23A-139 (16) File # 12
APPLICANT/CONTACT PERSON:POLINS A STEPHEN &JENNIFER
32 MAPLE ST FLORENCE, MA 01062
PROPERTY LOCATION 32 MAPLE ST
MAP:LOT 23A-139-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $30.00
Type of Construction: CONNECT DETACHED STRUCTURE TO MAIN HOUSE WITH BREEZEWAY
New Construction
Non Structural Renovations 1
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 PRESENTED:
Approved 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: § _ 9.
G
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic ApprovalBoard 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
Demolition Delay
fr
m� IA
Signature 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 Office of
Planning&Development for more information.
- 1
NOV - 5 2021
7y c�` .7tp File No. -'d" l i F',�,
ZONING PERMIT APPLICATION(§1 o.2)
Please type or print all information and return this form to the Building
Inspector's Office with the $30 filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant:Jennifer Polins
Address: 32 Maple Street, Northampton, MA 01060 Telephone: 413-695-1799
2. Owner of Property: A. Stephen Polins and Jennifer Polins
Address: 32 Maple Street, Northampton, MA 01060 Telephone: Same
3. Status of Applicant: Owner X Contract Purchaser Lessee Other (explain)
4. Job Location: 32 Maple Street, Northampton, MA 01060
Parcel Id: Zoning Map#23A Parcel#139 District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property:The property contains a single family residence and also a
detached structure which contains a studio and garage
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
The proposed work is to connect the detached structure to the house with a breezeway.
The exterior footprint of both structures would remain the same.
7. Attached Plans: Sketch Plan Site Plan X 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 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 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
app 22,077 app 22,077
Frontage
99' 99'
Setbacks Front 35+ 35+
Side L: R: 9' L: R: 5' L: R:
Rear 30+ 30+
Building Height
20+' 20+'
Building Square Footage
2,100' 900+ 3,000' +
%Open Space: (lot area
minus building E paved
parking 7% + 7% +
#of Parking Spaces
4+ 4+
#of Loading Docks
N/A N/A
Fill:
(volume Et location) N/A N/A
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 11 3 )14 Applicant's Signature v1C//`�� � /�` y
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 Conunission,
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
LESSER NEWMAN ALSO & NASSER, LLP
39 Main Street Northampton,Massachusetts 01060-3132 413-584-7331 fax:413-586-7076 lesser@LNN-law.com
Attorneys at Law
Thomas Lesser
William C.Newman
Merry L.Nasser
Michael E.Aleo
November 3, 2021
City of Northampton
Carolyn Misch
Office of Planning & Sustainability
212 Main St #100,
Northampton, MA 01060
HAND DELIVERED TO BUILDING DEPARTMENT BOX
RE: Jennifer Polins
32 Maple Street, Northampton, MA
Dear Carolyn,
Enclosed please find the following documents regarding the above
referenced real estate :
1 . A Zoning Permit Application (§ 10 . 2) with a site Plan;
2 . Our check in the amount of $30 . 00 .
If you have any questions or require additional information,
please be in touch.
Very truly yours,
Thomas Lesser
TL/sma
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