31A-198 54 Washington ZPA 2018-08-02File# MP-2019-0012
APPLICANT/CONTACT PERSON LELAl\i , ANDREW
ADDRESS/PHONE 54 WASHING TON A VF. ( 415) 999-07 . ()
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PROPERTY LOCATION 54 WASHINGTON AVE
MAP 3 lA PARC EL 198 001 ZONE URB(J QQ)L
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THIS SECJ ION FOk OHJ . AL USE ONLY:
PERMJ',f APPLICAT101 ~HECKLIST
"PefMt1 ~Puc~"Tt.'1 PAD~lBIT! P
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EN _,OSED REQUIRED DA TE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
TypeofConstruction: ZPA-INSTALL KITCHEN IN DETACHED ACCESSORY APMT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/ Plot Plan
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THE FOLLOWING v!:.CT ON HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRE NTED: oJ)(Yl'
,stk17 u) ~~
iJ Y'fv , __ Approved __ Additional permits required (see below)
! :
PLANNING BOARD PERMIT REQUIRED UNDE~ i § _______ _ '
Intermediate Project : ___ Site Pl&n. AND/OR'---__ Special Permit with Site Plan
Major Project: Site Plan AND/OR Special Permit with Site Plan
ZONING BOARD PERMIT REQU~D UNDER: § 3'id-TA8f..£ 0.5€ ll~(S) '3Sb-4,lO
Finding ___ _
1·
Special P~rmit ---~~ Variance* V -----
___ 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 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.
File No. P-q--1> RECEIV.ED
ZONING PERMIT APPLICATION(§ 0.2)
Please type or print all information and return this fo
Inspector's Office with the $30/i.lingfee (check or money
City of Northampton
m o tlilG Bu I g l
r) payable to t e
DEPT. OF BUILDING INSPECTIONS
NORTHAMPTON. MA 01060
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Name of Applicant: __ A_N_D_RE __ W_S_. L_E_L_A_ND _____________________ _
Address: __ 5_4_W_A_S_H_IN_G_T_O_N_A_V_E_._N_O_R_T_HA_M_PT_O_N_M_A __ Telephone: ____ 4_15_-9_9_9_-0_7_66 __ _
ANDREW S. LELAND Owner of Property: ______________________________ _
Address:54 WASHINGTON AVE . NORTHAMPTON MA Telephone:415 999 0766
Status of Applicant: Owner _x __ Contract Purchaser ___ Lessee ___ Other (explain) ____ _
Job Location: __ 5_4_W_A_S_H_IN_G_T_O_N_A_V_E_N_O_R_T_HAM __ P_T_O_N_MA __ (R_E_AR __ B_L_D_G_) ________ _
Parcel Id: Zoning Map# ___ 3_..a.,{A __ _ Parcel# __ £ __ . q_,..___;,,,. __ District(s): ________ _
In Elm Street District In Central Business District ___ _
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
HOME OFFICE+ GUEST ACCOMODATIONS + GARAGE Existing Use of Structure/Property: ________________________ _
Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
WE WISH TO INSTALL A KITCHEN AND RENT THIS BACK PROPERTY (WHICH IS A BARN THAT
WAS REMODELED BY PREVIOUS OWNERS) TO OUR FRIENDS WHILE WE CONTINUE LIVING
IN THE MAIN HOUSE AT THE FRONT OF THE PROPERTY
Attached Plans: Sketch Plan Site Plan _x __ _ Engineered/Surveyed Plans __ _
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO ___ _ DON'T KNOW X ----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 X ---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-lnspector\Zoning-Permit-Application-passive.doc 8/4/2004
NO X 10. Do any signs exist on the property? YES ___ _ -----
IF YES, describe size, type and location: _________________________ _
Are there any proposed changes to or additions of signs intended for the property? YES NOX ------
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 _x __
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 tm t epar en
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
11 ,238 Sq. Ft 11 ,238 Sq. Ft
Frontage
75 FT 75 FT
Setbacks Front
Side L: n/a R: L: R: L: R:
Rear (not changing)
Building Height
n/a (not changing)
Building Square Footage
969sf
% Open Space: (lot area
minus building ft paved n/a (not changing) parking
# of Parking Spaces
n/a (residential house)
# of Loading Docks
n/a
Fill: n/a (volume ft location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Applicant's Signature -----1.-{/L....,...."'--_, __ ·t.-_~------'----+,,--·'-Date: 7-30-18
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:\Documents\FORMS\original\Building-lnspector\Zoning-Permit-Application-passive.doc 8/4/2004