11A-005 (5) 7 �
File # MP -2009 -0008
APPLICANT 'CONTACT PERSON MELNIK PATRICK J JR
ADDRESS /PHONE 46 CHESTNUT AVE (413) 584 -6750 ()
PROPERTY LOCATION 46 CHESTNUT AVE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OU
ee ai _
Building Permit Filled out
Fee Paid ice,
Typeof Construction:_ZPA - DET ACCESSORY APARTMENT
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 ACTI N HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRES TED:
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: § /0. /0 V 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 . + ission Permit DPW Storm Water Management
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 the Office of
Planning & Development for more information.
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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
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 I REQUIRED BY
ZONING
Lot Size
22,532.586 sf same
Frontage
135.64 feet same
Setbacks Front Ca0
Side L: R: L: D R: /OP L: R:
Rear �
Building Height
Building Square Footage
f
f, o x
% Open Space: (lot area ' e
minus building ft paved 2,4
parking
# of Parking Spaces
4 same
# of Loading Docks
Fill:
(volume & location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
(7
Date: - Age' i 16, 2008 Applicant's Signature
Pa c . Melnik, Jr.
NOTE: Issuance of a zoning permit does not relieve, ' ap . is burden to comply with all zoning
requirements and obtain all required perms from the Board of Health, Conservation Commission,
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
I !
jut 2 Q 2008 File No. i I 1 1°° t
O I1 G PERMIT APPLICATION ( i 0 2)
br prhint all information and return this form to the Building
' pectoiith the $15 filing fee (check or money order) payable to the
City of Northampton
1. Name of Applicant: Patrick J. Melnik, Jr .
Address: 46 Chestnut Avenue, Leeds Telephone: (413) 584 -6750
2. Owner of Property: Patrick J . Melnik, Jr .
Address: 46 Chestnut' 'Avenue , Leeds, Ma Telephone: (413) 584 -6750
3. Status of Applicant: Owner X Contract Purchaser Lessee Other (explain)
4. Job Location: 46 Chestnut Avenue, Leeds
Parcel ICI: Zoning Map# .. ` Parcel# District(s):
Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure /Property: Single family residential
6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary):
To build a detached accessory apartment.
7. Attached Plans: Sketch Plan Site Plan )( Engineered /Surveyed Plans
8. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO X DONT KNOW YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and /or Document #
9.Does the site contain a brook, body of water or wetlands? NO X DONT 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
/ /4- r (305
MELNIK LAW OFFICES
Attorneys At Law
110 King Street
Northampton, Ma. 01060
Telephone (413) 584 -6750
Fax (413)584 -6789
Patrick J. Melnik, Esq. email: pmelnik @verizon.net
Patrick J. Melnik Jr., Esq. patmelnikjr @verizon.net
July3, 2008
Building Commissioner of the
City of Northampton
210 Main Street
Northampton, Ma 01060
Dear Sirs:
Enclosed please find Zoning Permit Application together with sketch plan
and site plan and $15.00 application fee. If you need anything further please
advise.
Sincerely,
Patrick J,' elnik, Jr.
PJM/jlp
enc.
07081et(9)