24A-124 5 Calvin ZPA 2018-05-24File# MP-2018-0064
APPLICANT/CONT ACT PERSON MIN DESS RICHARD C & TRACY S
ADDRESS/PHONE 5 CALVIN TERR
PROPERTY LOCATION 5 CALVIN TER
MAP 24A PARCEL 124 001 ZONE URA(lOO)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECK.LIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
TypeofConstruction: ZPA • IOX18 DECK AT REAR OF HOUSE
New Construction
Non Structural interior renovations
Addition to Existin
Accesso Structure
Building Plans Included:
0\>;Tier/ Statement or License
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PR~SJ,NTED:
__ 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 §.~3~~~0~-~"'~·-)~l"-f\~)L7 __
Finding /" Special Permit ____ _ Variance* _____ _
---~Received & Recorded at Registry ofDeeds 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
Date 1
Note: Issuance ofa 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.
RECEIVED
MAY 2 3 2018
File No.
Please type or print all information and return 1s orm o e w ng
Inspector's Office with the $30(ilingfee (check or money order) payable to the
1 .
2.
3.
4.
5.
6.
7.
City of Northampton
Name of Applicant: $1 4 'M,:Q '!1, vl,(':\.. e, l-(... Ir/
Address: ~ lAV!r{J<ro&\Ad:(U::, ~~ Telephone:. _______ _
Owner of Property::_-----'~==-"="'--------------------------
Address:. _________ ~ __________ Telephone.: ___________ _
Status of Applicant: Owner / Contract Purchaser ___ Lessee Other (explain), ____ _
Job Location: S C..AOJlq ~~
Parcel Id: Zon;ng Mar,#. ...:2-,...[ ,"'t-Parcel# I ~<-f Distoict(s): _______ _
In Elm Street District In Central Business District. ___ _
(TO BE FlLLED IN BY THE BUILDING DEPARTMENT)
Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Attached Plans: Sketch Plan
EJ,d""' ]?@:R ~ l..]:J'fts
5>te Plan ~eered/Surveyed Plans __ _
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO ___ _ DONT KNOW __ >(Jc_ __ 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? NOL DONT 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)
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•
10. Do any signs exist on the property? YES ___ _ -,c NO ___ _
IF YES, describe size, type and location: ________________________ _
Are there any proposed changes to or additions of signs intended for the property? YES ___ NO K
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 ..::::s::::.__
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
n.cmartment
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size , l S l'. A<, 11."t I t ,Ill ?, o,:,o s,a.,......cr
Frontage Joi., ( (J 'l I ,J'
Setbacks Front ,.,. . Zv U:,'
I • R: Z~ 1 I ;r • I~ I Side L: ZO R: '2.0 L: zo' L: R:
Rear ,· • G zo'
Building Height U'J I Z,, I
Building Square Footage 1450 14,;o
% Open Space: (lot area
j minus building & paved Z,..tJ.' Z?.,>l parkin2
# 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.
Applkant's s;gnatu,e ~ /L-J Lfll~ o.,.,S,ZJ~/8
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, Deparbnent of Public Works and other applicable perm.it granting
authorities.
W:\Documents\FORMS\onginal\Bmlding-[nspector\Zoning-Penn1t-Appl1cat1on-pass1ve.doc 8/4/2()(14