17A-188 (6) 3/16/15
Dear Neighbors,
We would like to extend our existing. Non-conforming deck another 8 feet toward
Powell Street. We would not be building toward the property line abutting Ted
Addis' property. (Please refer to diagram below)
We are asking permission to proceed with our plans.
Thank you,
Ross and Erica Bell
21 Kimball Street, Florence, Ma 01062
"70T.�
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10. Do any signs exist on the property? YES NO V
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) ove 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(,OUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This column reserved
for use by the Building
Department
EXISTING PROPOSED R.EQU RED:BY
ZONING
Lot Size
7 � ,�
Frontage �
Setbacks Front s I l H7-1,7,
Side L: L: R: 3:.;'-4'f' L: R:
Rear G v-F- -7v.,Pl
Building Height
Building Square Footage
Open Space: (lot area
minus building Et paved
parking
#of Parking Spaces
#of Loading Docks
Fill:
(volume Et location)
13. Certification: I hereby certify that the information contained her ' is true and accurate to the best of
my knowledge.
Date: } 1 _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.doe 8!4/2004
jib
File No.
Q.
Please type or print all information and return this form to the Buildin-,,,
Inspector's Office with the $i5filingfem (check mr money order)payable to the
City QfNo 18r/
1. Name of Applicant:
/
2. Owner of Property: 'No 0 ail L
3. Status of Applicant: Owner _1ContracLPurchaserLessee Other (explain)
4. Job Location:
5. Existing Use of Structure/Property: le j 1,0 C�,
6. Description
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
G. Ha ermit/Yariance/Finchng ever been issued for on the site?
NO DON7 KNOW YES |F YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONTKNOYY YES
IF YES: enter Book Page and/or Document#
9.Qoes the site contain a brook, body of water orwetlands? #O �� 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 onothrrsme) .
p/:mo""mnotsaooMowrixiiiauauumnu-Insnectc)r�Zouinu���it-Appl/catiuo-pass*:.u= 8wo004
'
_
File#MP-2015-0065
APPLICANT/CONTACT PERSON BELL ROSS
ADDRESS/PHONE 21 KIMBALL ST (413)727-3113 ()
PROPERTY LOCATION 21 KIMBALL ST
MAP 17A PARCEL 188 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-EXTEND DECK
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 PRESENTED:
Approved Additional permits required(see below) ,.ti�u fit, COG
PLANNING BOARD PERMIT REQUIRED UNDER: §
Site Plan AND/OR S
Intermediate Project: S Special Permit with Site Plan p
Major Project: Site Plan AND/OR Special Permit with Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: § 3 SU~ 9'3 (OP, SlE?N _T t4V f
Finding Z 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 Dater
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.