19 Washington driveway MP-20-26File # MP-2020-0026
APPLICANT/CONT ACT PERSON THOMAS DADMUN
ADDRESS/PHONE 60 SCHOOL ST (413) 387-7381
PROPERTY LOCATION 19 WASHINGTON AVE
MAP 3 IA PARCEL 179 001 ZONE URB(IOO)/
THIS SECTION FOR OFFICIAL USE ONLY :
PERMIT APPLICATION CHECKLIST
REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin Permit Filled out
Fee Paid
TypeofConstruction : ZPA-MOV E DRIVEWAY CURB CU
New Construction
Non Structural interior renovations
Addition to Existino
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans / Plot Plan
OLLOWIN~A ION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
MATION P SENTED :
pproved ' __ 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
~ONING BOARD PERMIT REQUIRED UNDER: § __________ _
Finding. ____ _ Special Permit ____ _ Variance* _____ _
____ Received & Recorded at Registry of Deeds Proof Enclosed ____ _
___ Other Permits Required:
vi'urb 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 1
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 autho~ities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A . Contact the Office of
Planning & Development for more information.
~----i
~~ o FileNo. ,np-~-X.,
.... -n J~ ZONING PERMIT APPLICATION (§10.2). ·
~g ~ ~ w Pl type or print all information and return this form to the Building ·~* 1:twec Office with the $30fi.lingfee (check or money order) payable to the
i ~ u5 n1 City of Northampton
a,-1 0
o ~ L..----:-:-----' ·-h L . W -t...t-.-... ''V . 1
CJJ Name of A plicant: ____ \ n_OV\_/\_7 _ _.___VY'---"-'J~"-"'-µ __________________ _
L-------;Ar,id:T.dr~es:;::-s:__. (eo $41:ru,L-Sr,, :i-tt\:itti,lQJ ~A D/Obfj Telephone: ±12 -3P/7-75B (
2. Owner of Property: t\tc.tMU Sl:\vbH:C>..JA.
3.
4.
5.
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7.
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Address: 15 W~ut:,tou Mf:... Telephone: Gt1-ff;O:;-~f.)7(p
Status of Applicant: Owner ___ Contract Purchaser ___ Lessee ___ Other (explain)_&_e,_, __ _
Job Location: _ __..! q~'-~-~_lr1~/J ~{,D4)~~/w_l_. -----------------
Parcel Id: Zoning Map# ____ 3 ....... /A ______ _ Parcel# /~~ Oistrict(s): ________ _
In Elm Street District In Central Business District._......-'---
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
ExistingUseofStructure/Property: i)fvGi..lt. l:fW':1<-1 /tow)(.
Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Attached Plans: Sketch Plan )( Site Plan Engineered/Surveyed Plans __ _
Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO ___ _ DONT KNOW __,fi---YES ___ _ IF YES, date issued: ______ _
IF YES: Was the permit recorded at the Registry of Deeds?
NO ___ _ DONT KNOW ___ _ YES ___ _
IF YES: enter Book ___ _ Page ____ and/or Document# _____ _
9.Does the site contain a brook, body of water or wetlands? NO _)!;__ DONT KNOW __ _ YES __ _
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained ___ _ Obtained _____ , date issued: ______ _
(Form Continues On Other Side)
W :\Documents\FORMS\original\Buil ding-Inspector\Zoning-Pennit-App li cation-pass ive.do c 8/4/2004
10. Do any signs exist on the property? YES NO~/$ __
IF YES, describe si ze , type and location: __________________________ _
Are there any proposed changes to or additions of signs intended for the property?
IF YES , describe size , type and location: __________________________ _
11. Will the construction activity di sturb (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 epartment
EXISTING PROPOSED REQUIRED BY
ZO NING
Lot Size
Frontage
Setbacks Front
Side L: R: L: R: L: R:
Rear
Building Height
Building Square Footage
% Open Space: (lot area
minus building & paved
parking
# of Parking Spaces
# of Loading Docks
Fill:
(volume & location)
13. Certification : I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: ~w~l ....... z_q __ {h2~l4~ __ Applicant's Signature _j_~ ____ f _. ~~LL~ __ :::=:::::::::-~_
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.
W:\D ocuments\FORMS\originai\Bui lding-Inspector\Zon ing-Pennit-Appiication-pass ive .doc 8/4/2004
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l~ ~ /dti iJ&'tt>~ fov(
No{l-~~'1'~ 1 MA
Driveway Permit Request for 19 Washington Ave, Northampton, MA 01060
Applicant:
Dadmun Design+ Construction
Thomas Dadmun
60 School St
Hatfield, MA 01038
413.387.7381 Cell
Owner:
Miriam Zoll & Michael Shashoua
19 Washington Ave
Northampton, MA 01060
We request to relocate the existing driveway curb cut as per the attached sketch .