36-369 File# MP-2019-0075 �L�
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APPLICANT/CONTACT PERSON STEPHEN FERRARI
ADDRESS/PHONE 103 RYAN RD (413)588-8975 Q
PROPERTY LOCATION 163 EMERSON WAY
MAP 36 PARCEL 369 001 ZONE _ 0J<
THIS SECTION FOR OFFICIAL USE ONLY: ctt
PERMIT APPLICATION CHECKLIST
ENC REQUIRED .DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin Permit Filled out
Fee Paid
Tyyeof Construction: ZPA-CONSTRUCT NEW SINGLE HOUSE WITH ATTACHED GARAGE
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
INFPRMATION PRESENTED:
V 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: §
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
off— / -7h?bg
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.
File No.—J21 (2- I '75
ZONING PERMIT APPLICATI
Please type or print all information and ret
rill
ui ding
Inspector's Office with the X30 filing fee (checkder)pa a e to the
City ofNorthamp2019
1. Name of Applicant: Steve Ferrari
103 Ryan Road �5s -
Address:
2. Owner of Property: Hal Kennamer
Address: 524 Olde Englilsh Lane, Mountain Brook, AL Telephone: 413-588-8975
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) Agent for Owner
4. Job Location: 163 Emerson Way, Florence
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: vacant lot
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Construct new single family home with attached garage
7. 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 YES X IF YES, date issued: 8/11/2016
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES X
IF YES: enter Book 128386 Page 45 and/or Document#
X
9.Does the site contain a brook, body of water or wetlands? NO 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-Permit-Application-passive.doc 8/4/2004
10. Do any signs exist on the property? YES NO X
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 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
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size 15,549 sf 15,549 sf
Frontage
80.23' 80.23'
Setbacks Front 27,
Side L: R: L: 19' R: 27' L: R:
Rear 26'
Building Height
20'
Building Square Footage
3182 sf
Open Space: (lot area
minus building It paved 5032 sf
parking
#of Parking Spaces
3
#of Loading Docks
Fill: na
(volume ft location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
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Date: 7k Applicant's Signature c
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NOTE: Issuance of a zoning permit does not relieve an a plicant'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-Permit-Application-passive.doc 8/4/2004