18D-040 (47) J J .
FILE # 9 C .`. (.
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APPCI ICANT/CONTACT PERSON 4/ , 7.!2?1/2�/ /J J � _ 6e<- -,.
D ADRESS/PHONE: 6 ( ',,ie &- , zwv1/ 737--69
PROPERTY LOCATION: ,7c�7t.l�'
0
MAP PARCEL: ZONE
I'IiIS SECTION FORAFFICIAL USE ONLY:
PERMIT APPLICATION CITECKLIST
t Y
-- / c,4,L� ENCLOSED REQUIRED DATE
C-------
ZONING FORTY1 FIT.T,F.T) OTTT .lPA/L-`t✓c' lZ 'i ^rk_
Fee-Paid /6 CAL?//e)�' � �5= vim`
Ruilding Permit Filled mit
Fee Paid
Type of C onctnirtinn•
New C'nnctriirtinn
Remndeling Tnterinr
Addition to Fzicting
Acceccnry Striirtnre
Building Planc Tnrluded•
Owner/Occupant Statement nr-licence #
3 Setc of Planc / Plnt Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented
Denied as presented:
Special Permit and/o Site Plan Required nder: § O' ) /v'/C j /v•y/
L—PLANNING ZONING BOARD
Received & Recorded at Registry of Deeds Proof Enclosed
$ptcp"5(T41,2 pl ,,�o��,
Finding Required under: § 9, 3 w/ZONING BOARD OF APPEALS loot pRo$ ,'./DE c!%' (-'P
Received & Recorded at Registry of Deeds Proof Enclosed `S re fir-;
/V- /
Variance Required under: § t/ ,o w/ZONING BOARD OF APPEALS 3 V1 V J C `- useu
Received & Recorded at/Registry of Deeds Proof Enclosed
V/Other Permits Required: -- (IC/11� een- )''Yl— 1.)NZ/K cd2-7 tit EA) ;)c:) ' ,,, ?tieel,:iv-fat
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
Permit from Conservation mmission
Signature of Building or Date
NOTE: Issuenoe of a zoning permit does not relieve an applioant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioeble permit granting authorities.
np 1 01997
1t?l OF B O ry r escgFt.Ti01Vs File
eNORTrif
f. ' .r
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Pride Convenience Inc.
Address:246 Cottage St. Spfld. MA 01104Telephone:413-737-6992
2. Owner of Property: Pride Convenience Inc.
Address:246 Cottage St. Spfld. MA 0110rfelephone:413-737-6992
3. Status of Applicant: V Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: 375 King Street , Northampton, MA 01S1)60
Parcel Id: Zoning Map# Parcel# /I2)--OYc' District(s): j1Z t
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Service station with convenience store
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): •
Rebuild service station and convenience store
7. Attached Plans: V Sketch Plan Site Plan V Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special PermitNariance/Finding ever been issued for/on the site?
NO ✓ 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)
10 Do any signs exist on the property? YES - NO
IF YES,describe size,type and location:
Ground, zero set back, 4 sided, 72 SF each side , 18 ' hciht
Are there any proposed changes to or additions of signs intended for the property?YES ✓ NO
IF YES, describe size,type and location: Ground , 15 ' set back, 2 sided, 84 SF,
20' height
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This column to be filled in
by the Building Department
(Required
Existing Proposed By Zoning
Lot size G
015-0
Frontage c7/a �
Setbacks - frnnt 01-6P ( 3S-1
- side L: 3s'' R: yl L: L/o ` R: j v
- rear cf-o /r o9 0
Building height /Y ( / y ,{0
Bldg Square footage �G
d-o vo yloo , Q
%Open Space:
(Lot area minus bldg
&paved parking) '36
pf -Parking Spaces
#` Hof Loading Docks
Fill:
J vol-ume--& location) r- • f--
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowledge.
DATE: 51_—/— 22 APPLICANT'S SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an applioant's burden to oomply with all
zoning requirements end obtain all required permits from the Board of Health. Conservation
Commission. Department of Publio Works end other applicable permit granting authorities.
FILE #