17D-081 (15) File 4 MP-2017-0047
APPLICANT/CONTACT PERSON BORSON RACHEL
ADDRESS/PHONE 14 BIXBY CT (413)727-8064 Q
PROPERTY LOCATION 1 GARFIELD AVE
MAP 17D PARCEL 081 001 ZONE URB(100)1
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Bee daid
Building Permit Filled out
Fee Paid
TvpeofConstruction: ZONING-SINGLE FAMILY63,0
OF 1700 SF WITH ACCESSORY BUILDING&
NEW DRIVEWAY TO BE CONSTRUCTED WITHIN SETBACKS ON A SITE THAT HAS BEEN GRANTED
COMPREHENSIVE PERMITS BY THE CITY OF NORTHAMPTON
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 PRF.IENTED:
Approved \/ Additional permits required(see below) •
PLANNING BOARD PERMIT REQUIRED UNDER : § 359- TA 61.6 GSE URB fVJsleNiL5aoAIz-
/ MM�J WNI�E THE REQUIRE
Intermediate Project:_ Site Plan AND/OR I/ Special Permit with Site PlanDeo fi
Major Project: Site Plan AND/OR Special Permit with Site Plan I 'NT Felt 1-'
TNP'C F ACES INE us:
ZONING BOARD PERMIT REQUIRED UNDER: § (_S6e USE -cFB LC ��)
Finding Special Permit Variance* PPE z )
Received&Recorded at Registry of Deeds Proof Enclosed „:"a CCS dK
NOTE
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
(,J,-/'Permit from Elm Street Commission Permit DPW Storm Water Management
Signature Bust i r g Offici Date 47 117
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.
i - 7201/ •
X3
!Y7l7 7 -"17 File No. l l (0 t I
ZONING PERMIT APP LIGA-TI 0.2)
Please type or print all information and return this form to the Building
Inspector's Office with the$30 filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: Dorrie Brooks, AIA, Jones Whitsett Architects
Address: 308 Main Street, Greenfield, MA 01301 Telephone: 413-773-5552 x14
2. Owner of Property: Rachel Borson
Address: 14 Bixby Court, Northampton, MA 01060 Telephone:
3. Status of Applicant: Owner X Contract Purchaser Lessee Other (explain)
4. Job Location: 1 Garfield Street, Florence, MA 01062
Parcel Id: Zoning Map# 17D Parcel# 081 District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: Undeveloped
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Single family home of 1700 sf with accessory building and new driveway to be constructed
,' t't - .. . .f . - r. .. S -. .1 -. •f1. -1-1 - •- N' . 1'
Northampton.
7. Attached Plans: Sketch Plan Site Plan X 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 DONT KNOW X 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 Yes , date issued: within last 6 years
(Form Continues On Other Side)
W\Documents\FORMS\original2Building-Inspector\Zoning-Pcrmil-Application-passivedoe 8/4/2004
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. Will the construction activity disturb (clearing, grading, excavation, or filling) goer 1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO A
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 5,165.97
5,165.97 sf
Frontage
25.8 feet 25.8 ft
Setbacks Front 25.811ft 25.81
Side L: 95.95 R: 100+ 29.2 L: 95.95 R: 100 + 29.2 L: R:
Rear 501ft 50
Building Height
26 ft
Building Square Footage 1693 nsf
%Open Space: (lot area
minus building& paved 61%
parking
#of Parking Spaces 2
#of Loading Docks 0
Fill:
(volume & location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge. �, ,�J {\�1I /�Vj/���'���{',�,, y/1�'/
Date: 3 6 Z07'7 Applicant's Signature Ali v7 V " J'
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 VDocumcntsVFORMSVoriginal ABudding-InspectorZoning-Pe,mit-Application-passivedoc 8/4/2004
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