43 fINN dRIVEWAY File#MP-2020-0009
APPLICANT/CONTACT PERSON AHTARIDIS SIMON&AGRAWAL JAYA
ADDRESS/PHONE 16 HIGH M$ADOW RD (413)588-4780 Q
PROPERTY LOCATION 43 �IN ST
MAP 24D PARCEL 202 001NE URC 100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
CLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Tvneof Construction: ZPA-MOVE CURB CUT
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 PRVENTED:
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: § ryl
Finding Special Permit Variance* cin
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 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 of MGL 40A.Contact the Office of
Planning&Development for more information.
G-
M
� File No.
1o,
rn
m
MI Cn
ZONING PERMIT APPLICATION 01 o.2)
D
Plea a or print all information and return this form to the Building
-42
° Insect Office with the $30 filing fee (check or money order)payable to the
iz n < City of Northampton
aMCg
ml� 1
o0 J I I
of Name (a licant:
Address: r7 I] ALkN4 PK f-6CV Telephone: 3 3 2—155 Z
2. Owner of Property: ' Gayl t G( S ez-P(2111-4 vtfi
Address: 1 11 41 1'ed6 A01 01(6 ZTelephone: 17 233 Z-19� Y-
3.
3. Status of Applicant- Owner Contract Purchaser Lessee Other (explain)
4. Job Location: �I �� rlV�G/✓/K �� ✓� /�>�} C�� Z
Parcel Id: Zoning Map#_ Parcel# XOa District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: 12RSI J2a' a
6. Descript'on o Proposed Use/Work/Project/Occupation: (Use additional heet if essary).
n
Gvy- CU.v0 C(.L , '-LeL40 a rt?P6S-C61 CuY rt,`
�' k i 5 -f (r1e C L4,v L C CILa8 qe ?z) S (;kCr,C� G�
��x( � 1` D►�- rl wt c t��-c�- r�.rt s' <<c� C u� �o «,� 1 l� r���
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO X DON'T KNOW YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO X 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. 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 filling) over 1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO 2�,_
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
/�"S 'r ece- A I-e 1 Cb( ,L-� c This column reserved
�V���� �l � U i �--t (l� for use by the Building
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
C� �J cz c ��J C'► �ucrP�
Frontage
23® �
Setbacks Front 9E `+- 2 6 f.
1 Side L: �:S ff R: /df� L: 77 3 f. R: L: R:
1ZBuiRear z f L •5 f" -12-
Building
lding Height
Building Square Footage
3, -(+
Open Space: (lot area
minus building Et paved
parking l �J ZS _ �Z�� l�j 52 Z 2-
#
#of Parking Spaces
#of Loading Docks
Fill:
(volume Et location) _
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: ZL'f Applicant's Signature � -
NOTE: Issuance of a zoning permit does not relieve adpplicant'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 8/4/2004
1 �
(Vo —7 ao.�000 Eve,+aREE aei�. �
i V Wx�R°"°` 1 L
s•v,>,mw 9mn �� k,
W 5 U
z a
K� b,sR p o F
xE�s ox o*xERxecxnx�sxs wwR�ooaw �m� U
RD E,ixR,K,wwlxii�xD.DRiRwxE � -�� / a�g �
o�DR��w�x�R�Esx�,xa.a.DRRa�..RE �� �.�9YDD
DR�ROD.DxEx�DEMa�siRu<iD�= l/�� I I .� ,�
IxDi iOE QED ivX2 -vpi=waR xi
'ME uax DUKE NtLL iBE aRFCi I
xEExD,=a,.,oaxE ,xE
ErDE.1112R�Dx,u1�x o AI �EDDDR x.-.R—„ I RDxx>,ED =
RRDx,ai� � I
x�D
J� xDsw `":.EI DxxDas wDi
RR I a H
:vxDx, RR�Eo9 I I twui= 7 RDEDDDR E
..�,Rxa�xso�REDpED
(\ I 1 O
j� xDeono wcisuxE uiE I uuuul,omsv I I , Rwovrox ie a — a
zoxixDoaaxx«cEaeo,ss. I I ivrEsv sa�s��aoo•evuiwxosv�cEsl I Iy.
1 I I .nic.zezav Ixay.lusii�9�sv/cE I ' U-
I I
I I . w
1
99L ual� 4 r ra x
�xewrd �'' xa�eE ---
, xn.re xmxa.K�,xaxo � ' arra
saxm a .aanw
O'1/99/E019
PRJVENnLINE --_ F/rYrVS7JPEET
DRAWING NO,
L-1
SCHEMATIC SITE PLAN