35-181 (6) File #60
APPLICANT/CONTACT PERSON:TERRAN CONSTRUCTION INC
499 WATER ST WILLIAMSTOWN, MA (413)232-9520 ORTIZ ANGEL S
4 PINE VALLEY RD NORTHAMPTON, MA 01062
PROPERTY LOCATION 4 PINE VALLEY RD
MAP:LOT 35-181-001 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: BUILD DETACHED RESIDENCE FOR FAMILY &FRIENDS TO STAY IN
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWIN ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION SENTED:
Approved Additional permits required(see below)
PLANNING BOARD PE,MIT REQUIRED UNDER:§ lC.)I Tag is O F USES
Intermediate Project: i Site Plan AND/OR SpecialPermit With Site Plan
Major Project: Site Plan AND/OR SpecialPemiit 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 WaterAvailability 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
,1 11 j9.1:42
Sign ure of Building Officia 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,Departm•nt
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.
I
• File No. (.00 6/6*
CD ONING PERMIT APPLICATION (§1o.2)
(tease t e or print all information and return this form to the Building
nSPtOT'SI Pffice with the$30 filing fee (check or money order)payable to the
City of Northampton 1499
'se rws'ilowi
t: e (CP A. /
Address: ,"4'4t /14, isiephose: 4/73 - -5-
Z. Owner Plaprcty: Al2 .el ' YhJ2 .
Address: (/ # ' ? it /74 17 /t1;4114 ArA-41 Telephone: 791 - 521
3. Status of Applicant: Owner V Contract Purchaser Lessee Other (explain) ,
4, Job Location: /- 7 teitt
" I Parcel Id: Zoning Map# Parcet# DIstrict(s): 0 ° I
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property:
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
yr; 1/1"t",-/ /1/`,./ 4v, 0'-
%,"
7. Attached Plans: Sketch Plan t,/ Site Plan I/ Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW V YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW 1,/ YES _
IF YES: enter Book Page and/or Document #
ci Does the site contain a brook, body of water or wetlands? NO DONT KNOW 1/ YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained date issued:
tronfi Continues On Other Side
WADocumcnisIORMS,tingital Butitiult-Irarcao447.4zutteawnit-Applacition-peSiVedge $4 2,k14
10. Do any signs exist on the property? YES NO 112/"' 4,•7 v .--- •
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES NO 1,-"
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 v-/ "
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
Depowntent
EXISTING PROPOSED REQUIfiED FIN
ZONING
Lot Size
." , .'7 d C 11 4
Frontage
r)4,
Setbacks Front ''' Y2 '
Side L: R: L:4'rb ' R: is—
-fit' '
Rear
Building Height
/ 5 tc,--7 / sik,r
Building Square Footage •
s---Gc -s-F SZe.> s
% Open Space: (lot area i'rriP,v k' 3?, Leo 5 F t64 4'3..?-, Zo 0 3 it
minus building Et paved
parking . s. i--AO ? r 5 4C,.0-e --Inlif /o,ir 3c
t of Parking Spaces
I
ft of Loading Docks /
4/1/4
Fill:
(volume Et I location) ----,-
_
13. Certific.ation: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge. __. 1
$
Date. / 6 -1.-ti 1,- 2- __ Applicant's Signature
/
Pdriv,At ilt-A..-.4..-? If.
NOTE: lssoance 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.
WADocuments\FORMS\oeigutalltuilding-InspectorVoning-Pernut-Appbcamen-passmcdoc 814/2004
1
/ 20.-cr /
•
Lay Cl)
0
cD
W.C.
Bedroom
Utilities & Closet
Pantry I I bI
uo
nN
•
a fridge
base cab
Kitchen (Sc
g sink Common
I � base
•
'3 D.W.
♦
stove
♦
base cab •
•
Detached Dwelling REV. DESCRIPTION OWN CK'D. DATE
A ISSUED FOR REVIEW DRJ - e/17/22
T E R R A N 4 Pine Valley Interior Layout
Northampton, MA
CONSTRUCTION
•
Y �
Z z
C
200' Property Line
z z
F c
a 4
i U w
W H
� H
Distances are approximated.
w �
Town zoning maps referenced for all distances.
Map 35-181 — W5P cn o
c
Approx 45' oc °�
from property line N in
Please see attached Floor Plan for proposed
dwelling details.
186'
ax
c
>o
Proposed detached m a
dwelling 5 c
Approx 42' �L
from street
Street
Approx 30' from Z Z
existing house Lei ❑
I-
LI
135' Et
11
Existing W Z
House ❑
Fel U
200'
Property Line /