31A-240 55 Kensington DrivewayFile # MP-20 I 6-0002
APPLICANT/CONTACT PERSON MICHELE OCONNOR-ST PIERRE
ADDRESSiPHONE 17 TRUMBULLE RD (5l8) 428-2402
PROPERTY LOCATION 55 KENSINGTON AVE
MAP 3lA PARCEL 240 001 ZONE URB(lOO)!
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT ¢!If: Fee Paid
Building Permit Filled out
Fee Paid
TypeofConstruction: ZPA - 6 PARKING SPACE=S'---__
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~CTI N HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRES TED:
__ 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: ~ _____ -''---____ _
0(1-. /""
FindinlLY' Special Permit _V ___ _ Variance* ________ _
____ Received & Recorded at Registry of Deeds ProofEnclosed. ____ _
_ ...... _~Other Permits Required:
___ Curb Cut from DPW Availability ___ Sewer Availability
___ Septic Approval Board of Health Water Potability Board of Health
___ .Permit from Conservation Commission Permit from CB Architecture Committee ---
from Elm Street Commission ____ Permit DPW Storm Water Management
Date I I
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 ofMGL 40A. Contact the Office of
Planning & Development for more information.
e or print all information and return this form to the Building
Inspector's Office with the $ls1ilingfee (check or money order) payable to the
City of Northampton
1. Name of Applicant: M(vlt)'\f D GYlVlQ{-S.(.1ielfle ) (d\lCtVJ QCO}l}MY
Address: 11-+VV M ~(,11I Rd I )JdrtllV:tl>1p1m Mk 01OloD Telephone: S 18 ~ 2~ ~ 40 z..
2. Owner of Property: ML ~fJf 0 CovWltV -5+ .11eyJl, GllulI\ () CO Vl.VIO{
Address: 55 keYtsla~loY) Iwe, rvo~o.WltivYl MA-DlOtQQ Telephone: V 1<'6 429 ~'102.
3. Status of Applicant: Owner V Contract Purchaser Lessee Other (explaln) ____ _
4. Job Location: 5 S \<fIA7\f\,±00 Av-e AJ>.tii1qVt1~ MA: OJ ~D
5. Existing Use of Structure/Property:_....;:"3~-:..fq~IY\.:..:I..!...}\~/ ________________ _
J
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans fl\.cJ
8. Has a Special PermitlVariance/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 __ _ DONT KNOW __ / __ YES __ _
IF YES: enter Book ___ _ Page ____ and/or Document # _____ _
9.Does the site contain a brook, body of water or wetlands? NO V 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 :IDocuments\FORMS\original\Building-Inspector\Zoning-Permit-Appl ication-passive.doc 8/4/2004
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 vi
IF YES, describe size, type and location: _______________________ _
11. Will the construction activity disturb (clearing, grading, excavation, or mUng) ~7 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;s required.
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
Lot Size
Frontage
Setbacks Front
Side
Rear
Building Height
Building Square Footage
% Open Space: (Lot area
minus buflding &: paved
arking
# of Parking Spaces
# of Loading Docks
Fill:
(volume &: location
This column reserved
fo.,. use by the Building
D artment
EXISTING PROPOSED RE;QlJ:tR1£llBY
ZONING
~a I (,0 '
t7 2. S
o o
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: ---"'I~+-~+----'=----_ Applicant's Signature _!.::U~~~~~~L::L£!.~_I__l.. ....... ~p/
NOTE: Iss ce of a zoning permit does not relieve an applicant's burden to com ly 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.
W:\I)ocuments\FORMS\original\Building-lnspector\Zoning-Permit-Application-passive.doc 8/4/2004
BOOK 8496. PAGE 336 Gv~~
BOOK 442. PAGE 131
.' .
NOTE:
SUBJECT TO EASEMENTS AND
RIGHlS OF WAYS OF RECORD.
t#",s~ ...
KENSINGTON 6~AVENUE
'0: FLORENCE SA VNGS BANK &
CONNEC~CUT ATTORNEYS ]TLE INSURANCE COMPANY
'0 THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF
HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
10NUMENTA~ON ALL VISIBLE EASEMENTS. ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
HE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENllREL Y WITHIN THE LOT UNES.
XCEPT AS NOTED. I FURTHER REPORT ll-IAT THE PROPERTY IS NOT LOCATED WITHIN
, FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
:OMMUNfTY 11250167
tlRVEY02~ 'l. T:»--NOTE-
THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONS'nlUTE A PROPERTY SURVEY
-MORTGAGE LOAN ItiSPECDON PLAT-
NORTHAMPTON, MASSACHUSETIS
PREPARED FOR
COLLEEN M. O'CONNOR ET AL
SCALE: 1-=20' NOVEMBER 12. 2012
HAROLD L EATON AND ASSOCIATES. INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET -HADLEY -MASSACHUSETTS
REFERENCE:
BOOK 8496, PAGE 336
BOOK 442, PAGE 131
NOTE: "
SUBJECT TO EASEMENTS AND
RIGHTS OF WAYS OF RECORD.
60':1:
60'±
\ 1\., \
s~ tt t>\ pvc, ~
s;; M \)olld , 1 25
s, ft '* ~reen ' rt'3, ,
~~ -~
-~'I' -,"2/+-
~ 44" t-l> 1 ~ -I
/ a '1"
LOT #1:," -'
KENSINGTON AVENUE
'0: FLORENCE SA VNGS BANK &
CONNECllCUT AITORNEYS llTLE INSURANCE COMPANY
'0 THE BEST OF MY INFORMAllON, KNOWLEDGE AND BELIEF
HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
IONUMENTAllON ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
HE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENl1REL Y WITHIN THE LOT UNES.
:XCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
, FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
:OMMUNITY 1250167
;URVEYO;:t?~.2R ~. -r~ -NOTE-
THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
-MORTGAGE LOAN INSPEC]ON PLAT-
NORTHAMPTON, MASSACHUSETTS
PREPARED FOR
COLLEEN M. O'CONNOR, ET AL
SCAlE; 1"=20' NOVEMBER 12. 2012
HAROLD L EATON AND ASSOCIATES, INC.
REGISTERED PROfESSION Ai LAND SURVEYORS
235 RUSSELL STREET -HADLEY -MASSACHUSETTS