23A-031 (4).pdfFile #5
APPLICANT/CONTACT PERSON:HARLOW SCOTT C&PAMELA J.
336 COLES MEADOW RD NORTHAMPTON, MA 01060
PROPERTY LOCATION 67 PARK ST
MAP:LOT 23A-031-001 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: ZPAIO STRUCTURE AND CONSTRUCT 7 TOWNHOUSES
New Construction
Non Structural 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 PRESENTED:
Approved X Additional permits required(see below)
FPLANNINGBOARDPERMITREQUIREDUNDER:§ V& ' 1 A LcC Qc 11.SE2
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR X 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
Demolition Delay
l a3a3
Si a re of BuildingOfficial 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.
i C. LA.4:',...„
0/CP/5
File No. 6.1
ZONING PERMIT APPLICATION (00.2)L
Please type or print all information and return ,,form to the Building
Inspector's Office with the $30filing fee (check or m6Piej order)payable to the
City ofNorthampton
1. Name of Applicant: Max Hebert
Address: 173 Madison Ave,Holyoke,MA 01040 Telephone: (413)896-3019
2. Owner of Property: Max Hebert
Address: 173 Madison Ave,Holyoke,MA 01040 Telephone: (413)896-3019
3. Status of Applicant: Owner x Contract Purchaser Lessee Other(explain)
4. Job Location: 67 Park St,Florence,MA 01062
Parcel Id: Zoning Map# Parcel# District(s):_
In Elm Street District In Central Business District
TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: Vacant two-family
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Demolition of existing structure.New construction of 7 townhouses.
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 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 Ot,er Side)
W:\Documatts\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
0.397 0.397
Frontage
84 ft 84 ft
Setbacks Front 15ft 13+/-ft
Side L: istt R: 14ft L: 1o+/-n R: 10+1-tt L: R:
Rear 1571t 16+/-ft
Building Height 1.5 Story 2 Story
Building Square Footage
1,891 sf 11,200 sf
Open Space: (lot area
minus building Et paved 80% 5
parking
of Parking Spaces 14 14
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: 1-25-23 Applicant's Signature
NOTE: Issuance of a zoning permit does not relieve an app icant's burden to comply with all zoningrequirementsandobtainallrequiredpermitsfromtheBoardofHealth,Conservation Commission,
Historic and Architectural Boards, Department of Public Works and other applicable permit granting
authorities.
W:\Documents\FORMS\original\Building-Inspector2oning-Permit-Application-passive.doc 8 4/2004