23A-139 (7) File#MP-2020-0056
APPLICANT/CONTACT PERSON POLINS JENNIFER
ADDRESS/PHONE 32 MAPLE ST (413)695-1799 Q
PROPERTY LOCATION 32 MAPLE ST
MAP 23A PARCEL 139 001 ZONE URBf 1002
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-CONVERT STUDIO IN DETACHED STRUCTURE INTO A ACCESSORY APMT
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 PRF ELATED:
Approved ��// Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan u
Major Project: Site Plan AND/OR Special Permit with Site Plan . ,1
ZONING BOARD PERMIT REQUIRED UNDER: �•-
Finding Special Permit Variance* i Vol,
� (v'
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 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. /? !2- dD -5'(0
ZONING PERMIT APPLICATION 01 o.2)
Please type or print all information and return this form to the Building
Inspector's Office with the$3o filing fee (check or money order)payable to
the City of Northampton
1. Name of Applicant: Jennifer Polins
Address: 32 Maple Street, Northampton, MA Telephone: 413-695-1799
2. Owner of Property: A. Stephen Polins and Jennifer Polins
Address: 32 Maple Street, Northampton, MA Telephone: Same
3. Status of Applicant: Owner X Contract Purchaser Lessee Other (explain)
4. Job Location: 32 Maple Street, Northampton, MA 01060
Parcel Id: Zoning Map# c>� -3 Parcel# 1 31 District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: The property contains a single family residence and also
has a detached structure which contains a studio and garage
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
The proposed work is to convert the studio in the detached structure into
an accessory apartment with a full housekeeping unit, including a bathroom
and a kitchen. The garage and exterior footprint of the detached structure would
remain the same.
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 X 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 X 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\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 X
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
Setbacks/building height, square footage are for proposed This column reserved
accessory apartment, other figures are for the entire lot for use by the Building
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
entire lot app 22,077 app 22,077
Frontage
entire lot 99' 99'
Setbacks Front 1001+ 1001+
accessory Side L: 501+ R: 5. 1 ' L: 50'+ R: 5. 1 ' L: R:
apartment
Rear 30+ 30+
Building Height
accessory apartment 19' 19'
Building Square Footage
accessory apartment ± 899 +899
%Open Space: (lot area
minus building Ex paved
parking
#of Parking Spaces
entire lot 3 3
#of Loading Docks
entire lot N/A N/A
Fill: N/A 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.
Date: L /,41 0 n Applicant's Signature
NOTE: Issuance of a zoning permit does not relieve 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-Ins pector\Zoning-Permit-Application-pas s ive.doc 8/4/2004