38D-020 File#MP-2020-0041
APPLICANT/CONTACT PERSON PIONEER DEVELOPMENT
ADDRESS/PHONE 32 PERKINS AVE
PROPERTY LOCATION 36 HAMPDEN ST
MAP 38D PARCEL 020 001 ZONE SC(96)/URB(4)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
SED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-PROPOSING TO A AMILY TOWN HOUSE
New Construction
Non Structural interior renovations
Addition to Existins
Accessory Structure
BuildinaPlans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRE NTED: O _r1.4
Approved Additional permits required(see below) 3 5 J
PLANNING BOARD PERMIT REQUIRED UNDER: § V L� u`�� � Lk
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan
Major Project: -Z"e 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
Signature o Building Offici9l 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.
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0 0 I
0 0 (� File No.
I ONING PERMIT APPLICATION 01 o.2)
z 10 Plea a or print all information and return this form to the Building
nslgcto ffice with the $30 f ling fee (check or money order)payable to the
M
m City of Northampton
of
0
'. Name of Applicant: Pi 0 N EE R Df~VELOPMCrJ T LLC
Z PClti;iN5 AVE Nar-'THAKPTON /1^,�4 01060
Address: Telephone: ` 13 SZO 77-0`3
2. Owner of Property: SAME
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. Job Location: 3� f1�Ar�tpDEN SlREE7"
Parcel Id: Zoning Map# 313D Parcel# 021D t W-� District(s): URIS +5C
In Elm Street District In Central Business DistrictiN`
(TO BE FILLED IN BY THE BUILDING DEPARTMENT) J
5. Existing Use of Structure/Property: '2-- Fg M I tri KtQ B* TbWN N v M E
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
PRQPysiN6 To Apo A 3--FAMIL4 :r2WNH.0ME 7-O Tlh< PIeoPerT4 . For,
A TvT4Z of 5 VictTS ON rME pp,op,<V 1 .
7. Attached Plans: Sketch Plan Site Plan VI/ Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Findiing 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 v
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.doe 8/4/2004
10. Do any signs exist on the property? YES NOy/
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. Will the construction activity disturb (clearing, grading, excavation, or filling) ovej 1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO �M
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 1
500 sr- �a 5�.:
Frontage
Setbacks Front
Side L: d R: [f L: f ` 2 R: [4' L: l 5 R: 15
Rear ) 150 i ?(50 Zo
Building Height ,
Zs z5 is 24V35'
Building Square Footage ZI 2-4 33 5 F
%Open Space: (lot area t�
minus building Et paved 77-7--o 404/o
parking
#of Parking Spaces AAN'A Iarse, V S F,
OLAvEL. Dkl\rFWAIA � 104x �on,fi 7��
�L
#of Loading Docks
Fill:
(volume Et location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
/L-/ J 1211z11
Date: Applicant's Signature L
Date:
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:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
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