38A-041 (4) File',✓MP-2017-0017 CL
O 1
APPLICANT/CONTACT PERSON WEENE BARBARA J LQ CL
ADDRESS/PHONE 18 LAUREL ST
PROPERTY LOCATION 18 LAUREL ST bb
MAP 38A PARCEL 041 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid 31:1
Building Permit Filled out •�1
Fee Paid
Typeof Construction: ZPA-DEMOLISH EXISTING SITTING ROOM,CONSTRUCT NEW BEDROOM
MUDROOM, STOOP AND SCREENED PORCH
New Constniction
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 PRESENTED:
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
Commission Permit DPW Storm Water Management
94 /16
Signature of Building Otttcial 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.
�(\ SLV 1 2 2016
u (15 File No./17ie-/7- /7
DEPT OFBN:DING INSPECIION9
ZONING PERMITAPPLIEAIION (00.2)
Please type or print all information and return this form to the Building
Inspector's Office with the$30fling fee(check or money order)payable to the
City of Northampton
I. Name of Applicant: a/ h&re
Address: IS ZGIUt'e[ C.S •p Telephone:
2. Owner of Property:cQ ✓ 7c•7/ob CUR- 6&J-e els(
Address: �U hatre_
Oct Telephone:
/
3. Status of Applicant: Owner V Contract Purchaser Lessee Other (explain)
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District - In Central Business District
(TO SE FRIED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: �S/r.A.?ICJ c>2t r 7s' /-4(ASP-
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheetsif necessary):
ke 'vt c A S ic, ' eX/V-/tt r9 c c P/QUJ t? /C!?oi2/1 l 0r Ll -'e oto
fCeu-T Seckrootn y4 ,tdroo 'i_. SS' -z op antid
.S c eeeu..eo/ Pct aced .
7. Attached Plans: Sketch Plan X Site Plan X Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 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 DONT KNOW V 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-passivedoc 8/4/2004
S/l S Cc qq e iO C (lc CCS
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_
IF YES, describe size, type and Location:
11. Wilt the construction activity disturb(clearing, grading, excavation, or filling)oyer 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
Department
EXISTING PROPOSED REQUIRED BY
p,t�O ZONING
Lot Size % / ! ac /7, 9q0 31c
Frontage
/60 /OC'
Setbacks Front / 9•-z ' / 9. 2
Side L: /9 � R: /'[j 1 L: /9 R: //-// L: R:
lsy �
Rear • O n cJ�/— •47
Building Height I
023 a 5
BuildingSquareFootage 6 - 6-r9/
AAN Poo rs £ - 9`2y 0 /337 z.=voo° .a07/
%Open Space: pot area
minus building&paved 9/ 3 70 •:;99, 3, 70
parking
#of Parking Spaces �ryr
at-
A of Loading Docks
0 O
Fill:
(volume Et Location)
13. Certification: I hereby certify that the information contained herein is true and accurat to the best of
my knowted:-.
Date: / (G Applicant's Signet
' .�Arw _-c L •
NOTE:Ise . ce of a zoning permit does not 'neve 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 ilbwments\FORMS\onginal\Building-Inspector\Zoning-Permit-Application-passive doe 8/4/2004