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Coo - 1 • � � UP �� r ' -- - j 4 i �� <^ _ JAI / J I ' a — q r 1 ,- 11 11 " 6' -8" 8143" • e . 2 8' -5" 4 28' -5" -' i P - 26' -4" x 71-0" 9 1 56-10" • (La j = e) „-4 / c ,,, p ,„,,,. 4 .,(2 i(-2.4(10 • , LIVING AREA ?� � 5� - (1 F 100 f ,.-- 1 ff-- 131Esgft 2 dc( /.._o c..r-,-4 - • G"' 28' -0" - f'/1JdtSt K hf►0c 50A-heal (-t) i N HOME OWNER EXEMPTION ACKNOWLEDGEMEN `.1 The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two -year period shall not be considered a home owner." The building department for the City of Northampton wants person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations The inspection p c - - • uir- that the buildin • de artment be called to inspect work at various stages, which include foundation /footings (before backfill), sonotube holes (before pour). a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure _these .inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper — permits in the building_permitissued,_ and _that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, understand the above. (Home owner /resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. T Date Address of work location • w ` The Commonwealth of Massachusetts Department of Industrial Accidents 1 1 . _ -Wir Office of Investi,gations ° a _ _ 600 Washington Street 1 i €= _ Boston, MA 02111 www.mass.gov /dia -Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers. Apnlicant Information Please Print Legibly Name (Business/Organization/Individual): I c 'cjl ac red /col e 1) 6 A- S � I I� O 2 ' &J Address: "20 c e . 1-d C v S .t... S ..1-- — / _ f J / .t' i ".P ; 1/ 4 s City /State /Zip: 1 ' 01062- . Phone. #: Are you an employer? Check the appropriate box: Type of project (required)_ J C 1. N I am a employer with .-.. - 4. 0 I am a general contractor and I mP Y 6. ❑ New construction employees (full and/or part- time).* have hired the sub - contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have. no. eloyees These sub - contractors have. 8. ❑ Demolition for me in any capacity. employees and have workers working Y P ty 9. Q Building addition [No workers' comp. insurance comp. - insurance. required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.0 I- am-aJioraeo-u+ner -d am- all - week--- - - - - -- _ -. -_ o rs_hav _ xercis cl_their . -- .-1 -.D Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required] t c. 152, § 1(4), and we have no . employees. [No workers' 13.❑ Other comp. insurance required] *My applicant that checks box #I must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affcdavit. indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or not those entities have employees. lithe sub - contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: � c 6) .s • (; Policy # or Self-ins. Lic. #: ( C Z> 3 0 i-/67 `/ Expiration Date: - 7- 3 D -1 0 Job Site Address:_ 20 Y i C1JL,t S City/State /Zip:' I -i �/ ? ` r p' via Ci/ 06 . Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1 and/or one :year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator: 1Se advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce ' under the p� . and . 'noble of perjury that the information provided above_istrue_andcorrect __ _ Si afar Date: / / 0 Phone #: 4 1 a 6 r ( `f Official use only. Do not write in this area; to be completed by city or town officiaL City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector _ 6. Other Contact Person: Phone #: - SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: n p Not Applicable ❑ �-� Name of License Holder : " J L4. 1' 'PJ< mn 1- \ : ` `J a License Number 27 S c , - 3 0 40'4 r 1 a^ 7 -2c"l i Address ii Expiration Date f -}c.Lyd , H 61 , d v �1 'Q VI.LCt_�S & !G 31 Sig ure Telephone (771?-41/ _ 9.. Rectisterdd=Horne; IntproveinentCoonttactori ;„ k Not Applicable ❑ It -1. e.. j)(2<-'- is 1 ` 7(9c Company Name Registration Number 2 ey G.,c9cuct ST 1 lort -z3 -2 9I 0 Address Expiration Date `(� / `� �t �J C j V (G Telephone 6� Crl SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6» Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes ., No ❑ The currentexemption for "homeowners" was extended to include Owner Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two - year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference'to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances Stare aril1✓ozal`z;oning -taws and State-of- Massachusetts Laws Annotated. Homeowner Signature fr SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) J Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition El New Signs [0] Decks [0 Siding [0] Other [0] Brief Description of Proposed l; dov eit 6 ro H & E' T 0 1 ) 0 Fa 1 Work: y� Alteration of existing bedroom >c \ Yes No Adding new bedroom Yes n1 No Attached Narrative Renovating unfinished basement Yes Ac No Plans Attached Roll E3a '1£ t evl� F e use and. c r4dd do tcr:. cisf t to siiiii, l q: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT n I ((° `C as Owner of the subject property Li hereby authorize ‘) ��,n to my behal jp�ll rs relat v= to work authorized by this building permit application. ' � /) D ,ff •ig ature of O ner +i Date \)d (J (f\C \ P J (C' , as Owner /Authorized Agent hereby d €fare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signe• A . e pains a "pen. ie -rjury. Air iidA `rint Name 0o 0 - c cCVIIA ,,A Signature a l V Signature of owner /Agent Date �° A NO c t2. G1 ye . Section 4. ZONING All Information Must Be Completed. Permit lSa Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size _.. _ . .__ _._.,..._ Frontage___ Setbacks Front a ' Side L.._,i R. __- L._. : R:'',____,: Rear I Building Height I_ __ Bldg. Square Footage tiriD) Fir: % t Open Space Footage (Lot area minus bldg & paved ! , parking) 1 a '` „ # of Parking Spaces w. Fill: _ (volume & Location) A. Has a Special Permit /Variant /Finding er been issued for /on the site? NO 0 DONT KNOW YES IP IF YES, date issued /- ^ / (� IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book 3 j oNp _ Page 32 and /or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained , Date Issued: C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: D. Are there any proposed changes tto or additions of signs intended for the property ? YES 0 NO IF YES, describe size, type and location: !' E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO o 41 14 so IF YES, then a Northampton Storm Water Management Permit from the DPW is required. City of Northampton S� soll?efm �, s t f Building Department Cu Curie ��e lc� 4 : & q o ; w ed g v t 2'12 Main Street 5 : X4,1 � , v , / c� Room 100 ° §r . Y ai p 1 1 . , 4 - " '.A!.‘", , "e Northampton, MA 01060 A a e - €b la ,, ione 4 � . n -5 n� - 1 240 t- a .. A A -� - X 2 72 RA F : or ' , / p l 136 240 Fax 41 -537 12 / C. e I " ? tm r 5 ,M 4x, �,4 APPLICATION TO CONSTRUCT. ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 SITE INFORMATION This section to be completed by office 1.1 Property Address: 2 /l !� (05 5-t-- 15/19/04,0z Map Lot Unit Zone Overlay District Etm,St District CB District SECTION 2 PROPERTY OWNERSHIP /AUTHORIZED AGENT . 2.1 Owner of Record: , - - Duets (- ' ain ---- - - - - - - - -- -- -_ -Z7- 50411 _ _ Alai Y) Ste t Y e [kah I ism Name (P Current Mailing 4/141 - e - C9 1 3? i ur Z f r (- Telephone! 3 7 7 T r 2 / 2.2 Authorized Agent: 5/ y) h € t) 0 5 %‘4 A .'"— t))0c. F-P I le_ poet 1.4K G)1 2 fIOf toh `o ` 'Li ts. Nam- - nt) Current Mailing Address: . nature Telephone C,11 / `�ipit SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee 1 2. Electrical (b) Estimated Total Cost of ad 4 - Construction from (6) 3. Plumbing 3 , 000 Building Permit Fee 4. Mechanical (HVAC) / /id 0 5. Fire Protection �i " 6. Total = (1 + 2 + 3 + 4 + 5) /1,&d0 o Check Number /y"r" nv .a This S For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2010 -0647 APPLICANT /CONTACT PERSON SKYLINE DESIGN ADDRESS /PHONE P 0 Box 60142 FLORENCE (413) 586-8491 � , (/j ( PROPERTY LOCATION 209 LOCUST ST MAP 23B PARCEL 010 001 ZONE SI(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out //,�((j �f Fee Paid /7 O Typeof Construction: CONVERT GROUP HOME TO 2 FAMILY RESIDENCE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 002722 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: Lpproved 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 Street Commission _ Permit DPW Storm Water Management Demolition Delay (124/10 Signature of Building Of icial Date g g 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. ST BP- 2010 -0647 GIS #: COMMONWEALTH OF MASSACHUSETTS 1.41Miniliftsw CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit # BP- 2010 -0647 Project # JS- 2010- 000561 Est. Cost: $19000.00 Fee: $114.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: SKYLINE DESIGN 002722 Lot Size(sq. ft.): 11630.52 Owner: FERRANTE DOUGLAS P Zoning: SI(100)/ Applicant: SKYLINE DESIGN AT: 209 LOCUST ST Applicant Address: Phone: Insurance: P O Box 60142 (413) 586 -8491 Workers Compensation FLORENCEMA01062 ISSUED ON:1/21/2010 0:00:00 TO PERFORM THE FOLLOWING WORK:CONVERT GROUP HOME TO 2 FAMILY RESIDENCE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: • FeeType: Date Paid: Amount: Building 1/21/2010 0:00:00 $114.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo • 2. Official Receipt for Recording in Hampshire County Registry of Deeds 33 King St. Northampton, Massachusetts 01060 Issued To: DOUGLAS FERRANTE 27 SOUTH MAIN ST 586 -8491 HAYDENVILLE MA Recording Fees * * Document Recording Description Number Book /Page Amount * * DECIS 00000223 10069 323 $75.00 209 LOCUST ST 2010 -0016 $75.00 Collected Amounts * * • Payment Type Amount Check 1435 $75.00 $75.00 Total Received : $75.00 Less Total Recordings: 875.00 Change Due 8.00 Thank You MARIANNE DONOHUE - Register of Deeds By: Beth C Receipt!! Date Time 0216697 01/06/2010 02:21p Zoning Board of Appeals - Decision City of Northampton Hearing No.: ZBA- 2010 -0016 Date: December 16, 2009 MOTION MADE BY: SECONDED BY: VOTE COUNT: DECISION Elizabeth Silver Sara Northrup 3 Approved MINUTES OF MEETING. Available in the Office of Planning & Development. 1, Carolyn Misch, as agent to the Zoning Board of Appeals, certify that this is a true and accurate decision made by the Zoning Board and certify that a copy of this and all plans have been filed with the Board and the City Clerk on the date above. I certify that a copy of this decision has been nailed to the Owner and Applicant. 0 NOTICE OF APPEAL An appeal from the decision of the Zoning Board may be made by any person aggrieved and pursuant to MGL Chapt 40A, Section 17 as amended, within (20) days [30 days for a residential Finding] after the date of the filing of this decision with the City Clerk. The date of filing is listed above. Such appeal may be made to the Hampshire Superior Court with a certified copy of the appeal sent to the City Clerk of Northampton. GeoTMS® 2009 Des Lauriers Municipal Solutions, Inc. Zoning Board of Appeals - Decision City of Northampton Hearing No.: ZBA- 2010 -0016 Date: December 16, 2009 APPLICATION 1YI'I )A fI Commercial Finding 10/29/2009 Applicant's Name: Owner's Name: NAME: NAME. FERRANTE DOUGLAS P FERRANTE DOUGLAS P ADDRESS. ADDRESS 27 South Main Street 27 South Main Street TOWN: STATE: ZIP CODE. TOWN: STATE ZIP CODE: .. . HAYDENVILLE MA 01039 HAYDENVILLE MA 01039 PHONE NO. FAX NO PHONE NO FAX NO (413) 586 -8491 () (413) 586 -8491 0 ENTAIL ADDRESS LMAII. ADDRESS. Site Information: Surveyor's Name: STREET NO.: SITE ZONING: COMPANY NAME SI(100)/ MOWN: ACTION TAKEN. ADDRESS: FLORENCE MA 01062 Grant MAP: B1,OCK: LOT: MAP DATE SECTION OF BYLAW: 001 Chapt. 350 -9.3 (1) (D): Pre - existing TOWN: STATE ZIP CODE Book: Page: Nonconforming Structures or Uses May be 2109 161 Changed, Extended or Altered with a PHONE NO : FAX NO Finding from the Zoning Board of Appeals. EMAIL ADDRESS NATURE OF PROPOSED WORK Convert group home to 2 family residence. HARDSHIP: CONDITION OF APPROVAL. FINDINGS: The Zoning Board of Appeals granted the Finding based on the materials and graphics submitted with the application. The Findings of the Board under Section 9.3 for the change from a non - conforming residential rooming house to a non - conforming two family were as follows: 1. The Board found that the change would not be substantially more detrimental to the neighborhood than the existing nonconforming use. 2. The Board found that the building would not extend any closer to any front, side, or rear property boundary than the current zoning allows. 3. The Board also determined that the change would not create any new violation of other zoning provisions; and does not involve a sign. COULD NOT DEROGATE BECAUSE: FILING DEADLINE. MAILING DATE. HEARING CONTINUED DATE: DECISION DRAFT BY: APPEAL DATE 11/10/2009 12/5/2009 12/24/2009 REFERRALS IN DATE: HEARING DEADLINE DATE. HEARING CLOSE DATE. FINAL SIGNING BY: APPEAL DEADLINE 11/28/2009 1/2/2010 12/10/2009 12/24/2009 1/5/2010 FIRST ADVERTISING DATE HEARING DATE VOTING DATE: DECISION DATE 11/26/2009 12/10/2009 12/10/2009 12/16/2009 SECOND ADVERTISINF, 11A 1 L 1U ARINT TIME VOTING DEADLINE- DECISION DEADLINE. 12/3/2009 5:40 PM 12/24/2009 2/6/2010 MEMBERS PRESENT VO I E Elizabeth Silver votes to Grant Malcolm B.E. Smith votes to Grant Sara Northrup votes to Grant Bob Riddle votes to no action needed GeoTMS® 2009 Des Lauriers Municipal Solutions, Inc. File # MP- 2010 -0020 APPLICANT /CONTACT PERSON FERRANTE DOUGLAS P ADDRESS /PHONE 27 South Main Street (413) 586 -8491 () PROPERTY LOCATION 209 LOQU$T ST, THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT /co Fee Paid Building Permit Filled out Fee Paid Typeof Construction:_ZPA - 2 FAMILY New Construction Non Structural interior renovations Addition to Existin• 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) 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 Street Commission Permit DPW Storm Water Management Signature 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. as 1 • 9 ' ' \ f �.- : i 7 Via,. ,_ 1 9Yfl - no in —r-----r— . \ 990. 9 \ 4 9� k. ' 133bis isn)o11 a w r X • /k \ a• \I •, PPOPE•TT ' RIP PAP cAw• ow`w•a \ \� ), auaeoaES \' \\ 1�� 3MI.P WI; DUTIET _.._. . \\ '4,4 moo-• �- - , \ : �L \ i.� "'� \ \ \ \� ' ) .• .\" . S weNLE �r I ( / v'P ��1 \ • .. r • 'AA f / T A I au D G PROPOSED • \ ' . \b _ �� •,` / ,. •' • ,.✓-� 1 n u nA� FOVNDATI. \ �. r� -.) \\ \� I \ .1,. \ ( 3x , ~ s.eoi • _ F1 mi DRAIN I s ww.r A.I �. \- \ • GARAGE ` - -' rL rt ® I n ,P \ ... \ \'„�\ .. \ PROI°03i$ SONTOURS \.� 1� / \\ 1 Ti REL S ' \ • A' 1 \ • m ; I` / I '__ ... ._i� o PROs. R ^� -,S 1t I / \ \ . ' 1 1 FP E vo Ast n I I 'MMM�� // STUMP \ • . ti rP ••— ti / m I . I I A DLO N / _- \ , n a I - 1, q STUMP I / / ■• a f . \ _ I 1 1 T� / • -- p.," e j \ t I -�-,.., 1 I I 1 Na-6 cc"' oURS ry Z •NTSA.Lo . PLAN . p �" 1 209 LOCUST STREET eeWiai ■ ( .. "—RS N MA, Fula 4/t4/B9 REVISED PKOPOSED Ol T ! ;■ [DrJTDURS : RRANTE GDR 3 /13/9 RV U SO SELT;D TO SMOV DETAIL FOR . .d4• - S` ' , •- °'''.4t ` `•.00W LAS P tt I 1 - .1 I .r PROPOSED FOUNDRTION DRAIN - 9 -2S -De .20 c I . • 3.1F ?Alin Pont, P,AW TO SNOW GRA ^INS • TMarmo E.J. FLYNN ENGINEERS, INC. ✓ ra« CHANGES, PROPOIED toG e. Ew.le. CONSULTING ENGINEE Iw. .•o .wePSR* P.O. BOX 89 NORTHAMPTON, MA, •.•......r 10. y bo any signs exist on the property? YES NO / • IF YES, describe size, type and locations Are there any proposed changes to or additions of signs intended for the property? YES NO i IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, or filling) ver 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 col`.runn reserved for use by the Bu: aiding Depgrtinnent EXISTING 1 6 ' . PROPOSED h�1 air' " mot - Sze - r — r , r ;,- " Frontage 7 � �` Setbacks Front 2 r 112 -- Side L: 2S R: 3 3 L: 2$ R 3 ` Rear t�9 �v - " *` "' Building Height r 2 r fi i . - lootkios4.M�mli Building Square Footage o -� . % Open Space: (lot area minus building Ft paved c s .--;- .,,- -,- - I E -; # of Parking Spaces . ■`,,`. ` �. x , ,� # of Loading Docks "� `- �.. .: Fill: - �. (volume 1_t location) ( � � ,----° 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: /0 ^ ( Applicant's Signature /� NOTE: issuance of a zoning permit does not relieve an applicants 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\ FORMSIoriginaRBuilding- lnspector\Zoning- Permit - Application- passive.doc S/42004 0 ` J File No. in P /O -O2 0 _�_ � _. .� _ - .ter s�.�� h y « «r_a.... -�.�_ = ,ti_ n w .,c..x , _ aa.�.n.� rte-. _ ,.�..a �.. '"# � � � i' Please type or print all information and return this form to the Building Inspector's Office with the $15 filing fee (check or money order) payable to the City of Northampton 1. Name of Applicant: 6 � a f 1 5 t ' � r � Q z - ' L v 1 I) Address. � � �-�-U� � + IT�� Telephone: 4 713 61S (a 3 '73 2. Owner of Property: 5a 1 \ 2 Address: Telephone: 3. Status of Applicant: Owner ?(' Contract Purchaser Lessee Other (explain) 4. Job Location: 2 6q 1-o�'�15�- S� ..:. --. 2s- strf # ; 4 ®� - ~"- :, r - fi n � _ te ": -` - - _ ---- x �..- e .. �. a, , .� '...` � - - � ' te^ - . , 3. *��; � "�.`� � sa ..- ..rte.- „=.:. � - t� .. r�� -� a�� £��S R §a�_ s .` $ � e8 �g ..,m � �� .. � �.�,. ' a _. ' 5. Existing Use of Structure /Property: l^ 6” i '_ r9 JS e_ - coo 0 ' " ' e 6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary): fi Gil V j= ct t L r 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 DONT KNOW 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 pen been or need to be obtained from the Conservation Commission? Needs Lo be obtained Obtained , date issued: (Form Continues -On OtherStde) W: \Documents\FORMS\ original \Building- Inspector \Zoning Permit- Application- passive.doc 8/4/2004 A r � File # MP- 2010 -0020 APPLICANT /CONTACT PERSON FERRANTE DOUGLAS P ADDRESS /PHONE P 0 BOX 60142 (413) 586 -8491 O PROPERTY LOC i �� rt $1: S MAO .. °.s THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FIL D ED OUT Building Permit Filled out Fee Paid Typeof Construction: ZPA - 2 FAMILY 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 INFORMATION PRENTED: 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: § 9- /2I - -c ieis' a 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 Strjt Commission Permit DPW Storm Water Management e v Signature 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.