25C-160 (8) File q MP-2019-0072
APPLICANT/CONTACT PERSON CLEVIDENCE CARIN
ADDRESS/PHONE 4 ORCHARD ST (413)303-0275()
PROPERTY LOCATION 4 ORCHARD ST
MAP 25C PARCEL 160 001 ZONE URB(l0l)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION-CHECKLIST
ENCLO REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
TypeofConstruction: ZPA-ACCESSORY APMT IN 3/4 OF EXISTING SPACE,GARAGE IN 1/4
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:
Approved _Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project:_She Plan AND/OR Special Permit with Site Plan
Major Project: Site Plan AND/OR Special Permit with Site Plan
ZONING BOARD PERMIT REQUIRED UNDER:§ �/ 9, 7)
Finding Special Permit ll-�' Variance- g\ /C /Z 4u%raYltPd
Received&Recorded at Registry of Deeds Proof Enclosed / Qee e$ 1'1.,�
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 of MGL 40A.Contact the Office of
Planning& Development for more information.
RECEIVED
File No. h1O- 49-7�--
JUN 13 2019
ZONING PERMIT APPLICATI01 INSPECTIONS
Please type or print all information and return this
Inspector's Office unith the$30/iting fee(check or money order)payable to the
. `` City ofNorthampton
1. NameofApplicant: CP&lIIJ C
Address: Te
lephon : 3- , 21 22(J
1t3 )
2. OwnerofProperty: SAetE
—
SoSB
Address: Telephone:
3. Status of Applicant: Owner _Contract Purchaser Lessee_Other (explain)
4. Job Location: S"IE
Plr«lld: Zoning parrew 0 District(s):
In Elm Strttet Distritt In Central Business District
0 BE FILLED IN BY THE BUILDING DEPARTME
5. Existing Use of Structure/Property: (rA"GE C 'Av Kh S 1
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary(:
�R. ca,"S.01 A?A-R-Tn�T+'f IN 3�4- aF Ex IsTI PtG fPnc,E
v11�att! 1 N �4
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 L 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:
C,A-f—I tJ C,94 1-�CN GE o *YAW 9. C Ott (Poon Conhnues On Odwr Side)
W:IDocumeMe�FOW.LSb,igivnBaldi,p-InepscarVUltiyPormilApplicelionrywive.dw P/J/3(Mw
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)ovey 1 acre or 1s 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 ff,901SAif BE DENIED DUE TO LACK OF INFORMATION
This column reserved
'N./ a,70 9 6 for use by the Building
Department
PROPOSED REQUIRED BY
ZONING
Lot Size a
Frontage
Bc. BL Sh*1¢
Setbacks Front 3e JJE to
Side L:iSR"-S� l.g '.39? R: L: I� R: IZj
3.ts'
Rear ISS tj,,,; S.as ZO
Building Heigh
'S S-ra" l STafl Srt/lE
Building Square Footage : 4 a AvuTt°RT A": :lot
GA"&e : 24t
%Open Space: pot area (oNf 1
minus building&paved fAt« 0a
parking �O LVAca
a of parking space 4 3
r of Loading D«la
IJR N{F
Fill:
volume&location N Q A
13. Certification: I hereby certify that the informati conal d herein is true curate to the best of
my knowledge.
Dam: I I Applicant's Signatu
NOTE:Issuance of a zoning permit does not relieve an appNcant's b en to comply with all zoning
requirements and obtain a8 required permits from the Board o ealth,Conservation Commission,
Historic and Architectural Boards,Department of Public Works other a livable permit granting
authorities.
W:1DrcummbV'OR}Rbngi,WlBuiNi,p-IvapecbslnM1,p-Pm„at-Applicrlionpai�c.d°c d<'004
�-- g�➢ �f sT. $R��Ge sT .k,xoRY APS'
oP�
�iTch1 erg
i
S? Ae` SpAck 0eAQ-IN S-r
—NOTE—
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT
TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED.
BUILDING LOCATION ACCURACY IS NOT GUARANTEED
S CAI, TaS �5
-rN-
��,�S civ s,D
3.75 A41
1n 39.375'
U75
MIS --
6'
r
6�
Q.5' 36
TO: COMMONWEALTH LAND TITLE INSURNACE COMPANY
TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BEUEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY # 250167
� —NOTE—
THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
�3 AND DOES NOT CONSTITUTE A PROPERTY SURVEY
to yam —MORTGAGE LOAN INSPECTION PLAT—
NORTHAMPTON, MASSACHUSETTS
�RANDALL m PREPARED FOR
E. ELIZABETH S JOHN LOMBARD
IZER
/35032 SCALE: 1 "=30 ' AUGUST 2, 2002
4�am HAROLD L. EATON AND ASSOCIATES, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET - HADLEY - MASSACHUSETTS