17C-251 41 North Main ZPA (2)File# MP-2018-0013
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APPLICANT/CONTACT PERSON SCHNABEL BROOKE
ADDRESS/PHONE 4 POND HILL RD (413) 268-8326 ()
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PROPERTY LOCATION 41 NORTH MAIN ST
MAP 17C PARCEL 251 001 ZONE URB(IOO)/Sl{O)/
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
TypeofConstruction: ZPA -ADDING A DETACHED DUPLEX HOUSE ON THE BACK OF LOT. ONE UNIT
TO BE OWNER OCCUPIED
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 PRE~TED: . A'f f n.P\I {)('l/
__ Approved _V_A Addcditional permits required (see below) PS 5 l :T6 f UUJ
PLANNING BOARD PE~T REQUIRED UNDER: § 350 ... , 1 ·· 0 V-12-t?~e_
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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
·;~
Signatuh? ~uilding Official Date 1
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 ofMGL 40A. Contact the Office of
Planning & Development for more information.
Please type or print all information and return this form to the Building
Inspector's Office with the $30fi.lingfee (check or money order) payable to the
City of North mpton .
1. Name of Applicant: 'Brool<il. Sc.i\V\ab~ . ...l S"cu\tll\(..L Po.rk (c.)
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Address: 't PonJ {.(;It RJ. Willta.nr1sb{},1j Telephone: 13-Ull, 5 13-SW-/5/'f
Owner of Property: S'LUl-€..-'ft 3 -l 70-/037 -~~-----~-,.----~-~-, -,~-~----,-.~--(c)
Address: 'S ~ Telephone:.--'~_a._t_,'-_1£..._C<._, _a.:_\o_U_v_'-__
Status of Applicant: Owner /,,L..-Contract Purchaser Lessee ___ Other (explain), ____ _
Job Location: 41 /q ·5 JJ . .M.ai(I. sf. Fl{)rene.e. ,MA I '
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Existing Use of Structure/Property:_.._t/l.c.1uo...l-(f:1-,._· _-_±....,4#1A::=.::.i\...::l.::i"\1-k!.kJ,,!o'-.loot""'-2.LS e..-.. __ '"t-=--\A=#-=-i1",.,,,'5c...j+· __,.2,=--11,u)-
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· Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
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 t~e 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 vr' 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: ______ _
(Fonn Continues On Other Side)
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1/ 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 V ---·
IF YES, describe size, type and location: _______________________ _
i/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 _i,L..
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
D artment
EXISTING PROPOSED . RF;Qp)REDJJ:V
ZONING.
Lot Size
I b 1 ttC.ffL, , <oCf ~ lot/
') Frontage })2 ~
Setbacks Front ,7
·? Side L: :,Df.t-R: I b .,* L:
Rear \10\-y
9 Building Height 2 s"-i,-t.-5"'" 1.. s.\or\~ C
Building Square Footage 3bbAa?-/ .~r 11 tfi/ . S'f;' ft.
% Open Space: (lot area bO% 0~ 571t, 1 minus building 8: paved j s.~ arkin
# of Parking Spaces ~ IJ..
# of Loading Docks D 0
Fill:
volume 8: location
13. Certification: I hereby certify that the information contained herein is true and a
my knowledge.
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to compiy 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.
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