18D-063 (20) File#MP-2004-0153
APPLICANT/CONTACT PERSON TEECE DAVID F
ADDRESS/PHONE 25 BAYBERRY LANE (413)584-5126()
PROPERTY LOCATION 168 INDUSTRIAL DR
MAP 18D PARCEL 063 001 ZONE GI
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM ILLED OUT
ee Pa ?a ,%('-
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-5.860 SO FT BLDG(SHOW ROOM/OFFICES
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 PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: § /I
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan it
Major Project: .ite 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
Perm it from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Co 'ssion
Signature of Building Official Date o
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.
cCEHEF
MAY - 4 2004 1s*
Tile No. o /53
ZONING PERMIT APPLICATION (§i o.2)
Please type or print all information and return this form to the Building
Inspector's Office with the$15.filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: Mr. David Teece
Address:25 Bayberry Lane Telephone: (413)584-5126
2. Owner of Property: Kissel' Inc. &PVC West Inc.
Address: 168 Industrial Park Drive Telephone: (413)584-4250
3. Status of Applicant: Owner x Contract Purchaser Lessee Other(explain)
4. Job Location: 168 Industrial Park Drive
Parcel Id: Zoning Map# / p Parcel# !O 3 District(s): Cr_.
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: Business offices and warehouses for Northampton plumbing supply and
Lieberman's Gallery. Business offices for VNA& Hospice of Cooley Dickinson.
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Approximately 5,860 sq.ft. of 1 story building addition consisting of a show room, business offices,and
restroom. Parking space markings to accomodate building addition.
7. Attached Plans: Sketch Plan Site Plan X Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW X 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#
9. Does the site contain a brook, body of water or wetlands? NO DONT KNOW YES X
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained X Obtained , date issued:
(Form Continues On Other Side)
10. Do any signs exist on the property? YES x NO
IF YES, describe size, type and location: Appprox. 6'x 3' sign "Northampton Plumbing Supply " mounted
to wooden poles at the front of building.
Are there any proposed changes to or additions of signs intended for the property? YES NO X
IF YES, describe size, type and location:
11. 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 522,374 SF 522,374 SF
Frontage 895' 895'
Setbacks Front 119' 55' 2. O
Side L: 275' R: 309' L: 275' R: 309' L: / R:
Rear 161' 161' Zd
Building Height 25' 25'
Building Square Footage 51,363 SF 57,223 SF 20 /0
% Open Space: (lot area 58% 43%
minus building ii paved parking
#of Parking Spaces 193 216
#of Loading Docks
N/A N/A
Fill: N/A N/A
(volume Et location)
12. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: S/(//O V Applicant's Signature , ,Vg4h ?6Y ?5. '4 leS)AC
NOTE:Issuance of a zoning permit does not relieve an plicant's bur en 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.
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