23A-060 (4) oC
File#MP-2020-0004 M S
APPLICANT/CONTACT PERSON TREWORGY JOHN
ADDRESS/PHONE 59 MAPLE STREET F 1-1 b. 0
PROPERTY LOCATION 59 MAPLE ST
MAP 23A PARCEL 060 001 ZONE URB000V
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT LL
Fee Paid
Buildinp,Permit Filled out
Fee Paid
Typeof Construction: ZPA-DEMO PORCH&REPLACE WITH LARGER BREEZEWAY,NEW 2 STORY
ADDITION AND PARKING FOR VEHICLES f'p vcp,(ObAo-t o t.l Sfit Iti5kcr'
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 F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF9ftMATION 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
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
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
-71-Ul 12
SignattKe 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 No. o- 1'" 3 2019
ZONING PERMIT"PLICA VQN 1 o.2) A
Please type or print all information and return is"TW&WUWWMInom
Inspector's Office with the X30 filing fee (check or money order paya a to the
�- —C�i—ty of Northampton
1. Name of Applicant: �/01i.1
Address: J / [4a�e� >"->< Fl*o„e-. e., 144 Telephone: 5173 - aG5_ /.� 2/
2. Owner of Property: O a�
Address: .� .02 d f IrC114, /W Telephone: Y/_3 .
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. Job Location: �n/ NPI-115 5>7 / &9RC-,.1CZ AIA O/Dr.2
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: S w
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
T)&"& 15 H E—Krsnwe, ick. `Pepwc w req. 1-!Vkke &z Fezc�h,r.0
19e- , Q*JX ( a S��ay 1 r u ^� A oPOW . 13" X1062 To A*V4;
P*(ZV(Nek
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 DONT KNOW YES
IF YES: enter Book Page and/or Document#
9.Does 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\Building-Inspector\Zoning-Permit-Application-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 N0X'
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
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 / �� S� Y�A� 06,9
Frontage -7 9 f tj 71
7 �.t Q r^J
1F
Setbacks Front 11 -i 1 91 � 6 "
Side L: R: 15 C r�
L: R; I 9 fry IA/ L: R:
Rear ?
Building Height 38 T-T 6 T1 C ^/
Building Square Footage 3600
% Open Space: (lot area c�
q0
minus building Et paved
parking
#of Parking Spaces
0 3
#of Loading Docks O
Fill: A0 TONS
(volume Et location) 64 S
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 4/ Applicant's Signature �Gc
NOTE: ssuanci of a zoning permit does not relieve applicant's burden to comply with all zoning
requirements and obtain all required permit from the Board of Health,Conservation Commission,
Historic and Architectural Boards,Departint of Public Works and other applicable permit granting
authorities.
W:\Documents\FORMS\original\Building-InspectoT\Zoning-Permit-Application-passive.doc 8/4/2004