06-064 (41) File#MP-2019-0035 Ko 1, O
APPLICANT/CONTACT PERSON KEITER BUILDERS
ADDRESS/PHONE 35 MAIN ST (413)586-8600 Q 01
PROPERTY LOCATION BEAVER BROOK LOOP-LOT#27
MAP 06 PARCEL 064 000 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
E OSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildina Permit Filled out
Fee Paid
Typeof Construction: ZPA-NEW PRIMARY RESIDENCE
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 PRESENTED:
_ pproved 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
� � �AIv 56o
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 of MGL 40A.Contact the Office of
Planning&Development for more information.
(.&6 CL
File No.
ZONING PERMIT APPLICATION 01 o.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
,(�Ci�ty o( �
f_Northampton
1. Name of Applicant: to 4<r N� \h S 1v–
Address:36^ Kkc6A. ,Q,+ e omAA-uL /� Telephone: 506 56 06
2. Owner of Property: YI.OY � M ay4AC`. UD� I CJI.IQ ✓
Address:6'05 ,)J 5 it"Zk- 5r '# 1803 ` keAQ �AV MD'Telephone: 9'���
3. Status of Applicant:\ Owner Contract Purchaser rrLess__e��e-- Other (explain)
4. Job Location:
r
.Parcel Id: Zoning Map# ^�_ Parcel#O&� Dstri (s):
In Elm Street District In Centra( Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT
tt ` i
OCT
5. Existing Use of Structure/Property: to
DEPT OF BUILDING INS PFCTIONS
NORTHAMPTON- 0
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 DON'T KNOW L.Z — 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 —V—/DON'T KNOW ___ 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-Perm it-Application-passive.doc 8/4/2004
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 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
EXI TING PROPOSED REQUIRED BY
ZONING
Lot Size
Frontage
Setbacks Front
Side L: R: L: R: L: R:
Rear
Building Height
Building Square Footage
%Open Space: (lot area
minus building Et paved
parking
#of Parking Spaces
#of Loading Docks
Fill:
volume & 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 t
NOTE: Issuance of a zoning permit does not reli e 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-Perinit-Application-passive.doc 8/4/2004
CRY
i f F Louis Hasbrouck<Iasbrouck@northamptonma.gov>
............_ ....... ......... __ ......... __............__ ......... ..........
Beaver Brook
1 message
Louis Hasbrouck<Iasbrouck@northamptonma.gov> Thu, Oct 18, 2018 at 6:26 PM
To: Scott Keiter<skeiter@keiterbuilders.com>
Scott,
I need to talk to Carolyn about the Beaver Brook house; it should be OK but there may be some original project conditions coming up.
I'll know more Monday.
Louis Hasbrouck
Building Commissioner
City of Northampton
Town of Williamsburg
(413)587-1240 office
(413)587-1272 fax