17A-008 (4) File#MP-2020-0048
APPLICANT/CONTACT PERSON KACZENSKI JOHN J& BARBARA A
ADDRESS/PHONE 39 LEENO TERR
PROPERTY LOCATION 39 LEENO TER
MAP 17A PARCEL 008 001 ZONE RI(100)/URA(100)/WSP(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildina Permit Filled out
Fee Paid
Typeof Construction: ZPA-8X 12 ADDITION
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 FO WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFOKMATION 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 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
Signature o uilding Official Dat
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.
�/�V.4�
J4 At
File No.
ZONING PERMIT AF , L; CATMN (§1 o.2)
Please type or print all information and relui is form to the Building
Inspector's Office with the $30 f"cling fee (check or ney order)payable to the
City of Northampton
1. Name of Applicant: wt p
Address: 1� �1ijajhAi 1/L.105 bt , SoU_—,VA,kv 7.,u Telephone: 2
2. Owner of Property: b j j ay
Address: q uwu Jae2 Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. Job Location:
Parcel Id: Zoning Map#_ A 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:ori lnhyw L,---
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
S x 1 L V t oti 61tTio.0 /
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 _ 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)
W:\Documents\FORMS\origin]\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
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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) oyer 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 2
� J
Frontage
Setbacks Front Z 2
Side L: Zv R: L: �,o R: 2-3 L: R:
Rear (�
Building Height
Building Square Footage
%Open Space: (lot area
minus building 1* paved ',
parking
#of Parking Spaces
q
#of Loading Docks
Fill:
(volume Et location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: /-Z1-'Zo Applicant's Signature
NOTE:Issuance of a zoning permit does not relieve an applicant' burden c mply Hrith all zoning
requirements and obtain all required permits from the Board of Heat ,Conservation Commission,
Historic and Architectural Boards,Department of Public Works and other applicable permit granting
authorities.
W:\Documents\FORMS\origina]\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
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City of Northampton. `,LA,: Residential Property Record Card
New Search Property T);W Classification Code Reference Card 1 of 1
Parcel-Location-Zoning- Assessment
Map-Block-Lot: 17A-008-001 Zoning: Assessment:
Location: 39 LEENO TERR Neieborhood: 14 Land: 98,700
#Living Units: 1 Deed Book: 1932 Building: 121,100
Class: R-101 Deed Page: 004 Total: 219,800
Dwelling Information Building Sketch
Style: Ranch d C
�Year Built: 1958 /I•
Story Height: 1 1
Attic: None
Basement: Full
Desdiotor/Area
Total Rooms: 8 �, {h k-1Fr/Bgft
Bedrooms: 5 ' B: O soft
2 27 to 10
Full Baths: 1 (not drawn•errorl
Half Baths: 0 M 1F 1s iF` 14 14 c 14 C:Wood Deck
404 140 sgft
Exterior Walls: Frame 14 10 D:Canow
12, 1337 525 sgft
Unfinished Area: 0 21 E:1 Fr
Ground Floor Area: 999 404 sgft
F:FOH
Total Living Area: 1435 25 Canopy 25 27 199/B 27 32 sqft
Finished Basement Living 525
0X0 •
Area:
Basement Recreation Area: 0 X 432 21 37
f,
Woodburning Fireplace 0/0
� yI
Stacks/Openings: i --j
Metal Fireplace 0/0
Stacks/Openings:
Heat/Central A/C:
Basic __._...� ____ .. •.� --- -
Warm
Heating System: Air
Fuel Type: Gas
Quality Grade: C Addition Information:
Physical Condition: Average
y Lower 1 st Story i2nd Story 3rr d Story Area
interior/Exterior: SameBasement One Story Frame , 999
Condition/Desirability/Utility: GD '�—Enclosed Frame Porch F — 140
Vacant/Dwell/Oby Status: Dwelling F—Wood Deck F 140
Additional Features: Canopy 525
Brick Trim: 0 X 0 �—One Story Frame
Stone Trim: 0 X 0 - —� Frame Overhang F 32
Remodeling Data: J
2/12/2007 10:48 AM
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