197 ROUND HILLFile#MP-2020-0064
APPLICANT/CONTACT PERSON BOULAY ROSE
ADDRESS/PHONE 182 PROSPECT ST (502) 767-6670 Q
PROPERTY LOCATION 197 ROUND HILL RD
MAP 24D PARCEL 238 001 ZONE URC(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
T_ypeof Construction: ZPA-ADD EXTERIOR WOOD STAIR TO NEW 3RD FLOOR ACCESS DOOR
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 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 of Building Official Dateg
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.
X
05/07/19
ED
PR 1 4 2020
PERMIT APPUCATION(§io.2)
Please type or print all information and return this form to the Building
Inspector's Office with the X30 fcling fee(check or money order)payable to the
City ofNorthampton
1. Name of Applicant: -ROS-e— Kk ajA& 9;VJO'
Address: q3 j2cuv1dLlt e a oa elephone• :)W - I L Z -6 6-70
2. Owner of Property: JS cq4
Address: ir)'t • Telephone: fj alkx- (,Y2 C Ye--
sod- - 7 6-3
3. Status of Applicant:Owner Contrac/tPurchaser LesseJe / Other/(ex/,plain)
4. Job Location: `` t ,, )eo a I`(/ f< l --- A T(
Parcel Id: Zoning Map# - 4 Parcel# c r District(s):
In Elm Street District In Central Business District
0 BETILLLEED IN BY/THE BUILDING DEPARTMENT)
5. Existing Use ofStructure/Property:
6. Description of Proposed Use/Work/Pro)jest/Occupation: (Use additional sheets if necessary):
Jt 4-4-- fre;-" 9 ra-,de. AA c
r/ a e c-e de")
A:5> 301d -( bed-
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:1Documents\FORMS\originall3uilding-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
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:
TTS
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
77cis column reserved
for use by the Building
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
00/0 s, 00/0
Frontage
ce
Setbacks Front a3 39
Side L: 3 R: O' L:
7/
1 R: JQL: R:
Rear 17
Building Height
Building Square Footage
f 1+ 13 30
Open Space: (lot area
u
minus building Ix paved
0 3 Lf /a
parking
of Parking Spaces
L.
of Loading Docks
Fill:
n/
volume It location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: d Applicant's Signature
NOTE:Issuance of a zoning permit does not relieve an applicants 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:1Documents\FORMSIoriginal Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
l
r
Boulay Residence
197 Round Hill Road
House
3 stories
Existing one story
dON'" Existing deck
wing of houseFil
Z39'-0"
to front property line 21'-2"
Round Hill Road
New exterior wood --/
stair from 3rd 8,_6„
f loor.
L _ _ _ _ _Existing Fence (property line)
04/082020— Scale 1:80
N 15045'42"
WL
92.92'l 0)
wood ret. wall
u, wood lattice fence
1 0?
8,109E SQ. FT. shed
0.1862± ACRES
picket
fence Boulay
Proposed
I
1 Stair
197 Round b
Hill Rd. j
79'-01'
1 dwelling
w Vl
edge of 182 a4 ---z.— paved w
parking 0 0
area
New 2 story exterior
O wood stair
211-2" p
OI39'-0" 1-6"38LJ
9 52'
1 1
68.50 reba found to rebar set)
S 17'18'54" E --•-- :°
cont. driveway . 78.020
proposed easement
t
ALLEY — "OPEN WAY"
OWNER UNKNOWN
1 LAID OUT 10' WIDE
1