11C-038 (4) File #20
APPLICANT/CONTACT PERSON:POPPIE DAVID G& SALLY N IMBIMBO
55 FLORENCE ST LEEDS, MA 01053
PROPERTY LOCATION 55 FLORENCE ST
MAP:LOT 11C-038-001 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: ZPA -ADD ON 2 STORY ADDITION FOR STUDIO AND APARTMENT
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: `C32 R 1B RN
Approved X Additional permits required(see below) T1 p € O C TO-1 Rr COLA RA
PLANNING BOARD PERMIT REQUIRED UNDER:§ URA ` ("uS 0 .II
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
Demolition Delay
9ittivar/ ///L0/
Si ature 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.
, )'b
GPI�03O
File No. _ l'``E a —
II ZONING PERMIT APPLICATION( i o.2) ' '®
Please type or print all information and return this form to the Building
Inspector's Office with the$30filing fee(check or money order)payable to the4PA " 5 2023:1
City of Northampton
. Name of Applicant: DAUID -- - SUltp�h
l INSPECTIONS MA 01060 •
Address: Sc CIO yr- 2'\E e '- Telephone:_ y 13 ` 2-16- /
2. Owner of Property: 6 A U t P Y a P 2 C / ,.5 A< L Y `t Nt,13 I fr 3 0
Address: 5 C 16 f e s Telephone: y ) 2 - z-j a 4-1 -L
3. Status of Applicant: Owner De.,
I Contract Purchaser_ _Lessee__ Other(explain)
4. Job Location: S — L 6 r C �1 S ' ) e_ems 3
Parcel Id: Zoning Map# Parceif District(s):__
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property:__ v ✓���
6. Description of Proposed Use/Work/Project'Occupation: (Use additional sheets if necessary):
_- A v1 ct,P 4 i ~I C- � e" -__//11)_U.e 1 S' 3
f.O6 r) s Ism toter,
7. Attached Plans: Sketch Plan _ Site Plan Engineered/Surveyed Plans
a. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO _ DON'T KNOW >I YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page_ and/or Document#
9.Does the site contain a brook, body of water or wetlands? NO —_ 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 Other Side)
W:\Docim,ents\FORMS\original\Bniiding-Inspector\Zoning-Permit-A pplicatioc-passive.doc 8/4/2004
10. Do any signs exist on the property? YES NO ?C
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 •
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
Frontage Afil 73 "PM 7.3
Setbacks Front 13 ' -731
Side L: S D R: L: 361 R: L: R:
Rear � ache Vti acv�
Building Height r
Building Square Footage
� 6c.)
Open Space: (lot area
minus building Et paved 3/11 a C
parking
#of Parking Spaces
#of Loading Docks
0
Fill: !'
(volume Et location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: ��3 Applicant's Signature
NOTE:Issuance of a zoning permit does not relieve cant'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
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LEFT ELEVATION 3/16"=1'Q" REAR ELEVATION 3/16"=1'0"
ADDITION /EXISTING HOUSE
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__�_-� — -- -- To the best of my knowledge these plans are drawn
to comply with owners and/or builder's
—_ ---- --- -- specifications and any changes made on them after
— — _-- — ---- J [17_7_7----�-- prints are made will be done at the owners and/or
LLFRONT ELEVATION builders expense and responsibility.The contractor
shall verify all dimensions and enclosed drawing.
--__ _---- --- ----- - W,RAS ARC'DRAFTING AND.DESIGN j$rptllable for
• errors once construction- begunsWhileevarr
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� ------- i effort has been made in the preparat¢rn of this plan