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44-058 (2) File# MP-2020-0030 oL� 1ff APPLICANT/CONTACT PERSON DAVIS CRAIG R&DUANGCHEUN f ADDRESS/PHONE 1196 FLORENCE RDa PROPERTY LOCATION 1196 FLORENCE RD ©/� MAP 44 PARCEL 058 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: ZPA-REQUEST TO BUILD ON LOT 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 INrRMATION PRESENTED: VVVVVV Approved Additional permits required(see below) W PLANNING BOARD P RMIT 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 i 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 6Z, & -11(61 tt Iq 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. 417 /a -,�o - 3o ZONING PERMIT APPLICATION.; Please type or print all information and return this form to the Building Inspector's Office with the $15 filing fee (check or money'orcf erApayja l�,p the City of Northampton i L Name of Applicant: Jonathan Santiago DFPT OF BUILDING INgp 165 Pleasant St Easthampton MA 01027 i N.r.4Ao o, so Address: ' Telephone: 2. Owner of Property: Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)potential purchaser 4. Job Location: 1196 Florence Rd Lot 2 Northampton, MA Parcel Id: Zoning Map# 4�1, Parcel# C)�—) District(s): In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: raw land 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): We wish o know if we can build a house on this property, assuming we meet all conditions in the table of use for this zone. Therip mary concern is related to it being a flag lot. 16 7. Attached Plans: Sketch Plan Site Plan X Engineered/Surveyed Plans X P 5 hlr(-A� �w,,u l,I I� 1�J �tiulC - 8. Has a Special Permit/Varian)e/Finding ever been issued for/on the site? NO DON'T KNOW YES X IF YES, date issued:April 27 1990 IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES XX IF YES: enter Booker Page 303 and/or Document# 9.Does the site contain a brook, body of water or wetlands? NO DON'T KNOW X YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained date issued: -7 (Form Continues On Other Side) Sat42 I � G� �,A"l . Loves 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 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 147625 147625 Frontage 50 50 Setbacks Front >60 Side L: R: L: >30 R: >30 L: R: Ream >60 Building Height n/a <35 Building Square Footage n/a Q000 %Open Space: (lot area minus building it paved 100% >85% parking #of Parking Spaces n/a #of Loading Docks n/a - Fill: n/a (volume Et location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. November 13 2019 Date: Applicant's Signature NOTE:Issuance of a zoning permit does not reli a 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-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004