23B-010 (2) File #42 O k
APPLICANT/CONTACT PERSON:THAYER DOUGLAS B&JAIN LATTES
45 SPRING ST FLORENCE, MA 01062
PROPERTY LOCATION 209 LOCUST ST
MAP:LOT 23B-010-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $30.00
Type of Construction: ZPA -PROPOSED COVERED STORAGE AREA
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
X 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: §
Finding Special Permit Va nce*
Received&Recorded at Registry of Deeds Proof Enclose.
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water P•tability Board of Health
Permit from Conservation Commission Permit fro CB Architecture Committee
Permit from Elm Street Commission Permit DP Storm Water Management
Demolition Delay
?: . �10 . 1,91),para9 �3
Si at 1 - of Buildin /
gn � g Official Date
Note:Issuance of a Zoning permit does not relieve a applicant's burden comply with all zoning
requirements and obtain all required permits from Board of Health,Coiservation Commission,Department
of public works and other applicable permit granting authorities.
*Variances are granted only to those applicants who meet the strict standar s of MGL 40A.Contact Office of
Planning&Development for more information.
cf-tiu RECEIVED °
pr (i.
File No. 2023
b,�
ZONING PERMIT LICATIO ( i o.2)
Please type or print all informati n ain��i �r to the Building
Inspector's Office with the $30 filing fee (h.eck or rmoney er)payable to the
City of Northampton
1. Name of Applicant: D o(.A l a S Tic f
Address: U O $o ‘O ,�(7 Flov l#4 /4 ATelephone: / /3 - S �j O - Y 7 b S
2. Owner of Property: -)0L las ��'►Gc�Pr O1e a
Address: 201 DOCKS ' S )'lJ Telephone:
3. Status of Applicant: Owner >c Contract Purchaser Lessee Other (explain)
4. Job Location: oav q toc,5 S 4
Parcel Id: Zoning Map# g Parcel# 0 t 0 _00 I District(s): 0
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property:
\A/c uo( Silo p
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Pro posed Cove ye Obi u1P Aitea
7. Attached Plans: Sketch Plan K Site Plan X Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW X 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 X
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained /c Obtained , date issued:
\ (Form Continues On Other Side)
W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
ili41,11' dou , I k sf ha-ter@,5 ncii / , G
10. Do any signs exist on the property?ter, 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 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
• for use by the Building
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size ' 6 7 A-t or 7
Frontage t 1
Setbacks Front
1
Side L: R: 1 00 L: i; R: ' L: R:
Rear 65f
Building Height �°1 � .� � � ( I � I
Building Square Footage 6060 1 22.5
Open Space:g (lot ,area S ��J ' `
minus building 8 paved r o
parking
#of Parking Spaces
#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.
Date: v I d C 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-Inspector2oning-Permit-Application-passive.doc 8/4/2004
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SCALE: I"A 20.
BOLL NORTHAMPTON AREA PEDIATRICS
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IrGene I.)FOR TIEFERENCE TO ES 3 ENCLOSED PERIMETER.SEE BOOK 4889. NORTHAMPTON, MASSACHUSETTS
PAG35&339.
RON PrPE FOuND •0 PREPARED FOR
RON
2.)UNDERGROUND UTILITY LOCATIONS SHOWN HEREON ARE BASED uPON
NORTHAMPTON AREA PEDIATRICS,LLP BAR rotor° SURFACE FEATURES AS Looaro 8Y SURVEY AND AVAILN9LE RECORD
BOUND FOUND • DATA.AND ARE APPROXIMATE. ACTUAl.LOCATIONS SHOULD BE VERIFIED IRS LOCUST STREET
SPOT ELEVATION ••. WITH THE APPROPRIATE UTILITY COMPANY AND/OR MUNICIPAL DEPARTMENT NORTHAMPTON,MASSACHUSETTS DATE: NOVEMBER 16, 2010
DRAIN MANHOLE PRIOR TO FINAL DESIGN AND/OR CONSTRUCTION.
SEWER MANHOLE 3.)EXISTING ROOF DRAINS SHOWN ARE APPROXIMATE. NEW ROOF DRAINS HERIT AGE SURVEYS, INC.
CATCH BASIN SHALL BE CONNECTED TO EXISTING ROOF DRAINAGE PIPE TINT FLOWS
UTILITY POLE TO THE EXISTING BASIN. REGISTERED PROFESSIONAL LAND SURVEYORS
WETLAND DELINEATION NAG .- COLLEGE HIGHWAY&CLARK STREET
4J WETLAND LOCAPON SHOWN ON THIS PLAN ARE BASED ON THE 2000 NOTICE OF POST OFFICE BOX 1
PROPOSED SILT FENCE ........??••••••••• • INTENT FILING FOR THE 2001 BUILDING ADOITION DEP FILE NO.246-470. SOUTHAMPTON,MASSACHUSETTS
(413)527-3800
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