17B-010 (5) 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. 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 4.00 AC. 4.00 AC.
Frontage 1127 1127
1��
Setbacks Front 43' 43' `1�
Side L: 12' R: 8' L: 12' R: 42' L: 115" R:
Rear 565'
' 507'
30
Building Height
. 2s 2s 3S
Building Square Footage 1,774 SF
3,098 SF
Open Space: (lot area 99.0% 95.6%
minus building ii paved parking
#of Parking Spaces
2 9 ,
#of Loading Docks N/A
N/A
Fill. N/A N/A
(volume Et location)
12. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 4 `' Applicant's Signature
�I�fR/TG 400
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with 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.
OOO.pdf
i
2 0
File No. bl "
PERMIT APPLICATION(§10.2)
___''Please type arrrri>�it 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
1. Name of Applicant: Mr. James Harrity
Address: 77 Maple Street, Florence Telephone: (413) 585-8025
2. Owner of Property: Mr. Stephen Petegorsky
Address: 134 North Street,Northampton Telephone:
3. Status of Applicant: Owner Contract Purchaser x Lessee Other (explain)
4. Job Location: 408 Bridge Road, Florence
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: 2-Story, single-family,wood frame building for
residential purposes.
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Project consists of construction of two attached 2-story residential structures associated with the existing
residential dwelling to become a one-three family clustered development. Associated work include the
removal of existing shed and provide walkways and parking spaces.
7. Attached Plans: Sketch Plan Site Plan X Engineered/Surveyed Plans
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 DON'T 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)
Fiie#MP-2005-0074
APPLICANT/CONTACT PERSON HUNTLEY ASSOCIATES PC
ADDRESS/PHONE 30 INDUSTRIAL DR EAST (413) 584-7444
PROPERTY LOCATION 408 BRIDGE RD
MAP 17B PARCEL 010 001 ZONE RR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM LLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-3 FAMILY CLUSTER DEV
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
INFORMATION PRESE
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:
cut
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
Signature of Building Off vial 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.