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11C-029 (2) t t DECK 139 —10' 8,_6• 136 —6 ewe 9'-5' 9'-9" PORCH Buenwe 4' Fol 8'-3" BATH KITCHEN EDR❑OM °" 27'-4' FAMILY ROOM GARAGE 24'-7' 4' 6' CLONT BEDROOM cunc 2' DINING ROOM 1/2 BATH EXISTING 1ST FLOOR 4'-2' 3 EXISTING SITE PLAN OF 140 FLORENCE ST„ LEEDS, MA, 01053 N❑TEI PROPOSED SECOND FLOOR ADDITION WOULD ONLY BE PLACED ON THE ORIGINAL PORTION OF THE HOME OUTLINED IN YELLOW, SCALE, 1' = 10' JOHN WOLOSS, 584-3294 (HOME) 584-4040 ext, 2207 (WORK) SIDEWALK 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 X IF YES,describe size, type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This column to be filled in by the Budding Department EXISTING PROPOSED REQUIRED-BY ZONING Lot Size Apprx. 138.2'� .x 70' or 9,674 sq. ft. Frontage 70' Setbacks Front 33' from road Side L• 9' -6" R• V-6" L• 9'-6" R.1k28'-6" �� R• *Right side of new Rear Apprx. 68 addition to right side boundary line. 3 0 Building Height Apprx. Apprx. 515-12'-6" 27'-6" Building Square Footage lInc. beck,Porch,Garag ) New second floor 1,934 sq. ft. would add 768sf livi % Open Space: (lot area minus building&raved / parking 74.96% - !Q v #of Parking Spaces 2 #of Loading Docks 0 - Fill: (volume& location) n/a _ 12. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: J 21!Z!12 Applicant's Signature NOTE: Issuance of a zoning permit does not relieve an appli is bu en 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. MAY A 2000 5 File No. ONING PERMIT APPLICATION (§10.2) Please type or print all information and return this form to the Building Inspector's Office with the $10. filing fee (check or money order) payable to the City of Northampton 1. Name of Applicant: John J. & Sherri M. Woloss Address: 140 Florence St. , Leeds, MA 01053-0381 Telephone: (413) 584-3294 2. Owner of Property: John J. & Sherri M. Woloss Address: 140 Florence St. , Leeds, MA 01053-0381 Telephone: (413) 584-3294 3. Status of Applicant: Owner X Contract Purchaser Lessee Other(explain;) 4. Job Location: 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 Residential Single Family 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Add second floor to the original portion of home (32' x 24' or apprx. 768 sq ft) consisting of 3 rooms & a full bath. 7. Attached Plans: Sketch Plan X Site Plan. Engineered/Surveyed Plans 8. Has a Special PennitNariance/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 DON'T KNOW X YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook,body of water or wetlands? NO X DON'T 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) ,43 Proposed Second Floor Addition p E Bothtub {FrwM1, d CLOSET BATH [0i e-5' amrEr '-1 CLOSET ED 3•_2' U s a 2 4'—7„ 23,_,,, CLOWT 5-9' ;ET Large closets to have sliding doors, shelfs, & hangers -10 11.1 a, Window sizes and locations for the most part are still undecided. Each room should have at least 4 electrical outlets. a13SET cLOS]T Dutch Colonial or Gambriel roof style with brown asphalt 7•-1, shingles, is preferred. John Woloss, 584-3294 or 584040, Ext. 2207 (Work) Front 31'-8' File#MP-2000-0164 APPLICANT/CONTACT PERSON WOLOSS JOHN J & SHERRI M ADDRESS/PHONE 140 FLORENCE ST (413) 584-3294 Q PROPERTY LOCATION 140 FLORENCE ST MAP I I C PARCEL 029 ZONE URA THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FO LLED OUT _ Fee al �� - Building Permit Filled out Fee Paid - T_ypeof Construction: ADD 2ND FLOOR New Construction Non Structural interior renovations _ Addition to Existing Accessory Structure - - Buildinv-,Plans Included: - Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: :�7enied oved as presented/based on information presented. as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed ,Finding Required under: § q, � e!, -0 w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS 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 '___6 ZciJC�_ Signature of Building Offic' 1 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.