06-006 (12) IJ y
File#MP-2021-0015
APPLICANT/CONTACT PERSON FLINKER PETER A& STEPHANIE J
ADDRESS/PHONE 502 HAYDENVILLE RD (413)585-5724 Q
PROPERTY LOCATION 502 HAYDENVILLE RD-Route 9
MAP 06 PARCEL 006 001 ZONE SR(100)/
THIS SECTION FOR OFFICIAL USE ONLY: F�Ro
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-RENO TO FRONT WING OF HOUSE TO CREATE ACCESSORY APARTMENT
New Construction
Non Structural interior 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
IN`JORMATION PRESENTED:
X. Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: §
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 S
treetCommission Permit DPW Storm Water Management
4
. ► %' ► .2 • 60dai
Sig 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 the Office of
Planning&Development for more information.
AZ
I
File No. 5' 1 if SEP — 3 202
ZONING PERMIT APPLICAT1O ,
Please type or print all information and return this for m �$ di g
Inspector's Office with the $30 filing fee (check or money order)paya o the
City of Northampton
1. Name of Applicant: Peter Flinker
Address: 502 Haydenville Rd., Leeds, MA 01053 Telephone: (413) 687-3184
2. Owner of Property: Peter and Stephanie Flinker
Address: 502 Haydenville Road, Leeds, MA 01053 Telephone: (413) 687-3184
3. Status of Applicant: Owner X Contract Purchaser Lessee Other (explain)
4. Job Location: 502 Haydenville Road, Leeds, MA 01053
Parcel Id: Zoning Map# 6 Parcel# 006 District(s): RR
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: Single Family Residential: the original farmhouse was expanded
with an addition between 2009 and 2015. A certificate of occupancy was issued in March 2015.
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Renovations to the front wing of the original house to create an accessory apartment. Including
new minisplits to replace oil furnace; replacement windows; additional attic insulation; bathroom
renovations; and new kitchen (reusing original stove, refrigerator and dishwasher)
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 X DON'T KNOW 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 DON'T KNOW YES X
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained Yes , date issued:2008
(Form Continues On Other Side)
W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
l
10. Do any signs exist on the property? YES NO No
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 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
3.74 Acres 3.74 Acres
Frontage
180' 180'
Setbacks Front 54' 54'
Side L: 125' R: 36' L: 125' R: 36' L: R:
Rear 480' 480'
Building Height
30' 30'
Building Square Footage
4944 (gross) 4944 (gross)
% Open Space: (lot area 159,660 s.f. 159,660 s.f.
minus building Et paved
parking (no impervious other than building footprint)
#of Parking Spaces
4 4
#of Loading Docks
None None
Fill:
(volume a location) None None
13. Certification: I hereby certify that the information contained herein is true an accurate to the best of
my knowledge.
Date: Sept. 2, 2020 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