge 7t•, ( ?!' f:/oar1 Telephone: '1 (> .. S--gt./ ... qi) D 7
3. Status of Applicant: Owner X Contract Purchaser Lessee Other (explain) ____ _
4. Joblocition: '"l.Z.c ~r\-~5-e ... §-\-.
Parcel Id: Zc,nlng Map# ___ ,..._ ____ _
In Elm $tre~t District In Central Business· District.-'-· · -~,--......
(TO 13E FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: J) t?.eu doc.I'. rar(lb tfC'c-/ .1 '3ff, Z..) 'fx~cv
51c, \-rs g percl fr;.,. f' l~c, Z. ~?¥T .,.,,~+.
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): R.eflVI (J\/e..,
+~,.r.{ .! 'Ore,l.e$ B re..coe-is-ff'vcf faur Z st-a~'~
of ~av~ Q.., ~ c-f ,"'-b ~ c l,, o-vs-e.
7. Attached Plans: Sketch Plan Site Plan .... /X. __ _ Engineered /Surveyed Plans __ _
8; r-tas acSpecial flefmitlVar:iancelFinding-ev,r been issued.for/on the sit~7-
NO 2( 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 Page---~ and/or Document# _____ _
9.Does the site contain a brook, body of water or wetlands? NO X OON'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\l.oning-Permit-Application-passive.doc 8/4/2004
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?
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 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
--·------fo-,.-use by-the-Building. _
D tm t ,eoar en
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size .. 17 ccref 17 ccrrs I
Frontage · t l / i r /
Setbacks Front 33' 33'
Side L: R: '-( / L: R: <f ~ L: R:
Rear
Building Height
Building Square Footage ,-, s l, 11 8/o
% Open Space: (lot area
minus building & paved
parking I •
#'s,f f>_arking $p@.~~s---.--"-. '-!· -{JI'f t,~f 1\)-. <-J.. · ((t~!:~-ter) --~------.-·-----····---
# of Loading Docks {1 75
Fill: (p -c:7 (volume & location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
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:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application°passive.doc 8/412004
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