30B-028 (12) File #37
APPLICANT/CONTACT PERSON:THOMSON JULIE R&MACGRE R J
269 RIVERSIDE DR FLORENCE, MA 01062
PROPERTY LOCATION 269 RIVERSIDE DR
MAP:LOT 30B-028-001 ZONE
THIS SECTION FOR OFFICIAL USE Y.
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $30.00
Type of Construction: ZPA -ADU IN BACKYARD
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION.,PRESENTED:
Approved X Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§ UR1/43- iii¢L( OF Uses
Intermediate Project: X Site Plan AND/OR Spec. 1 Permit With Site Plan
Major Project: Site Plan AND/OR Spec al Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Va nce*
Received&Recorded at Registry of Deeds Proof Enclos d
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water otability Board of Health
Permit from Conservation Commission Permit f m CB Architecture Committee
Permit from Elm Street Commission Permit D W Storm Water Management
Demolition Delay
M3
Signa re of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burde 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 stand rds of MGL 40A.Contact Office of
Planning&Development for more information.
430
File No.
I ZONING PERMIT APPLICATION - _ I
Please type or print all information and return this form ta- @. ,.• g I
Inspector's Office with the $ filing
fee(check or Northampton
order)payable0� to e
City 1
1. Name of Applicant: MacGregor Thomson DPP- p�Dt1lLf�+n1G INSPECTIONS
NOR7HAMq'?ON OtOI
Address: 269 Riverside Dr. Florence, MA Telephone: 4i9�- --=-
2. Owner of Property: MacGregor Thomson
Address: 269 Riverside Dr. Florence, MA Telephone:
3. Status of Applicant: Owner X Contract Purchaser Lessee Other(explain)
4. Job Location: 269 Riverside Dr. Florence, MA
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: Primary residence
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Accessory dwelling unit (ADU) to be built for my mother to age in place in the rear of the property.
Entails extension of the driveway and additional parking. See attached sketch
7. Attached Plans: Sketch Plan X Site Plan 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 DONT 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 X 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-Applicati or-
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
D partment
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
Frontage
275'
Setbacks Front
Side L: R: L: 30' R: 30' L: R:
Rear
Building Height
15'
Building Square Footage
600 sq ft
%Open Space: (lot area
minus building It paved
parking
#of Parking Spaces
#of Loading Docks
Fill:
(volume ft location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: ��2623 Applicant's Signature
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
Property Line
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Existing
Primary
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Riverside Dr.