38B-038 (2) File #21
APPLICANT/CONTACT PERSON:GEORGE, MICHAEL G.
P.O. BOX 102 GOSHEN, MA 01032
PROPERTY LOCATION 14 LASELL AVE
MAP:LOT 38B-038-001 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: ADD NEW BULKHEAD FOR BASEMENT ACCESS, ADD 2 ROOF CANOPY
EXTENSIONS
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION
PREZApproved
ENTED:
Additional permits required(see below) For all projects that need additional reviews tc+,+7g�
as checked below,please see the Office of Planning& Sustainability Permit page or scan here
PLANNING BOARD PERMIT REQUIRED UNDER:§ is :
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
Demolition Delay
3- 22-ZOZL)
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.
R ECE i / :
File No. 2/
MAR is 2024
ZONING PERMIT APPLICATION (350.4.4)
' Please ty „''`r this- fillable PDF or print and hand-write all information and return to
the Building Inspector at the Building Department (212 Main St.) with the $30 filing fee by
check and money order (payable to t City of Northampton) or credit card (in person only).
1. Name of Applicant: f\l‘Cl w'e ! 0 c Email,Gll 6- O/Z6-c #3eotegeeopve • Cm
Address: �'ilklephone: Ll` ^h a-b — 19
2. Owner of Property: J'V\1 Q'' �v Cl
Address: I Li L...4. ---C,) \ 'vim NIAOrt elephone:
3. Status of Applicant: Owner 4 Contr ct Purchaser Lessee ElOther (explain)
�S'C..4. Job Location: bA ) \ ( v�— "19 � V—
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING PARTMENT)
5. Existing Use of Structure/Property: � '""t o'L ' S i 1'v'Ve/4/
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
TF l4_ ryt1.4- o Fi T /cC E s
Tv.tc. pe.OF Gar c.o r I 'Tc S Len.) 3 Tv e:mUet—
6)4-1-rui s-r7 5 •
7. Attached Plans: Sketch Plan • . •❑ Site Plan • Engineered/Surveyed Plans ❑
8. Has a Special Permit/Variance./.Finding ever been issued fdr/on Ole site?,
NO E DON'T KNOW LJ 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 [11DON'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)
6/7/2023
10. Do any signs exist on the property? YES NO E
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES LJ NO LJ
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
I
plan of development that will disturb over 1 acre? YES riNO 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 column reserved for use
by the Building Dept.only.
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size (f -F l06� G
Frontage f
Setbacks Front a lb •Ate'
Side L: t R: M t,4- L: R: L: R:
Rear A c
Building Height • 4 .57•
Building Square Footage
% Open Space:
(lot area minus building 8 I J?60
paved parking)
#of Parking Spaces
�- C07.+Z�
#of Loading Docks
Fill:
(volume a location)
Driveway Grade%
13. Certification: I hereby certify that the information contai erein is rue and accurate to the best of my knowledge.
Date: Applicant's Signature
NOTE: Issuance of a zoning permit does not relieve an app 'cant's burden to comply with all zoning requirements and
obtain all required permits from the Board of Health,Conservation Commission,Historical Commission and Architectural
Boards, Department of Public Works and other applicable permit granting authorities.
6/7/2023
Hill
44
0 sae
LEGEND / ^�13
.}�V AIr.Et..l.aom
O IRON PPE POUND f
• IRON D.POUND !'
O DITCH 1MNL
w UTILITY POLE TEMPORARY BENCHMARK
-
HTORANT SPINDLE
O SANITARY MANHOLE ELEV.SOW
PRELIMINARY
T SIGN
NOT roeE
C MATEt tlNfgl
_--)i---• HYDRANT m ..., a' OH I>✓ a' a' ,.., CO al ON-.----O' .... ON-- causCONSTRUCTIONCONSTRUCTIONCTI
MN
TS EMOTING CONTOUR
et
EDGE OF PAVEMENT m LASELL AVENUE ¢i S
b--.-o-o- WOODEN FENCE T u
—Ow— O ININAD MINES
i
O 1
SOEIARY LIN/ Y
e1Ne11/fHRHE ° A.2A' _I. 5- �. 60.29.1 --; I- 1
1!
".."\c
I` a ► 14E" Q a
\ ,\ \ \ NT C.c.aS E iz-
RLIDERT T MAGE 252 \ `I ALMA /NAGMAN 1 -' T •�
Tv
GOOK Atl PAGE 200 I \ 1 Y` DCC*WTM PAGE 1 Z
T \MAP NM U \ TAX M.E•D �� ��� —1 _ 1 s
IRS t RN/ p/-� EXISTING DRKK 1 LOT N —r-tt-}'i_•,_` E Tj
DLNEN.ING \\\ Y � DWELLING 7
` : % . 0 x
M. w a 10 `�_ ' \ • tom( 5964. ° -) {2 i
W
uNERAL PLAN NOTES, 7 1- \ \ \ \ \ \ \ O Y b
JIMMY M d*OPe t �aJJ O
I. LOCUS TITLE REFERENCE+MICHAEL G.GEORGE. DOCK UMW PAGE ISM. TH N/F t \ EXITING GARAGE \
TAX M !SDOCK 21164 AP D LOT ES. CAROLYN*READ MS uWNL
DOCK INA PAGE Q LOT 4E
1 g 1
2.TOPOGRAPHIC SURVEY PCIEYGTED IN SE,INC. R 202B,SY TAX MAP SM
HILL-ENGINEERS ARCHITECT*PLANNERS,INC. LOT ET 3 1
LIMN S.PROPEETT WS*SWAN HEREON ARE APPROXIMATE AND ARE DATED PEIDEDfN N.JR,{ 1-*
N AVALADLE MLNUIISOTATION LOCATED TH IN E FIELD,ASSESSORS
MPS ARID AVALA•LE PLANS. LEE-ANN G.WESSEL
SOCK 2406 POOP ND
l ELEVATKNS 011155.1 ARE EASED ON AN AWNED DATUM. LOT 31
EH.R --4151-.
S.UTILITIES ARE MORN IN AN APPRO/114AM WAY O LT AID ALL UTILITIES
MT NOT DE SNOW. PRIOR TO ANT CONSTRUCTION,THE CONTRACTOR 233-25521. WOOL
. -
seals CONTACT•OG-SAFE•NE NAVE ALL W0EEGROND UTILITIES I•.IE
MARKED ON 1111 WWND.
S.RESOURCE AREAS INCLUDING.[UT NOT LIMITED TO. /IOODPLAN,INLAND
L°roeE
OAK,R M ARE
A(RA),AND SCRDERWG VEGETATED WETLANDS
ETC.MT DE PRESENT ON THIS SITE. THESE AREAS HAVE NOT DEEM ERV-16/-CGCSCHG
DELINEATED DT A WETLANDS SPECIALIST,APPRO/ED BY TIE LOCAL 1171
CON SSVATION CNXTII••IDN OR ACCEPTED ER THE I ASSACNUSRTS
DEPARTMENT*.DN✓EWFWITAL PROTECTION(DP). ANT RESOURCE
AREAS GHQ.HEREON 54006E SE CQDI)ERED"APPROXIMATE.,T51115 199.551 ra,M9
PLAN SHALL NOT DE CONSTRUED AS WDIGTING THE LIMITS OP AREAS SRV-2S43-O01
SUD.EECT TO M.G.L.MD CFR THE WETLANDS AND RNVERPROIT
PROTNCTXIN ACT°OR U.S.ARMY CORPS A EIGINEER9(CORPS) OHMIC MAIM Ltv.
JURISOCTKN.
0001 A