PermitApplication_Patrcik J. Melnik and Alice E. Melnik, trusteesPermit Application
Todav's Date- 06/11/2013
Owner
Applicant
Patrcik J. Melnik and Alice E. Melnik, trustees
Patrcik J. Melnik and Alice E. Melnik, trustees
311 Chesterfield Road
311 Chesterfield Road
Leeds, Massachusetts 01053
Leeds, Massachusetts 01053
413 -584 -6750
patmelnik@gmail.com
City of Northampton department: No
Work Location Information
How many lots involved in the project: 1
Map / Block / Lots of all lots in project: 15B / 032 / 001
Deed Book of all lots in project: Book 8085 Page 266
Project work address: 259 CHESTERFIELD RD
City / State / Zip: Leeds 01053
Zoning District: RR
Application for following Permit Types
❑ Planning Bd. Special Permit w/ Site Plan
❑ Planning Bd. Special Permit w/
MAJOR Site Plan NO Special Permit
❑ Administrative Site Plan Review
❑ Planning Bd. Major Site Plan Approval (No
Special Permit), including 40R projects
❑ Subdivision Preliminary
❑ Planning Bd. Special Permit w/ Site Plan for flag
lots
❑ Planning Bd. Site Plan (NO Special Permit)
❑X Approval Not Required Plans
❑ Subdivision Definitive with Preliminary Approved
❑ Subdivision Definitive with no Preliminary
Approved
❑ Zoning Board Special Permit
❑ Appeal of Building Commissioner - Zoning
❑ Variance
❑ Historic District Determination of
Non - Applicability
❑ Historic District (Elm St) Determination of
Appropriateness
❑ Subdivision Definitive Amendment
❑ Zoning Board Finding
❑ Comprehensive Permit (40B)
❑ Demolition (Demolition
Delav)
❑ Central Business Architecture
❑ West Street Architecture ❑ Wetlands Notice of Intent IF ONLY local
❑ Wetlands Notice of Intent IF state wetlands wetlands
210 Main St., Rm. 11, City Hall, Northampton, MA 01060
(413) 587 -1262
Total Fee Amount: $250.00
Existing Use
Vacant land - Pasture
Planned Use
House lot for my son -I have discussed with
nieghbor
Detailed Project Information
Number of Plan Pages:1
Special Permit Description: Neither Special permit nor site plan is not being applied for.
Approval Not Required Description: Plan is for single lot -size increased to 80,000 sf
Files Uploaded:
Supporting Information: Plan is for a single lot.docx
Plan Sheets: Melnik ANR 5- 24- 13.dwfx
Approval Not Required:
Autocad: Melnik ANR 5- 24- 13.dwfx
Tiff or PDF: Plan of land- 80,000sf.pdf
By typing my name in the signature box, I certify that all the information above is accurate to the best of my
knowledge, I am the property owner or have permission from the property owner to apply for this permit. I also
grant permission to the City of Northampton to inspect the proposed work
Signature: Patrick J. Melnik Date Signed: 06/11/2013
210 Main St., Rm. 11, City Hall, Northampton, MA 01060
(413) 587 -1262
Fee Information
Approval Not Required Plans - $250 /plan page $250