23A-080 (8) File 4 MP-2018-0069
APPLICANT/CONTACT PERSON 63 MAPLE ST LLC
ADDRESS/PHONE
PROPERTY LOCATION 37 MAIN ST-FLORENCE
MAP 23A PARCEL 080 001 ZONE GB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid J�
Building Permit Filled out
Fee Paid
Tvce f Construction, ZPA-COMMERCIAL UNIT BE RETURNED BACK TO A RESIDENTAIL UNIT
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 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 orf . ex,
c Ci
ZONING BOARD MIT REQUIRED UNDER: § c! •�� P Xp p n 01 11 G� C
Finding Special Permit Variance* L
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
Signature of Building Official Date
Now: 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.
C:. S 7t L�uAaz
RECEIVED
JUN 1 2 2018
FtleNo. and- IS-
R
I G PERMIT APPLICATION §1 0.2)
Nont int all information and return this form to the Building
Inspector's Office with the $30 filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant:
Address: 3S- MUOI 'S7n-fe7- Ftx, E, MA
_ T_ Telephone:_
7. Owner of Property:, i5rz&erLLe.
Address: 63 n.LRpl sT. Ft,,t cc- mA . Telephone: y/J - 320 -9o7f
3. Status of Applicant: Owner ✓_._Contract Purchaser Lessee Other (explain)----
4.
explain) --_4. Job Location: (0 3 ZLfH�LC sr n/
Parcel Id: Zoning Map# 07� 77 Parcel#n District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING
,,DEPARTMENT)___
5. Existing Use of Structure/Property:_.)-(Ix c-D t _�_wwr rt 2,��ay�+.ns7� �I ) �ti ,i
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
WE Ane eE Qu ccrl..6 T/1--.nT �T/e G-o MM.Cy,crw� Ur�r/ gE (Lf"NeNfD R39cK 7a F
QESA)MnR.� U..-Ir, C Arm
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 _ .)L_ _ YES --__,_
IF YES: enter Book _,._ Page -- and/or Document#
9.Does the site contain a brook, body of water or wetlands? NO K.._ 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 Contlnues On Other SIOO
tV tnocumert9PLNMSorigineWuilGme-ImwctunZonme-Pcnni4A,,k,r1ium pnssive.Goc RNORN
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 K
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 X
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
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
Frontage
'?/. s P. S
Setbacks Front
Side L: R: L: R: L: R:
Rear
Building Height
Building Square Footage
21 Sao 5'0o sp,
%Open Space: (tot area
minus building B paved rift
parking
#of Parking Spaces
#of Loading Docks
Fill: _
(volume B location
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: J..rs.E /L , 20/8 Applicant's Signature
NOTE:Issuance of a zoning permit does not reli a an applicant's burden to comply with all zoning
requirements and obtain all required permits from the Board of Ilealth,Conservation Commission,
Historic and Architectural Boards, Department of Public Works and other applicable permit granting
authorities.
W iDuaimnnsVpORMSbriginnlAnuilding Insµx,orizonlns-Pennh.npNlcuiionNssiv�dx 8/412004
Northampton, MA : Commercial Property Record Card
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,v^SER. TOM & CHARONNE MASTERS PROPERTY LOCATION:
63 MAPLE STREET
RAMPSHIRE CGONTY REGISTRY OF DEEDS FLORENCE MIA
DATE- APRIL 2, 2018 SCA.EE1"-30`
-FED BOOK: 12782 PAGE 171 PAUL S. SMITH LAND SURVEYIN7O
319 SHAKER ROAD EAST LONGMEADOW, MA
(413) 525-4700