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175 Jackson ZPA MP-2020-0057PROPERTY LOCATION 175 JACKSON ST MAP 24A PARCEL 043 001 ZONE URB(99Z THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildinp,Permit Filled out Fee Paid Typeof Construction: ZPA-ADD 2 MULTIFAMILY 2 UNIT DWELLINGS,NEW 4 CAR GARAGE WITH APARTMENT ABOVE New Construction Non Structural interior renovations Addition to Existing Accesso 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: R Approved Additional permits required(see below) rAK( 0 u$it PLANNING BOARD PERMIT REQUIRED UNDER: § Q Jf' Srk plczy,/N Intermediate Project: S. 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 Zf Z7 2,0 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. Please type or print all information and return this form to the Building Inspector's Office with the $30 filing fee (check or money order)payable to the City of Northampton L a ` I l A.. r ame iQ Applicant: I (r 1'1 V Cl I C'( Addre Fa i C- 1&1 1 ke l I I Telephone: I 13 - 53-7 - 97 e 2. Owne roperty: Cl P 1 s, 1 0.V e 00 A ress: C-i-en Va l { d q hna Z o n Telephone: 7 F a L l 3. Status of AplAwwC Qvmer, V Caritract Purchaser Lessee Other (expiaim), 4. Job Location: 1 `7 J I-C)- C, ceA- N (Sr k G rv,) 12 0 n Parcel Id: Zoning Map# Parcel# District(s): In Elm Street District In Central Business District TO BE FILLED IN BY THE 1BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: 2e.5" A 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Add fwt-, v10rum • 2 C-11CA, _ W IN a 1 GG ca.r,c tr r' cy--< rL 7. Attached Plans: Sketch Plan V Site Plan Engineered/Surveyed Plans S. Has a Special Fermin/VariancefFbi i:ing ever been issued:for/on,the site?' NO V/ DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: -enter Book Page / and/or Document# g.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: ICA R,6 LA v "I"-f ^ (-7MA r` ' (o /L,'L Form Continues On Other Side) W\Documents\FORMS\original\Building-InspectorVoning Permit-Appiication-passive.doe 8!4/2004 Are there any proposed changes tor 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 = IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL WFORMAMON MUST SE 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 G,r C t7 i I rJ Frontage Setbacks Front S 1- V a r ,es S-ec S I 1 Side L: q 0'4- R: Zf 5 + L: R: L: R: Rear f- B Wing i*ight Building Square Footage L,)r 2 Q c 5 ' cAbrvi 0*5 I ncl C C Open Space: (lot area q G minus building Et paved parking of Parking Spaces e of Loading Docks C 0 Fill: volume Et location) C 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date:1 I .Z"' AppbcarA's S*wture \6:L-- 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:1Documerns\FORMS\original\Building4nspector\Zotung-PermitAppliratina-passive.doe 3/4,2004 lutww ARW TYNAgMl9(MrtEO rARrNERYO wr tl00YIT56 MADE lII ANCtII INP MROR s sMAW 94 UNj NlDI LU a a ununcs show;HEREW ARE THE NEsutr 11 OF SURFACE ENOEHCF AS LGCATED BY FEW SURSf'Y.TMS PUN DOES NOT NEGES LY DEPICT T11E ENACT LOCAT CK AU UT FS 41tlOI NAY E-T AT T S TDIE aTWI TIE PREMISES SO wN PRIaR TO CDNSMIKTIaN, ION-1—SNNL CALL IME-OIG SAEE fFN RR'AT Ieee-SAA-J133 MID NAA"..sYARNED 011 TE GN_ ME—MACTOR SMALL BE RESPd151fi1E EOR DETERMINING TIE ENACT LOCATOV.S O ALL EN DW I/ N NY11[OF T EYMONnE R.MTiGEN Trost urruncs raraaE cauuENoNG xoaR. eoac+Hel rAOE nT.rw,crl NAPIMw LOCUS REFERENCE KAREN S.LBVERDIERE BOOK 11495 PAGE 289 MAP 24A-043 ZONE URB 40,830SO.FT.4/- 0.933 ACRES-/- el rs PtwN vroxs mE vRPPERry or BNo. GT OxNCN IP AND Mf LINES G`-SIRfETS AND WAY$ A Al INDSE a AND 1 PRIVAR GM£ ON pAYGoFc.Y ESTAB(ISNFD AND MAI NO NEIY lwES FM q B I EAISONG DIIr.ERGIA'P M ECr MEW WAYS ARE STo Ba I REPORT MA(IlNS PIAN AND SURKY CFOR N ID METEtl+NIUt AND PRDCEDURAL STIADALT' F Mf PRACTG£tYuNosuRlcnNGwn,E cDlwwtlEMm m NAssACHusETts 11.YtT4'RNML 1 REPa'Pt TIAL T!S PIAN HAS BEEN PREPARCD R w ccwrnarr Arm Trc RUES AHD REa/u nays n THE lar o m scv>< Ao wHo m &S Howe EXISRNG COVD177LWS PLAN YA ,IGMISF DEEDS a mC COM1IaVAEAtm a rrae D 1 121 16] LANG SURVEYORS NORMAMPTaN, MASSI eT vNwR BTRSOT 37 D,—N roan BOAO PREPARED FCR saa 0 spar so.al ,, r.o Box c4! c saBnvn.W moss E19THONE(1 W 02TT00 TB.EPHOBE(K3)220-4620 KAREN LaWRO) OAR: EALR KK GE9W: A%(—)462)M 68Dm' PAX(410)022-222T DALE REM90N BY ORAET: KK OEQ Eal aQE 1 OF 1 I HfXL 1'.10' f!/LIMY'6 O-r A L silo I i ao A=WOK W-ArLCiY ell i M• CLO maxim It te_ I uIN a m 2CA sic V CLO y. Ll M--NTM ONIIOeANp 1i1 Pill See our website for larger copies of this plan–www.the.homestore.com. Plans may show optional features, such as garages, porches, roof dormers, gable returns, decorative moldings, & chimneys. j IJ I i r I I I I I I I I II I . IiI f-----r- -; I I I I I! I I I I t-- - ---- -- I iIf I t I I I 1 i-I i I _ i --' I_ i i I ; dlif