22B-047 (2) File#MP-2019-0021
APPLICANT/CONTACT PERSON PUN FAMILY LLC
ADDRESS/PHONE 191 SOUTHWICK RD
PROPERTY LOCATION 176 PINE ST
MAP 22B PARCEL 041 001 ZONE N&1001/
THIS SECTION FOR OFFICIAL USE ONLY-
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
T eof Construction: ZPA-ADD 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
INF911MATION PRESENTED:
(/Approved Additional permits required(we 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
Signature of Building Official Date
Note: Issuance of 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.
File No. rr P- M-a I
ZONING PERMITAPPLICATION(§10.2)
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:
Address: Telephone:
2. Owner of Property: n A-24 Pv ,ti
Address: l 7 6 Pl ti£ Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. Job Location: I-76- P ,, ,54- LuaAa ee .wtq
Parcel Id: Zoning Map# Parcel# 0'1� District(s):
In Elm Street District In Central Business DisMct
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property:
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Site Plan 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 YES
IF YES, has a permit bei n or need to be obtained from the Conservation Commission?
Needs to beobtained RECEIVE ined , date issued:
AUG ' 0 20'8 (Form Continues On Other 5ide)
W,9 um tl TORMS/ongwel�9wldw -Iml8/0/2000
DFPT.Or null MNC,INSPECTIONS ive
NOnTH,,,oN.IAA" Gn
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. 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
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Int Size
Frontage
y/ s
Setbacks Front
Side L: R: L: R: L: P,
Rear
Building Height
2 �
Building Square Footage
%Open Space: (lot area
minus building Ft paved
Arkin
#of Parking Spaces
#of Loading Docks
Fill:
(voWme B 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
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:\DOC==s\FORMS\Onginel\Building-Inspagnr\ ning-P—m APVlwabm-passive.doc x4/2004
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Please provide all information/specifications that apply to your proposed deck/porch project.
L�To[al Square Feet of Deck/Porch: .L5f ❑ Height of Deck/Porch Surface from Adjacent Grade: 2 ft.—�'—in.
iRYFootings: Concrete: Depth:§�-R V In. Width:Lin. ❑ Helical Metal Pile ❑ How Many Footings?
Q'Post Dimensions:bin. (x)_bin. ❑ Beam Dimensions:bin. (x)hin. Max.Span:_,P ft._in.
0 Ledger Board: Dimensions: Z in.(x) /0 in. Attachment Method:setag Bolts ❑Other
'a Joists: Dimensions:,♦b in.(x) 1` in. Span: /;;C ft. in. On-[center Spacing:A�,n.
Decking Boards: oWood oComposite ter Dimensions: .S'Yfi. (x) in.
eRdlhngs and Balusters: o Wood o PVC o Other��2E•l Height:�k._in. Space Between Balusters: /Un.
Does the project Include continued use of a pre-existing roof or construction of a new roof? ❑Yes W-No
If Yes, please provide the following information: l�//
•Total Square Feet of Pre-existing or New Deck/Porch Roof y SF
• Rafter Dimensions:4&m. (x)_in. Rafter Span: R( in.
• Post/Column Dimensions:-k—in. Ix)—in.
• Beam Dimensions:�in. (x)6-in. Beam Span:,L'l_in. /
Does the project include continued use of pre-existing stairs or construction of new stairs? Gies 0N
If Yes,please provide the following information/
• Width of Pre-existing or New Stairs: ft._in.
• Riser Height:�in.
•Tread Depth !�—jn.
th°gaps Cap rail
---- - Joist hanger ,
: Tap rat)
!.edger ' Bridging
Decking
Tread
Rise �� Gt tQ�i K= ��_: Baluster
Rim joist
Rim l' Rail post
Y joinst— Post. Post
Stringer anchor
Beam Concrete footing
Note: •Ledger board installations must include use of approved flashing at the ledger board/building connection. • Ledger
boards must be attached with approved fasteners installed according to prescriptive code requirements or manufacturers
instructions. •Approved post anchors,joist hangers,post/beam ties,hurricane ties,and all similar connection hardware shall be
installed at all appropriate structural connection/attachment locations. •All structural wood elements,including decking,must
be pressure treated or naturally durable wood,or made of an approved decay and weather-resistant material •Rim joists
perpendicular to beams must be doubled
City of Northampton
i <
Massachusetts c
DEPARTMENT OF BUILDING INSPECTIONS
zrz Main Street,Room roo o�. pcs
Northampton MA o1o6o
(03)587-1240
Plot Plan Drawing
To be submitted with permit applications for 1-or 2-family additions, decks, porches, pools, and
detached accessory structures. /
Property address: /?f— -�' 2/q�-T. ✓W4
Proposed work: fz' l%-4 AAs'/ /vr- S/A
Information/detail requirements: •Septic system tank and drain field (if applicable).
• Street(s)by name •All existing structures incluc ing decks, pools,
• Front of house detached garages, carports,i sheds,etc.
• Driveway ✓ •All proposed additions,decks, porches, pools,
• Easement(s) detached garages, carports,'sheds, etc.
•All property line dimensions • Distances of existing and proposed structures to
lot lines and other structure{
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(Example on back) b
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Plot Plan Example
CeM flleStrem
------------ - - ---.-110--------- '_
Existing Porch N
50'
Existing House Garage
Existing
Sh
r New Deck New
seaEC Tank Addition
L T
JI
—————————————
—————-------- — 10'
t ing pain FleIU
Replacement Dram FWd
-------------
110