17A-245 (9) Z -oR
File# MP-2022:—DOD/ W/JQ
APPLICANT/CONTACT PERSON John Warner/M+rs a r->1`;61,-;s I� c iJOGFL:
ADDRESS/PHONE Sb Lek,- St �/ MA nio�2 2.�7-2 4 3-'f77 i�1
� � 0 J•1 auD r-LQ7P�
PROPERTY LOCATION 2 ( a ke re nee— 0 F G
MAP 1719- 'ARCEL 24 ZONE Uk43
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid Sac GAG*4184
Building Permit Filled out
Fee Paid
Typeof Construction: Dtmo 6aracec �L7�C27) 1��I�cL uifh 1.55/s� Gararye c q 3430
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement . icense
3 sets of Plan Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON h$If INFORMATION PRESENTED: p t✓
)( Approved Additional permits required(see below) a{T44ix'i ( 7
p �+-
PLANNING BOARD PERMIT REQUIRED UNDER:§ +D"" 4 (L
4.40-
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan z61. e
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
4:5)41.,&AL., 11 ea1 aI
Sigl ature of Building Official I I 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 Office of
Planning&Development for more information.
Nme
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' ' Lt-:: ` M ✓G Qg� �
1 FiicTP (io2)P1 'a-se type or print all information and return this form to the Building
Inspec -oi's Office with the$30 filing fee(check or money order)payable to the
City of Northampton
��q ,
� Name __ licant: d-dil 0 `, Q V1 V\eV Yv lr I 0,v✓i VQ 1't 17
U_ _Addresi:1 il0 tide G ft I FI. -r-e tilGe i Telephone: a b�--'`t3-- 4 ('-
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2. Owner of Property: J1 Y1)f\-(f\r- I VOA( 1 R V't VO,Y l 5
Address: 1 L-« T c`+ F I vtce, LM4 Di A Z' Telephone: RV-- M"3 — t1 I I
3. Status of Applicant: I
Owner x Contractn Purchaser Lessee Other(explain)
4. Job Location: ab l�OL� �lfi �` v'cq_,,
Parcel Id: Zoning Map# (IA Parcel# g_tC— District(s): (A 12G
In Elm Street District In Central Business District
(TO BE FILLED IN BY THEBUILDING DEPARTMENT)
5. Existing Use of Structure/Property: U� deVlL../
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
to o -x 1d,3-Ti du a� 'f Qoe ( cwa oat" i,kit e4 Ueek,,)
�`-(xb l 5-�� rv,r (v, <,1<ni,iOAr 1ocnNI
7. Attached Plans: Sketch Plan Site Plan k Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO X DONT KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO :7L_ DONT KNOW YES
IF YES: enter Book Page and/or Document#
9.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:
(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 ><
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
for use by the Building
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
Q . ALA- C\PiatRtP
Frontage
Z.� 54wit, ylio Nav
Setbacks Front 100 (OKI
Side L: 'Z R: L: OC R: ` L: R:
Rear
J
Building Height Il
Building Square Footage 1 r 9
%Open Space: (lot area
minus building a paved ,f LPQ1
parking
#of Parking Spaces
U _
#of Loading Docks
Fill:(volume a �+location) �)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
(� /02_
Date: I Vv�" ( Applicant's Signature C
NOTE:Issuance of a zoning permit does not relieve an licant'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-InspectalZoning-Permit-Application-passive.doc 8/4/2004
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Ex� Existing Site T
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Proposed Addition to 0 50 100 FT JODY BARKER,A.I.A. I Architecture+ Design,LLC
32 Willow Street wit:ei7.216.6999
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April 20,2021 _ °'._�
Proposed Addition to 0 50 100 FT JODY BARKER,A.I.A. I Architecture + Design,LLC
32 Willow Street all:817.218.59813
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April 20,2021 SECOND FLOOR PLAN Li
Proposed Addition to JODY BARKER,A.I.A. I Architecture + Design, LLC
32 Wlllow Street call,817218.5988
86 LAKE STREET Florence,Massachusetts 01062 a lodybarker aleetenall corn
Florence, Massachusetts