43-128 (4) File # MP- 2011 -0008
APPLICANT /CONTACT PEP SON VRIGHT BUILDERS
ADDRESS/PHONE 48 Bates S, (413) 586 -8287
PROPERTY LOCATION 51 GR2ENLEAF DR
MAP 43 PARCEL 128 001 ZONE SRO 00 //WSP II
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
` ZONING FO LLED OUT �/,�?T�' `u ,�
Fee aid —�
Building Permit Filled out
Fee Paid
Tvneof Construction: ZPA - 60 SO FT ADDITION TO GARAGE
New Construction
Non Structural interior renovations
Addition to Existin
AccessoKy Structure
B_ uilding 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: §
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
Sign6re Buildi n f ficial 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.
Li JUL 2 8 2010
ile No. J
ij� IT APPLICATI0IV Mb 0
Please type or print all information and return this form to the Building
Inspector's Office with the X15 filing fee (check or money order) payable to the
�,t r_ City of Northampton
W
1. Name of Applicant: rtg�f — �LfLI J ews / iytc-.
Address: 'f6 5a+' ST IJovi-14 +n Telephone:
2. Owner of Property: ' ° `eC POi I i) K
Address: I Grp leaf DY'. elephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other xplain) G. C•
4. Job Location: Sa m Q
Parcel Id: Zoning Map# Parcel# District(s):
In Elm' Street' District ntr
=1n Ceal Business Distract
(TO BE FILLED iN BYTHEBU1LbNG :DEPARTMENT)'"
5. Existing Use of Structure/ Property: S� V141 i✓ FA A4 (I t e.✓I ce
6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary):
3 LF- wID APP{ T• ON 'Co ?--iGH SIDE of EX lSrl n►G
((00 S'P). AL-1- •EX T-e Et o i, FI MSit l "G MATr_gAA (SS
TO r ATGH , -X151 645
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 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 _ 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
Dep artment
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size 311 Q 22 � U
S ' Q 22 s
Frontage U
144. LF 14 4.3 3 W=
Setbacks Front 3:7. of LF LF
a
S Side L:24 2,1 L : , R : Z0 L,F L: � R:
..� Rear ZS L•F ��� Z5o LF +/— /fl
Building Height
2.6 LF
Building Square Footage
2- 5:t-3 sF 2-,h33 sF
% Open Space: (lot area
minus building Ft paved 3 61 06q SF 34 1 c-1 4 SF
parking 4 ¢ - 58 �o O r,
# of Parking Spaces
iL y (n L- # of Loading Docks
I� a NA N
�- Fill: HA
(volume 8 location)
-�- 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 7 Z 12-01 O _ Applicant's Signature V, Qvo" Aivi — 5j 1
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- Inspector\Zoning- Permit - Application - passive.doc 8/4/2004
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Owner:
Project Name:
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Location:
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Date:
I Revisions:
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Scale:
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or as noted:
Approvals:
Sheet No. of