Rocky Hill Road 44-100 ZPA 2020-1-15File # MP-2020-0047
APPLICANT/CONT ACT PERSON ZIELINSKI MARILYN
ADDRESS /PHONE 165 NORTH GRAND (860) 668-5464 ()
PROPERTY LOCATION ROCKY HILL RD
MAP 44 PARCEL 100 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY :
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin Permit Filled out
Fee Paid
TypeofConstruction: ZPA -PROPOSED SFH (LOT 12) 4 PARCELS IN TOTAL TO BE SOLD AS A UNIT
INCLUDING REMAINING FRONTAGE AND BACK ACREAGE
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 ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PR~TED:
__ Approved lL_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:
v" Curb Cut from DPW ~ Water Availability V Sewer Availability
___ Septic Approval Board of Health ____ Well Water Potability Board of Health
V::-Permit from Conservation Co mmission Permit from CB Architecture Committee ----
Permit from Elm Street Commission ---____ Permit DPW Storm Water Management
s;gnatuce of4,;,1 L wJ 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
Plannin g & Development for more inform ation. ·
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R ECEIVED
JAN 1 5 2020
DEPT OF BUILDING INSPECTIONS J1/J /7 ~/J _,£ _J7 File No. NORTHAMPTON, MA 01060 "'I/',.. (?J ll I '
.. · ... ZONING.PERMJ:CAPPLICATIOl~tf§io~:t)>'·,•··.
Please type or print all information and return this form to the Building
Inspector's Office with the $30fi.lingfee ( check or money order) payable to the
1.
2.
3.
4.
City of Northampton
Name of Applicant: __ h_lf_lU,_~y;_l( __ ~_/E_W._'#_J~-------------
Address: 1 ' r-/th A.TH-Gl'l./J,IIO w. J v'#/t: ~ e,-Telephone: ?6 Q t, '/-.rn ~
Owner of Property: __ --2 __ /G_-_v._tl._'J_..t:/ ___________________ _
Address: /C,S-Al/1(.l}/ G,VJ,,11./)" 1,(./. Jd/,ff€t,,4, c_r-Telephone: f'6 d t ,f'-~~6 jL
Status of Applicant: Owner V Contract Purchaser ___ Lessee Other (explain) ____ _
Job Locat1on: __ .?_1_o_lLtJ_CL,---")"_ll--_ll.l.-__ /U_A_~_..___A_u_,u_~_-cr__....!.,._N_//-_____ _
·•· P.arcei ·ld ~ :ZoninB~ :Parcel#> .:v@ · Di~t_rict(s)~--.....,.,.,---------""-,-
. ,, :-in Eim Str~t Distrfd: '' '. : :In Centt~r:ausiri~ss 'bisttkt .... '' ·_·. _· ------
. · , O -BE FlllED 'i N :av THE BUllDlNG DEPARTMENT : .·''
5. Existing Use of Structure/Property: tCA..l~t;:" W l'lt;~ /II U-. U~~ . N/X t:lr d"/J<:IT,/
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7.
Description of Proposed Use/Work/Project/Occupation : (Use additional sheets if necessary):
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W / 1)1-t::?.I .S 7)/V 6 /4-IJ J71-C£,</r #-ii Ne'"J . ~, f/A-A44. C£t...J /N 71 T7H.... n .IS tr S ~uJ
fo s A VA./lr 1N' c.wtJ/tr/G IZ£HtWl1l1tfi6 FMlll?lH,e-M~ ~,4-c,e. 1tc..A.tr/16&r.
Attached Plans : Sketch Plan Site Plan Engineered/Surveyed Plans -~--
8 . Has a Special Permit/Variance/Finding ever been issued for/on the site?
v"" NO __ _ DON'T KNOW ___ _ YES ___ _ IF YES, date issued: ______ _
IF YES: Was the permit recorded at the Registry of Deeds?
NO __ _ DON'T KNOW ----YES ---
IF YES : enter Book Page and/or Document#------
-1 vl~IIV(,
9.Does thjisite contain a brook, body of water or wetlands? NO / DONi KNOW YES __
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained ___ _ Obtained _____ , date issued : ______ _
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8/4/2004
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10. Do a1signs 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? v' YES ___ .No __ _
IF YES, describe size, type and location: _______________________ _
11. Will the construction activity disturb (clearing, grading, excavation, or fllUng) ovey-1 acre or Is It part of a common .
plan of development that will disturb over 1 acre? YES__ · ~O _v __
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 colunm reserved
£ o r / pJ-for use by the Building
De !DCP'fment
EXISTING PROPOSED ·REQUIREI>BY
Lot Size 31, (?'-~() ;:.-riY 31 ~ro rrq
1tJ-r-,,,:.r .
(7' rr, ff x lt:J s-,er ,r-o ,:..r x
Frontage It:>-('~,-J~~ ,t:.r
Setbacks Front
r~o Side L: R: L: R: L:
Rear
Building Height
Building Square Footage
·-·
% Open Space: (lot area
minus building a paved
parking
# of Parking Spaces
# of Loading Docks
Fill:
(volume a location)
13. Certification: I hereby certify that the information aontained herein is true and accurate to the best of
my knowledge.
ZONING
:R:
..
Date: I,/!~ ~o Applicant's S;gnature )Jz. ~.
NOTE: Issuance of a zoning permit does not relieve an applicanL:: comply with all zoning
requirements and obtain all required permits from the Board of Health, Conservation Commission.
Historic -and Architectural Boards, Department of Pablic Works and other applicable permit granting
authorities.
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