43-167 (2) "SUBDIVISION APPROVAL NOT REQUIRED" 11
PLAN OF LAND IN
NORTHAMPTON, MASSACHUSETTS IR
PREPARED FOR o
PERMAN GLENN, III
SCALE: I -40' NOVTNBER 25, 2012 '$"„ ° p x 0l 19' n• E 1 05
HAROLD L EATON AND ASSOCIATES AI INC. 8y
REGISTERED PROFESSIONAL LAND SURVEYORS
233 RUSSELL STREET - HADLEY - MASSACHUSE
113 -58•-7599 413 -583 -5976 (kw) ROAD
wag - hleat0Dd.O0R1 WES-CHAMPION
a
0' AV BO• 126 $
N 1137 E •90.] - 1 JJ
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>NOTE> ' l-R : st
-
PARCEL A BEING A POtTON CP BOON 6499. PAGE 276 (PARCEL TWO) ° ?
To BE CONSNEO NON LAND a GLENN TO PORN ONE "
ED
WINDO PARCEL. PARCEL A NOT To SEE CONSOEnm " , E ' A 2 � Os
M N
A SEPARATE LOT. F W qk, y
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484141.01.E ' x
• 74.9
43 -167
PEIMAN GLENN, 6
BOON 3959, PAGE 241
RAN 8005 173, PAGE 95 - PARCEL 6 43 -039
ROBERT A COSTAL R., ET ALS
BOON 799% PAGE 115
SEE PLAN BOG 190, PAGE 114
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43 -031 �• �Y!
THE NEN NM AN
111 CEAx DOG TRUST Y R P
� 6 5543. PAGE 161 M • , n _
LEGEND � � 1 /
APPROVAL UNDER THE SUBDIVISION
A4'_.� ' y CONTROL LAW NOT REWIRED • 0 FOUND IRON PIN
REBAR TO BE SET m' .. .+��73.,"}51 9; YA PLANNING BOARD
• UNMARKED POINT N* � $ x. NORTHAMPTON. MASSACHUSETTS
N 76'22'10• W
, � 41 1 PARCEL A � r
,0 .. s�b66 1,400 SQ. FT. — �
S O'''''' (To (To BE G0N10Tm TO GLENN - SEE NOTE) N 76 "'1 W 16636 0 4
/ 43 -105
1 REPORT THAT THIS PLAN HAS BEEN PREPARED IN CONFORMITY IMMEL ARO PENDAPE B11PAE DATE:
WITH THE 1976 RULES AND REGULATIONS OF THE REGISTERS Boat 6499. PAGE 276 - PARCEL TWO
OE DEEDS OF THE COMMONWEALTH OF MASSACHUSETTS. KIN BOOK 190. PAGE 114 - PARCEL 2
(SUFFICIENT FRONTAGE AND AREA 'PLANNING BOARD ENDORSEMENT UNDER THE
ftANDALL E IZER 935032 REMAIN TO SATISFY CURRENT SUBDIVISION CONTROL LAW SHOULD NOT BE
CONSTRUED S ZONING REQUIREMENTS) AN APPROVAL OF ZONING REQUIREMEENTS"
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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 REQUIRED BY
ZONING
Lot Size
( 1335).
Frontage 1\s \\A
1 18 13
Setbacks Front See. Gl , ,n„
Side L: R: L: R: L: R:
Rear
Building Height
Building Square Footage "20-1 N^
% Open Space: (tot area 1
minus building & paved j ykA ■k >N�
parking
# of Parking Spaces
k.3)`k l
# of Loading Docks
t`C i A
Fill:
(volume & location)
13. Certification: I hereby certify that the information contain .' herein is true and accurate to the best of
my knowledge.
1_
Date: 1`�1,c'' 1L, Applicant's Signature ( "•-■>■,-
NOTE: Issuance of a zoning permit does not relieve an ar, licant's burden to comply with all zoning
requirements and obtain all required permits 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
32012
1
DEPT. OF BUILDING INSPECTIONS File No. 64
inn IA APTOki MA o1CO3
ZONING PERMIT APPLICATION 01o.2)
o.2)
Please type or print all information and return this form to the Building
Inspector's Office with the $15 filing fee (check or money order) payable to the
City of Northampton
Robert J. Lefebvre, as attorney for J.
1. Name of Applicant: James W. Gelinas, Personal Representative of the Estate of
Perman Glenn III
Address: 554 Grattan Street, Chicopee MA 01020 Telephone: 413 - 532 - 0010
2. Owner of Property: Estate of Perman Glenn III
Address: 554 Grattan Street, Chicopee, MA 01020 Telephone: 413 -532 -0010
3. Status of Applicant: Owner Xi Contract Purchaser Lessee Other (explain)
4. Job Location: 428 WEsthampton Road, Northampton, MA
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: Single family residence
6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary):
Pool & Deck permit application
7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans X
8. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO DONT KNOW X 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 DONT KNOW X 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
File # MP- 2013 -0064
APPLICANT /CONTACT PERSON LEFEBVRE ROBERT J
ADDRESS/PHONE 554 GRATTAN ST (413) 532 -0010 0
PROPERTY LOCATION 428 WESTHAMPTON RD
MAP 43 PARCEL 167 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT x
Fee Paid L40 2
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA - POOL & DECK
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 ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF9RMATION PRESENTED: W � N 1.1 kcce E b
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: §
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 Co on Permit DPW Storm Water Management
/ ,�� 7_
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.
428 WESTHAMPTON RD MP- 2013 -0064
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS #: 78403 40,1 H\
�.
Map: 43 � � �
lock_ 167 i 1
Lot: 001 VP % Ztl ZONING PERMIT
Permit: ZONING P ERMIT APP ••�
. i E A APPLICATION PERMIT
Category: Zoning Permit
Permit # MP- 2013 -0064 PERMISSION IS HEREBY GRANTED TO:
Project # JS- 2013 - 000989
Est. Cost: Contractor: License: Expires:
IFee Charged: $15.00 Homeowner as Contractor
Balance Due: $.00 Owner: GLENN PERMAN III
# of Fixtures:, Applicant: LEFEBVRE ROBERT J
DigSafe # AT: 428 WESTHAMPTON RD
UseGroup
ConstClass
ISSUED ON: 07- Dec -2012 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
ZPA - POOL & DECK - WHEN ANR RECORDED
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fixtures:
Floor: Type: # of Fixtures Floor: Type: # of Fixtures
Fee Type: Receipt No: Date Paid: Check No: Amount:
Zoning Permit Application REC -2013- 002251 03- Dec -12 13047 $15.00
212 Main Street, Phone:(413) 587 -1240, Fax :(413) 587 -1272, Email :Ihasbrouck@northamptonma.gov
GeoTMS® 2012 Des Lauriers Municipal Solutions, Inc.