PermitApplication_Marie Emerson / Emerson family trustPermit Application
Today's Date: 10/24/2013
Owner Applicant
Marie Emerson / Emerson family trust Tom Emerson
61 Fairfield Terr. 664 Park Hill Road
Florence, Massachusetts 01062
Longmeadow, Massachusetts 01106 413 - 230 -8602
1ogcabin48 @yahoo.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: 16D / 004 / 001
Deed Book of all lots in project: BOOK 9757 PAGE 59
Project work address: 202 NORTH MAIN ST
City / State / Zip: Florence 01062
Zoning District: URA SC
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)
❑ 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
Wetlands Certificate of Compliance
reauest
210 Main St., Rm. 11, City Hall, Northampton, MA 01060
(413) 587 -1262
Wetlands Request for Determination OR ❑ Wetlands Amendment or
Resource Delineation extension
Fee Information
Wetlands Request for Determination OR Resource Delineation $125
(WPA form 1 or 4a) - $125
Total Fee Amount:
$125.00
Existing Use
2 FAMILY HOME AND BARN DEMOLISHED AFTER FIRE
ONLY DETATCHED GARAGE REMAINS WITH DRIVEWAY TO STREET
ESSENTIALLY VACANT LOT
Planned Use
SELLING LAND AS BUILDABLE LOT FOR 1 TO 2 FAMILY (AS BEFORE) HOME
Detailed Project Information
Wetlands Description: THIS HAD BEEN A FARM HOUSE FOR > 100 YRS UNTIL BURNED
DOWN RECENTLY, ONE OF THE OLDEST LOTS IN AREA, TWICE THE OPEN SPACE OF
MOST IN AREA, EXACT DATE IS UNKNOWN.
Files Uploaded:
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: THOMAS A. EMERSON 10 -23 -13 Date Signed: 10/24/2013
210 Main St., Rm. 11, City Hall, Northampton, MA 01060
(413) 587 -1262