42-167 r
File No-In4C ` 60 VVV ,
( l y �
ZONING PERMIT APPLICATION 010.2 .7 2
Please type or print all information and return this form� ,,Ph ;Building"
Inspector's Office with the $30 filing fee (check or money o dl ,4(e,,t,4 the
City of Northampton -n5°NS
1. Name of Applicant: Carolyn Misch, Assistant Director Office of Planning Et Sustainability
Address: 210 Main St, Room 11 Northampton MA Telephone: 413-587-1287
2. Owner of Property:—City of Northampton Office of Planning Et Sustainability
Address:—SAME Telephone: SAME
3. Status of Applicant: Owner _X_ Contract Purchaser Lessee Other (explain)
4. Job Location: Glendale Road (abutting #24).-.ADDRESS TO BE ASSIGNED
Parcel Id: Zoning Map#_ .w1 Parcel#_! 7 District(s): WSP
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: Vacant Flag Lot approved in 2003__
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Confirm allowed use of lot for Single Family Home
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans _X_
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES X,._ IF YES, date issued:_Jan, 2003 Comprehensive Permit_
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES _X_
IF YES: enter Book _7133_ Page_23_ and/or Document#
9.Does the site contain a brook, body of water or wetlands? NO _X_ 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:
Approved as a Buildable Lot 05/14/2020 (Form Continues On Other Side)
Needs Driveway permit,water and sewer/septic availability e 1
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WADocuments\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doe 8/4/20 04
10. Do any signs exist ori the property? YES NO X_
..
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) over 1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO X
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 1.587 ACRES ,.W......................._� ..._ _d_._..
Same As Per Camp
Frontage 123'
Permit issued ill iL
'
��,-�---�----------- 200�}{�n
. 3
s
Setbacks Front NONE Front. 50+ ---
Side L: R: L 15+ R: 15+ L: R.
Rear
Rear: 25+ I
Building Height
Max: 35'
Building Square Footage
%Open Space: (lot area
minus building Et paved 75%
parking
#of Parking Spaces 2
#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.
Digitally signed by Carolyn Misch
Carolyn Misch
DN.cn=CaroynMisch, Sustainability, ton.
May 14 2020 y ou_�Kes,hc—nha Sustainability,
, , email=cmisch�orthamptonma.gov,c=US
Date: _ Applicants Signature Date:2020.0514 092959-04 00
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:ADocuments\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 814/20 04