25 Maple Ave ZPA 2015-12-21File# MP-2016-0054
APPLICANT/CONTACT PERSON GENG PING
ADDRESS/PHONE 782 NORTHEAST ST (413) 253-4730 ()
PROPERTY LOCATION MAPLE AVE
MAP 32C PARCEL 071 001 ZONE CB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
TypeofConstruction: ZPA-BUILDABLE LOT -FRONTAGE-TOWNHOUSE UNITS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans I Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRE~NTED:
__ Approved -t,L.Additional permits required (see below) 2,..
iJn" ~~'1)-{I~
PLANNING BOARD PERMIT REQUIRED UNDER: § 3So ·-1 A8U:: of t.ts-e Y' lvS
Intermediate Project : __ V_Site Plan AND/ORc...._ __ 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
____ Well Water Potability Board of Health ___ Septic Approval Board of Health
~Permit from Conservation Commission ___ Permit from CB Architecture Committee
-----'Permit from Elm Street Commission ____ 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 ofMGL 40A. Contact the Office of
Planning & Development for more information.
II ZONING PERMIT APPUCATION (§10.2)
Please type or print all information and return this form to the Building
Inspector's Office with the $30fi.lingfee (check or money order) payable to the
City of Northampton
1. Name bf Applicant: P, ,.JG: Ge-o eJ
Address: l 8 2 N Q~ 'nH:A-&I S '"I-,. fbn&~~ T, /}\It Telephone: 4-:t ~ -2.$3 -4--1 :3 o
2. Owner of Property: P ING-&:eu {;r
Address: __ ~c_.S ..... d:.......,.Yh~?----------------Telephone: __________ _
3. Status of Applicant: Owner X Contract Purchaser ___ Lessee, ___ Other (explain), ____ _
4. Job Location: 25 yY\ A::PLt ,4v~ I N QflIHA:rhpTD O ,-m A
. Parcel Id: .. ~oning ~ap#_._ .. _____ ·. Pare:~!# 13 2L-Ol t · Distrkt(s):_: --------
In Elm Str~et District . ,· , . In Centra!Business District
· • (TO BE FILLED IN BY THE BUILDING DEPARTMENT) ·----
5. Existing Use of Structure/Property: ___ f;_-~Y\1 ........ Q_r_y.,__~L~V~.,-~--------------
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
~-std e; of f ?l:!, .. !_ :e oftvC CJ i~h ·f-o wt $..e~
13u.ttJ)A(;L{ loT · FQ6NIA9€ low>Jtlot.ts~ UJ.;> LIS'
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans __ _
r;~ '.;:
8. Has a Special Permit/Variance/Findi_ng ever been issued for/on the site?
NO X DON'T KNOW ___ _ 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 __ _ YES X
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
II
10. Do any signs exist on the property? YES ___ _ NO _ ___,_)(....___
IF YES, describe size, type and location=--------~----------------
Are there any proposed changes to or additions of signs intended for the property? YES ___ NO )(
I
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 ~
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
D epartment
EXISTING PROPOSED
Lot Size 0, ~4-&.Cf<!. 0 , ~ 4-CLCr-(1
.-, -I --
Frontage ::, (7•..) 7 v. '+'" ~ f--
Setbacks Front
Side L: R: L: S-0 •· R: s-v' L:
Rear 0
·~-
Building Height ·-·
D . ~ S'fo ,-vt
Building Square Footage 7, tTCTD ~f -fc () fr;Jr 4tu1, :fs w Hh -e tui
% Open Space: (lot area I';] ._s-D ~ I
minus building a paved () l lo I fTl71' C:.C. parking
# of Parking Spaces 0 i {O
# of Loading Docks _ 0 0
Fill:
(volume a location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: ---------Applicant's Signature------------------
REQUIRED BY
ZONING
R:
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,
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
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