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136 CHESTERFIELD ZPAFile#MP-2020-0065 APPLICANT/CONTACT PERSON KEITER BUILDERS ADDRESS/PHONE 35 MAIN ST (413) 586-8600() PROPERTY LOCATION 136 CHESTERFIELD RD MAP 15B PARCEL 024 001 ZONE URA(100) THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildin Permit Filled out Fee Paid T_ypeof Construction: ZPA-SUBDIVIDE PROPERTY TO CREATE 2ND BUILDING 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 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:_::ite 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 oti 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 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. X 04/23/20 NOTE; see URB district design standards (included) RE I K,F APR 2 7 2020 jGFileNo. Ijji9 dU C/ ZONING PERMIT APPLICATION_ § a ) Please type or print all information and return this form to the 8iuilding Inspector's Office with the X30 f ling fee (check or money order)payable to the City of Northampton 1. Name of Applicant: Keiter Properties, LLC. Address: 35 Main Street, Florence, MA 01062 Telephone: 413-320-9035 (Scott Keiter) 2. Owner of Property:_Joanne Lucey Address:_ 136 Chesterfield Road, Florence, MA 01062 Telephone: 413-478-4239 3. Status of Applicant: Owner Contract Purchaser x Lessee___- _Other (explain) 4. Job Location: 136 Chesterfield Road, Florence, MA 01062 Parcel Id: Zoning Map# 1 S Parcel# a`a" District(s): In Elm Street District In Central Business District BE FILLED IN BY THE BUILDING DEPARTMENT)_ _ 5. Existing Use of Structure/Property:--.Single family residence 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Keiter Properties is under contract to purchase 136 Chesterfield Road and would like to subdivide the property in order to create a second building lot. 7. Attached Plans: Sketch Plan ____X Site Plan XEngineered/Surveyed Plans _x_ 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO__-____.._ DON'T KNOW._____X_______ YES---- ----_ IF YES, date issued:.______-__._ IF YES: Was the permit recorded at the Registry of Deeds? NO ------- DON'T KNOW - - x YES --- - - IF YES: enter Book Page and/or Document 9.Does the site contain a brook, body of water or wetlands? NO -_ X DON'T 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\originaRBLIilding-Inspector\Zoning-Perin it-Application-passive.doc 8/12001 10. Doany signs exist onthe property? YES NO » IF YES, describe size, type and location:------ Are there any proposed changes to or additions of signs intended for the property? ocadon:__ Anethrnranypmposcdchangestooraddidonsofsignsintonded /orthepmperty? YES NO--- IF YES, 0____| FYES. describe gze, typo and iocadon:_-_______-______________ 11. Witt the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan ofdevelopment 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 This column reserved for use bgthe Building Department EXISTING PROPOSED REQUIRIFD BY ZONING I,ot Size 36,360 SF 12,430 SF / 23,930 SF Frontage Setbacks Front Rear Existing. New lot line Meet URA to meet URA Building Height 24' Pending home design Building Square Footage 2,500 SF Pending home design Open Space: (lot area minus building Et paved 95%+ Meet URA parking of Parking Spaces 2 Meet URA volume Et location) NA Pending 13. Certification: | hereby certify that the information contained herein istrue and accurate tothe best of my knowledge. April l8 2020Date: z4pp|icant'sSignature NOTE: Issuance ofuzoning permit does not relieve uoapplicant's burden twcomply with all zoning requirements and obtain all required permits from the Board of Ilealth,Conservation Commission, Ilistoric and Architectural Boards, Department of Public Works and other applicable permit granting authorities.