31B-268 (3) File #31
APPLICANT/CONTACT PERSON:LAFORTE JACK & PETER TITELMAN
53 CENTER ST NORTHAMPTON, MA 01060
PROPERTY LOCATION 53 CENTER ST
MAP:LOT 31B-268-001 ZONE
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: RETURN TO SINGLE OCCUPANCY RESIDENTIAL USE
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) ►t17 - ti I-1L rJ U5c OuL'i
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
MajorProject: 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 Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board ofHeaIth
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
y- 25-2022
Sign ure 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.
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APR 1 5 File No. ft3/ 2022 i l
ZONING PERMIT APPLICATION(§1 o.2) ONs I
Please type or print all info ation and return this form to the Building
Inspector's Office with the ling fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: Jack T. LaPorte �/ , ���. ����.�
Address: 20 Munroe Street, Northampton MA 01060 Telephone:
2. Owner of Property: Peter Titelman
Address: 11 Kensington Ave, Northampton MA Telephone: 3.
Status of Applicant:�O�w�nerr YES Contract PurchaserS^� p Lessee
� Other
/(expllaiinn) 4. Job
Location:5� &/(17 /C f / /0to,e,7 971/�7/`J( ,Mi?-
Parcel Id:Zoning Map# 3 ( 1Q-,___Parcel# Z. District(s):
In Elm Street District In Central Business District (TO BE FILLED IN BY THE
BUILDING DEPARTMENT)
5. Existing Use of Structure/Property:_Privite practice offices (Commercial)
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Return to single occupancy residential use by owner for primary residence.
The house is to be purchased by a new owner and must be zoned residential before sale to qualify for a residential
mortgage.The new owner will be adding necessary improvements to achieve residential occupancy status. No major
changes to the footprint or character of the house are planned.The full remodeling plan is TBD after purchase.
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 DON'T KNOW V 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
fill // .' Co mrnr�/� . rPX/f�1.s Co1'l
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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 X NO
IF YES,describe size, type and location: One 2'x2'free standing sign on post
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
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 .i acre(4478sf) No Change
Frontage 60ft No Change
Setbacks Front L: R: L: R: No Change L: R:
Side
Rear
Building Height 2 Stories No Change
Building Square Footage 4041 No Change
%Open Space: (lot No Change
area minus building&
paved parking
#of Parking Spaces 1 1
#of Loading Docks 0 No Change
Fill:
(volume&location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
dotloop signature verification:dtip.us/keX5-OtAb-K2nZ
f ,40 "-"" QHEE7 verified
0otloop [t1-04 AM EDT
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04/15/2022 9e Tc (wra r. dotloop9:5verified
V70M-T 9:58 KZ EDT
Date: Applicant's Signature V 0M-TKKB-57KZ-TCRA
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