68 Hatfield StreetDEMOLITION REVIEW APPLICATION Activity Tracking Sheet
Property: 68 Hatfield Street Farmhouse
Map 18C Parcel 045 Year Built 1800
Address: 68 Hatfield Street
Received in Building Department: 2/12/13
Referred from Building Department: 2/15/13
Action Taken/ Northampton Historical Commission
Action Taken Bv : X Entire Commission
Sub - Committee of the Commission
Commission Designee/ Staff
Date Action Taken 2/22/13 Initial Determination
2/25/13 Public Meeting held
N/A Public Hearing Held
Determination Made
X 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: Sarah LaValley Date 2/26/13
File # MP- 2013 -0079
APPLICANT /CONTACT PERSON MCCUTCHEON DAVID J
ADDRESS/PHONE 263 SYLVESTER RD (413) 587 -4570 () 0 &3 �3�
PROPERTY LOCATION 68 HATFIELD ST
MAP 18C PARCEL 045 001 ZONE URB(100)
THIS SECTION FOR OFFICIAL USE ONLY:
ENCLOSED REQUIRED DATE
Building Permit Filled out
Fee Paid
T_ypeof Construction: ZPA - DEMO 2 STORY HOUSE & GARAGE & DIVIDE INTO 4 BLDG LOTS
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 PRES�'NTED:
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 q
Other Permits Required: — v._ R� � cn �"� ,3 E 1 C � 'DCAAO 0{ ' ( `'" l
Curb Cut from DPW
Septic Approval Board of Health
Permit from Conservation Commission
Permit from Elm Street Commission
Well Water Potability Board of Health
Signature of Building Otcial
Permit from CB Architecture Committee
Permit DPW Storm Water Management
�J
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.
Water Availability Sewer Availability
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact the Office of
Planning & Development for more information.
Please type or print all information and return this form to the Building
Inspector's Office with the X1,5 filing fee (check or money order) payable to the
([� - \��_A -City ofNortha ton
1. Name of Applicant:_
Address: - -c C3
e� hone: �t
2. Owner of Property: ,
4t
Address: Telephone:
3. Status of Applicant: Owner // Contract Purchaser Lessee Other (explain
4. Job Location:
7. Attached Plans: Sketch Plan ite Pla Engineered/ Surveyed Plans
8. Has a Special Permit/ Finding ever been issued for /on the site?
NO 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
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\Buil ding- Inspector\Zoning- Permit- Application - passive.doc
8/4/2004
6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary):
' 10. Do any signs exist on the property?
IF YES, describe size, type and location:
r
N
YES
Are there any proposed changes to or additions of signs intended for the
YES describe size t -- -- -
- � type and location:
11. Will the construction activity isturb (clearing, g, - - -
Y ( a grading, excavation fil -.. g) over 1 ac
plan of development that will disturb over 1 re or is it part of a common
... acre? YES N
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
13. Lerntication: I hereby certify that the information. contained herein is true and accurate to the best of
my knowledge.
Date: 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.
—' ' ocuments ORMS\ original\ Building - Inspector\ Zonine- Permit.A., l;, t;; ......—:— ,,__
8/4/2004
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This column reserved
for use bu the Buildinn
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