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King Street Sacred Heart Menard Center Zoning AppFile # MP- 2010 -0089 Menard Center APPLICANT /CONTACT PERSON CONNORS JOHN REV ADDRESS/PHONE 3 ELM ST (413)584-7310() PROPERTY LOCATION 101 KING ST MAP 3113 PARCEL 159 001 ZONE URC(100)// THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE Building Permit Filled out Fee Paid Typeof Construction: ZPA - DEMOLISH STRUCTURE New Construction Non Structural interior renovations Addition to Existin 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: § (6 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 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 e4ktO I r ft � N DEG 6 Signature of Building fficial 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. Menard Center Please type or print all information and return this form to the Building Inspector's Office with the $I$Mingfee (check ormoneyorder) payable to the City ofNorthampton 1 2. 3. Name of Applicant: C QA -' ti �" ` > ' : � EL,� � �11OP- �lr�/dM(�o1�� u u `l� Telephone: � � .7 3 1 Addr Address: Owner of Property: n� C" 1'V[oUC (� S�t� G E f C C) R' sbW, � ScZtr P� � fScy Address: �v� Cct�C �. 5?AW 6aad, S� CUZA : rq ,1JA) . ro ti! Telephone: -732- ' t✓tcos � Status of Applicant: Owner Contract Purchaser Lessee____-,- Other (explain)_, Job Location: ( feC (46 N 6 kzTwt -A4 (70,-J, © (E 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 7. 'Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans 8. Has a Special Permit/Variance /Finding ever been issued for /on the site? NO _� 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 # 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- Pemtit- Application- passive:doc 814/2004 km 5. Existing Use of Structure /Property: VA(�4 r.-i T— Menard Center 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 -41-1:f 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 ' Denartme »t 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: -7 f ° 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: 1DocumentsxFORMSIoriginall3uilding- bspector\Zoning- Permit- Application passive.doc • 8/4/2004 EXISTING PROPOSED . Lot Size j akr� 4 ,t r Frontage Setbacks Front :w: _ ' •( Side L: R: L: R:.t� `cz . Rear Building Height Building Square Footage 'nM� `•ist+i�e tom. d % Open Space: (lot area'n building & " minus paved parking # of Parking Spaces # of Loading Docks • Fill: (volume &location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: -7 f ° 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: 1DocumentsxFORMSIoriginall3uilding- bspector\Zoning- Permit- Application passive.doc • 8/4/2004 .+6 �inW} kh�Ci rro.d' JJ I t. r w n jyki tipv t' t� t" R � R4 ¢ aJ.f x 4 � in �,+ r A fi s�. 01 y la•at� [ >€tF�'�1 }riY" t. N'} ' c h ME 'ail' t d Y +.'WFavVS lSMn9w 'AYxl Q�rR�'� fit � .. t n tf4ljl ,. 1 Y, s \ DEMOLITION REVIEW APPLICATION Activity Tracking Sheet Property: 101 King Street, Sacred Heart Menard Center Map: 31B Parcel: 159 Year Built: 1900 Received in Building Department: June 7, 2010 Referred from Building Department: June 11, 2010 Action Taken/ Northampton Historical Commission Action Taken By : f Entire Commission Sub - Committee of the Commission Commission Designee/ Staff Date Action Taken Wtit.e 0 l a0 t0 Initial Determination 1 o pt o t O Public Meeting held JV l id Public Hearing Held Determination Made /� V Property has been determined not to be Significant according to Ordinance definition. No further action will be taken. Demolition Permit may be issued. Property has been determined to be Significant according to the Ordinance definition and a Public Hearing has been /will be scheduled. Demolition Permit may not be issued at this time. Public Hearing has been held, Property was determined Significant but not Preferably Preserved. No further action will be taken/ Demolition Permit may be issued. Photo documentation may be required. Public Hearing has been held. Property has been deemed to be Preferably Preserved. The demolition review period has been initiated. No demolition permit may be issued until the Historic Commission approves an alternative plan or the twelve month period concludes. Alternate plan has been approved/ delay terminated. Demolition may or may not be approved as part of plan. Twelve month time period has expired, demolition permit may be issued. Referred by: Date �U 90\