35-009 (3) File#MP-2018-0066
APPLICANT/CONTACT PERSON HUBB .RD WILLIAM" &SANDRA
ADDRESS/PHONE P O BOX 60166
PROPERTY LOCATION WEST FARMS F )
MAP 35 PARCEL 009 001 ZONE
THIS SE(. 'ION FOR_OFFI:.!AL USE ONLY:
PERMI_P APPLICATION CHECKLIST
CNC D REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildirna Permit Filled out
Fee Paid
Typeof Construction: ZPA-LEGAL BUILDING LOT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Incl de&
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED: ,y -
Approved ,/Additional permits required(see below) �/O Q-
11. J
PLANNING BOARD PERMIT REQUIRED UNDER: § tJ6�5 r1 bf
rytlt9 .
11'IL��f f
Intermediate Project:_Site Plan AND/OR Special Permit with Site Plan (,0f "'Te
Major Project: Site Plan AND/OR Special Permit with Site Plan
ZONING BOARD PERMIT REQUIRED UNDER:§< '
Finding Special Permit Variances
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
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.
RECEIVED
File
Jun Z N GPERITAPPLICATION(§io.2)
oFa1 of or Tint all information and return this form to the Building
J6 ° ith the $30filing fee (check or money order)payable to the
City ofNorthampton
1. Name of Applicant: AENN y /1V/JN/
Address: S/9 k1M ,S�- W✓� M,4 OW10 Telephone: 4'/3-ZZ61-23S7
2. Owner of Property: V �5AIWIA ;V,1,4a�,Z
"Box
Address:i7�rv�„Ro�, /nowteMA i9/46Z olda )Tetephone: 4/3 -1941 .Sa9 /
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)-Re,4AL ,
4. Job Location: ,Ldt RAin+�i/PCf AJ/n-, MR. (BP..Lrs ZOO SS IJ4,d 9
Parcel Id: Zoning Map# $S Parcel# 9 - District(s): IVE57' FARMS
In Elm Street District In Central Business District
(TO BE FILLED IN BY//THE BUILDING�DEPARTIM-ENT)
/u�
5. Existing Use of Structure/Property: Z'� 4 ,P"e-
6. Description of Proposed
-Use/Work/Project/Occupation: (Use additional sheets if necessary):
Uptvn l�2 puwxGrr-n & 11 T �r A / L '�u{6p/61
Ly2y�prQA Aii� GI/,p
.Cr.-n dl-A O A""L, /IK/llAw.c%/ .G1M L .Gfr ce�/�1aA.C1.0
Ldp .C.eOr>-frLcu i •
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 1' YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document#
vDoes 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\Boildivg-IvsOcotor\Zoving-Peemit-Apph..tioo-p...wv dot - 8/42004
10. Do any signs exist on the property? YES NO
fi
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. Wilt 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
D artment
`1 EXISTING PROPOSED REQUIRED BY
ey�JA1 TONING
Lot Size
Z'/0
Frontage A� Frontage
Setbacks Front
Side L: R: L: R: L: R:
�\1
f � Rear
Building Height
Building Square Footage
� %Open Space: (Lot area
minus building it paved
O parking
C #of Parking Spaces
#of Loading Docks
Fill:
(volume it location)
13. Certification: 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.
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RESIDENTIAL PROPERTY RECORD CARD CITY OF NORTHAMPTON, MASSACHUSETTS EFFECTIVE DATE OF VALUE: JANUARY 1, 1998
PARCEL IJ: 35 -009-001 WEST FARMS RD PLOT: LIVING UNITS: CLAE :52 CT+RT1( 1
CURRENT OWNER/ADDRESS NEIGHBORHOOD :T 2.00 FINAL VALUE FLAG: COST
HUBBARD WILLIAM B 6 SANDRA LAND DATA
- ASSESSMENT INFORMAT. -
P O BOX 60166 TYPE SIZE INFLUENCE FACTORS LAND VALUE
PRIOR COST CURRENT
FLORENCE MA 01062
SAND 10,200 10,200 10,200
UNDEVELOPED 1.240 10,170 BLDG
TOTAL 10,200 1C,200 :0,200
DEED EDGE; 2057
DEEDPAGE: 029 SALES INFORMATION
DEED DATE: TOTAL ACREAGE: 1.240 TOTAL LAND VALUE: 10,200
LAST UPDATE/COST: 20110906 DATE TYPE PRICE VALIDITY
LAS- UPDATE/COST: 201/0906
ADDITION DATA
X DATE:
Lover Level Fula. F_OOS Sa,.hd Fl— Third II.Ir Area
DATA COLLECTION INFORMATION
A
ENTRANCE CODE: ENTRY i SIGN B
I NFORMAIION SOURCE: C
EATA COLLECTOR: 0
DATE: E
DWELLING INFORMATION G
STYLE: ON,I{\
YEAR BUILT:
STORY HEIGHT; I�1E
ATTIC:
nb
TOTAL V
TOTAL ROOMS: �
TOTAL BEDROOMS: L
FULL BAC ADDITIONAL: AJJ3ONAL DWELLING I➢FORMATION 9I,
Half NTAa:
BASEMENT GA
RAGE IMCAREI ARICK TRI. FI%TURES:
EXTERIOR WALLS: BRICK TRIM: X
UNFINI EFLO AREA: STONE TRIM: %
GROUND FLOOR AREA: .,
TOTAL LIVING AREA: REMODELING DATA
FINISHED RBASEMENTECREATION
LIVING AREA: %
BASEMENT RECREATION A3EA: % YEAR REMODELED:
ME CAL FY FIREPLACE STACKS/OPENIYGB: /
METAL FIREPLACES: KITCHEN REMODEL
(Y/N)
HEAT/CENTRAL A/C: BATH REMODEL (Y/N)
FUELTYPE
G SYETE4:
FUEL TYPE:
QUALITY GRADE: PHYSICAL EEI
COND/OESIRABI LI TY/UTILITY INTERIOR/
EXT%TERIORtOR
OUTBUILDINGS 6 YARD ITEMS PERMIT DATA
TYPE QTY YR SIZE1 SIZED GRD COND DATE PURPOSE PRICE
NOTES: