31A-039 (8) File #49
APPLICANT/CONTACT PERSON:STEPHEN ROSS
36 SERVICE CENTER RD NORTHAMPTON, MA 01060(413)584-1224
PROPERTY LOCATION 197 ELM ST
MAP:LOT 31A-039-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $30.00
Type of Construction: BUILD NEW POOL HOUSE WITH POSSIBLE ADU USE
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION
PRESENTED:
Approved iXiditional permits required(see below) For all projects that need additional reviews El o
as checked below,please see the Office of Planning& Susta inability Permit pale or scan here -�$r'`= 1/4_r
PLANNING BOARD PERMIT REQUIRED UNDER:* A+E34,e v5,0 URB O O' {
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 Va ria ncc*
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
6-Zg- 20z9
Signature of Building Official Da to
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.
File No. 9
C 060
ZONING a %. A
Please type in this fillable PDF or print and hand-write I,n ,.qon :nd return to
Ti
the Building Inspector at the Building Department (212 Main St.) 'Q 3•" e 0 filing fee by
check and money order (payable to the City of Northampton) or credit car. . person only).
1. Name of Applicant:stephen Ross Email: stepdross@yahoo.com
Address:36 Service Center road Telephone:413-584-1224
2. Owner of Property:Stacey Novack
Address: 197 Elm Street Northampton Ma Telephone:
3. Status of Applicant: Owner LI Contract Purchaser ❑ Lessee ❑ Other (explain)contractor
4. Job Location:Rear of 197 elm street
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: Remove exsisting 20 x 20 pool house
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
build new pool house with possible ADU use with required set backs
7. Attached Plans: Sketch Plan ❑✓ Site Plan 111 Engineered/Surveyed Plans ❑
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO ❑ DONT KNOW 111 YES lI IF YES, date issued:
IF YES:I Was the permit recorded at the Registry of Deeds?
NO U DONT KNOW Ei YES ❑
IF YES: enter Book Page and/or Document ft
9.Does the site contain a brook, body of water or wetlands? NO El 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)
6/7/2023
10. Do any signs exist on the property? YES 0 NO WI
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES Li 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 ri NO 11
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
Frontage
Setbacks Front
Side L: R: L: R: L: R:
Rear
Building Height
Building Square Footage
Open Space:
(lot area minus building Et
paved parking) ,
#of Parking Spaces
#of Loading Docks
Fill:
(volume 8 location)
Driveway Grade
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge.
Date: "t/2 ,/ ei/2-1/ 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, Historical Commission and Architectural
Boards, Department of Public Works and other applicable permit granting authorities.
6/7/2023
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CONSTRUCT
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MORTGAGE LOAN INSPECTION
255X
SHED
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141
LOCUS REFERENCE
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BOOK 8006 PAGE 13
��S PLAN BOOK 6 PAGE 21
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ELM STREET
TO: XXXXXXXXXXXXXXXXXXXXXXXXXXX
AND:
STEWART TITLE GUARANTY CO. OWNER: FLETCHER A. BLANCHARD III
HEIDI A. SCHILLER
I hereby report that the premises shown on this plan are LOCATION: 197 ELM STREET
not located within a Flood Hazard Area as shown on the NORTHAMPTON, MASSACHUSETTS
Federal Emergency Management Agency's Flood
Insurance Rate Map,
Community No. 250167 - 0002A HOLMBERG & HOWE, INC.
Effective Date
APRIL 3, 1978 PROFESSIONAL LAND SURVEYORS
87 UNION STREET,EASTHAMPTON MA 01027-0945
I also report,to the best of my knowledge,information 37 DAMON POND ROAD,CHESTERFIELD MA 01012-0176
and belief,that this inspection plan shows the
improvement or improvements as located on the premises
described,that the improvements are entirely within lot SCALE:
lines,and that there are no encroachments upon the '<a; `. 1"= 30'
premises described by the improvement or improvements
of any adjoining premises,except as noted.I further
'3. DATE:
report that there are no easements of record affecting the " I-col.'�st;['ei;; NOVEMBER 29, 2021
tract shown hereon,except as noted. �, ,.:;p 3
JOB NUMBER:
►.....� 21-190
THIS PLAN IS FOR IDENTIFICATION PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY.
AND IS NOT TO BE USED FOR CONSTRUCTION PLANNING OR LAYOUT.