24D-250 (2) File #25
APPLICANT/CONTACT PERSON:MICHAEL GEORGE
530 MAIN RD CHESTERFIELD, MA 01012 413-626-9449
PROPERTY LOCATION 88 CRESCENT ST
MAP:LOT 24D-250-001 ZONE URC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $30.00
Type of Construction: ADD A 2ND SINGLE FAMILY HOME TO PARCEL, DEMO GARAGE AND
BUILD NEW ONE, INCREASE PARKING SPACES TO 5
New Construction
Non Structural 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 PER UIRED UNDER:§ I L. 4 '
MIT JH! 1�. ;,1Z/ t t
Intermediate Project: \/' Site Plan AND/OR SpecialPermit iWith Site Plan
Major Project: Site Plan AND/OR SpecialPermit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Perm its 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
Demolition Delay
/4/2 J 1 Z1�2-Z
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 Office of
Planning&Development for more information.
File No. Cat mi- 122- 3
ZONING PERMIT APPLICATION (§i o.2)
Please type or print all information and return this form to the Building
Inspector's Office with the $30 filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: Michael George
Address: Main Rd, Chesterfield, MA 01012 Telephone: 413- 626-9449
2. Owner of Property: Laura Jackson and Chris Jackson
Address: 39-49 Griffin Rd., Syracuse, NY 13215 Telephone: 518-265-7874
3. Status of Applicant: Owner Contract Purchaser X Lessee Other (explain)
4. Job Location: 88 Crescent St.
Parcel Id: Zoning Map# Parcel#2L-0-25)'00( District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: Single-family home
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Convert existing single-family to a two-family. Add a second principal (single-family) structure to a parcel where
one already exists. Add three parking spots for a total of five. Demo existing garage and build a new garage.
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 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:ADocuments\FORMS\original\Building-inspectorAZoning-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
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 16,735 sq ft 16,735 sq ft
Frontage 110 ft 110 ft
Setbacks Front 142 ft
Side L: 17 ft R: 5 ft L: R: L: R:
Rear 5 ft
See attached
Building Height
30 ft See attached
Building Square Footage 1,922 sq ft main building 1,911 sq tt tor existing structur?
308 sq ft det garage 576 sq ft new garage
960 sq ft 2nd principal structure
%Open Space: (lot area
minus building Et paved 77%open space 48%open space
parking
#of Parking Spaces
2 5
#of Loading Docks none none
•
Fill:
(volume Et location) n/a undetermined
13. Certification: I hereby certify that the information contained herei is true rr a urate to the best of
my knowledge.
Date: �J /) - Applicant's Signature
NOTE:Issuance of a zoning permit does not relieve an ap ant's burden to comply with all zoning
requirements and obtain all required permits fro e 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
Setbacks Proposed:
Existing principal structure setbacks will remain the same (F 142, SL 17, SR 5, R 5). Second principal
structure and new garage setbacks are undetermined but will meet URC zoning requirements.
Building Height Proposed:
Existing principal structure height will remain the same (30 ft). Second principal structure and new
garage heights are undetermined but will meet URC zoning requirements.