05-012 (2) File#MP-2021-0051
APPLICANT/CONTACT PERSON MATTA RAUL& FARRAH ( FI G)41-ON&€
ADDRESS/PHONE 104 GRANBY RD (413)695-8630 Q
PROPERTY LOCATION GROVE AVE
MAP 05 PARCEL 012 001 ZONE URA(286)/SR(36)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLO D QUIRED DATE
ZONING FORM FILLED OUT 1
Fee Paid 3�Building Permit Filled out
Fee Paid
Typeof Construction: ZPA- BUILDABLE LOT FOR SINGLE FAMILY HOUSE
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
aV t • .r / 5/a,I
Si., ature of Building Official j 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.
i MAR 2 2 2021
File No.
ZONING PERMIT APPLICATION
` `;TIONS
Please type or print all information and return this form to the Building
Inspector's Office with the $15 filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: Raul and Farrah Matta
Address: 104 Granby Road, South Hadley, MA 01075 Telephone: 413-695-8630 and 413-923-8422
2. Owner of Property: Patrick J. Melnik, Sr., Trustee of the Beaver Brook Nominee Trust
Address: 0 Grove Avenue, Leeds, MA 01053 Telephone: 413-584-6750
3. Status of Applicant: Owner Contract Purchaser x Lessee Other (explain)
4. Job Location: 0 Grove Avenue, Leeds, MA 01053
Parcel Id: Zoning Map# Parcel# 0/2 District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: Wooded lot.
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Two floor, single family residence.
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 DON'T 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 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\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
This column reserved
for use by the Building
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
30,479 square feet 30,479 sqare feet
Frontage
50 FEET 50 FEET
Setbacks Front 20 feet 20 feet
Side L: 15 feet R:15 feet L: 15 feet R1 5 feet L: R:
Rear 20 feet 20 feet
Building Height
n/a around 39' 11 7/16"
Building Square Footage
n/a around 2,000 square feet
%Open Space: (lot area
minus building a paved 100% 50%
parking
#of Parking Spaces
n/a 2
#of Loading Docks
n/a 0
Fill: TBD - We would prefer to build into the side of the hill rather
(volume a location) n/a than fill the lot in order to bui UD the land.
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 2[ 1/0-2,1 Applicant's Signature E,
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-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004