17C-035 (7) File#MP-2020-0023
APPLICANT/CONTACT PERSON KITCHEN ANTHONY
ADDRESS/PHONE 109 NORTH MAPLE ST (301)471-5764 Q
PROPERTY LOCATION 109 NORTH MAPLE ST
MAP 17C PARCEL 035 001 ZONE URA(78)/URB(22)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
SED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildina Permit Filled out
Fee Paid
Typeof Construction: ZPA - 1200 SO FT ADDITION TO EXISITNG HOUSE
New Construction
Non Structural interior renovations
Addition to Existin
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: Site Plan AND/OR Special Permit with Site Plan
Major Project: Site Plan AND/OR Special Permit with Site Plan
ZONING BOARD MIT REQUIRED UNDER: § q-3)
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
0 31 I
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. 3 r-
ECEIVED
ZONING PERMIT APPLICATION ( 6 2)�u i
Please type or print all information and return this fo m to the Buildi g
Inspector's Office with the $30 filing fee (check or mo fteyF0t- ti, a�c �o e
City of Northampton - -
1. Name of Applicant: -A)6 4+\,o Vk t
Address: l roq N mq lt, Sfi. F-( 0 C Telephone: S Z �-
2. Owner of Property: Imo'J 5 ¢ i 1'U�,�
Address: M N L/w I t' S�-• _ l v Y \C 2J Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. JobLocation:
Parcel Id: Zoning Map# � - Parcel# 3_5District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT) J
5. Existing Use of Structure/Property: 0CGU Y SI(IJ)nC.Q/ Cly-V� ll/l�
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
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 DON'T KNOW ✓ YES IF YES, date issued:
IF YES: Was the permit recorded at the egistry 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 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)
c-\,ev,_u�����.y (0— . cam
W ADocu al\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
From: Krista Kitchen kmtuurn2009@gmaii.com B
Subject: Plat-Kitchen project
Date: October 22,2019 at 1:13 PM
To: Christopher Cox chriscoxofieyderi ftmaii.com
11116 PLAT tS COW%W l'M!o avws„ Puws Aoo of s ANC} is twit
TO K 1 A3'i AN ACMAAirE SAtWY MV IS NOT To K nC
LOC.,ATOO AWMACY 15 OOT it'i8AltMI
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NORTH MAPLE STREET
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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) over 1 acre or is 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 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
I. l acmes 1, 101
Frontage
Setbacks Front q ri g7-r
Side L: 1_ r R: r L: 7D R: 5 r L: R:
Rear 3(3,0 '
Building Height Z'/ , Z7-
r`7 ,
Building Square Footage
%Open Space: (lot area
minus building ft paved
parkin
#of Parking Spaces 3
#of Loading Docks
Me-
Fill:
(volume Et Location) G ��
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 2 Applicant's Signature �--�
NOTE: Issuance of a zoning permit does not relieve an applicant' bu n 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
109 NORTH MAPLE STREET
Addition to Existing Hous.
Drawings List
Archrtecorml
A-001 Standard Assembly Types
A-101 Survey
A-103 Site Plan
A-201 Existing Ground Floor Plan
A-202 Proposed Ground Floor Plan
A-203 Proposed 2nd Floor Plan
A-204 2nd Floor Framing Plan
A-210 Root Plan
A-301 Elevasona
A-302 Eley:0b
A-401 Secbons Looking East
A-402 Sect.ns Looking North
A-601 Window.Door Schedules
A-701 Plan Details
A-801 Section Details
Structural
50.1 7
Mark Chiffon Design
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