23A-293 (2) File#MP-2021-0066
APPLICANT/CONTACT PERSON BACKYARD ADUS
ADDRESS/PHONE 17 SPRING ST (781)999-0779
PROPERTY LOCATION 11 LANDY AVE
MAP 23A PARCEL 293 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: ZONING-ADU
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 PRI SENTED:
Approved X Additional permits required(see below)
PLANNING BOARD PER REQUIRED UNDER: § le-of-- tt9L 1(
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
10 _ �0 ; ,i , I ' , S/a8`al
I. i / /
Sig .ture 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.
File No. -4 69
ZONING PERMIT APPLICATION (§10 2) < ctp
Please type or print all information and return this form to the Build t r_ooks
Inspector's Office with thee' t ing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: Backyard ADUs
Address: 247 Combs Rd., Brunswick ME Telephone: 413.262.8309
2. Owner of Property: Susan Eilenburg and Kathy Smith
Address: 11 Landy Ave Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)_Consultant
4. Job Location: 11 Landy Ave., Florence Ma, 01060
Parcel Id: Zoning Map# A Parcel# a q 3 District(s):
In Elm Street District In Central Business District (TO BE FILLED IN BY THE
BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: Single Family Residence
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
We are proposing a 437 SF detached accessory dwelling apartment for the owners daughter
with special needs to live in
7. Attached Plans: Sketch Plan_X Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO_X DON'T KNOW YES IF YES, date issued: IF YES: Was the
permit recorded at the Registry of Deeds?
NO X DON'T KNOW YES
IF YES: enter Book Page and/or Document# 9. Does the site contain a
brook, body of water or wetlands? NO X DON'T 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 X
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO X 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 HQ
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 o.24 acre 0.24
Frontage 77' 8" 77' 8"
Setbacks Front L: 17' R: 20' L 38': R:` 15' L: R:
Side
Rear
Building Height 16' 13.5'
Building Square Footage 1188 SF 446 (new AP)
%Open Space: (lot 89% 85%
area minus building Et
paved parking
#of Parking Spaces 2 2
#of Loading Docks 0 0
Fill: 0 0
(volume Et location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 5/19/21 Applicant's Signature
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.
N/F
ANN LAMONTAGNE
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