29-295 (6) Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
Address
Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
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Address
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Print Name
" Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
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Address
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Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
1 e e�►� o aQ 2
Address
&�I 6 O"Ies
Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
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Address
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Print Name Signature ////
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Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
Address
Print Name Signature
Sllsun hie- IS
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
Address
Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
112 1-3
Address
t
Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
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Address
Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
20
Address
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Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
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Address
Print Name Signature
7
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
Rd
Address
Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
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Address
Address
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Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home, This proposed work will not be a burden on
me or my property.
Address
Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
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Address
Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
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Address
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Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
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Address
Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
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Address
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Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
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Address
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Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
Address
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Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home, This proposed work will not be a burden on
me or my property.
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Address
Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
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Address
Print Name Signature
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Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
Address
Ca '
Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
Y1 IqA 6� 2
Address
Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
(l) YICW�at —Vc. X/4 61b(O2
Address
Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
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Address
Print Name Signatur
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
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Address
o
Print Name Signature
Northampton Zoning Board
I have viewed the proposed work and have no issues with Gary and Shannon Hicks at 27 Pencasal Dr.
Florence MA, building an addition onto their existing home. This proposed work will not be a burden on
me or my property.
Address
Print Name Signature
CITY STATE ZIP
MAILING-AD MA 01062
OWWR_2 -1-438 ACREBROOK DR FLORENCE
MBL MB OWNER_1 MA 01062
29-300-001 29 -300 AKERS WILLIAM F & PAULINE N K& RICHARD A& KENNETH D & KELLY V #-120 BROOKSIDE CIR FLORENCE MA 01062
x-123 BROOKSIDE CIR FLORENCE MA 01062
29-297-001 29 -297 ANDREWS BEVERLY R & RANDY 60 PENCASAL DR FLORENCE
29-316-001 29 -316 BRIDA MARGARET,MICHELLE M WILLIAM, GARY & DONNA WALSH + FLORENCE MA 01062
.x,.552 RYAN RD MA 01062
29 -290-001 29 -290 BRUSHWAY JAMES M &GLENDA B +307 ACREBROOK DR FLORENCE
29 -107-001 29 -107 MA 01062
29 -372-001 29 -372 CASEY MARY E ROBERTS-COTE
+315 ACREBROOK DR FLORENCE MA 01062
,i�128 BROOKSIDE CIR FLORENCE MA 01062
29 -299-001 29 -299 COTE THOMAS M & MELISSA M �..27 PENCASAL DR FLORENCE
29 -298-001 29-298 EMERSON DANIEL W &ANGEL M . FLORENCE MA 01062
4-44 PENCASAL DR MA 01062
29 -295-001 29-295 HICKS CONSTANCE M & MICHAEL bu=�� ..j-325 ACREBROOK DR FLORENCE
29 -288-001 29 -288 JANIK FLORENCE MA 01062
.�
29 -315-001 29-315 LAPOINTE GERALD R&JUDITH A 14 AUSTIN CIR MA o1062
29 -354-001 PENCASAL DR FLORENCE
29 -354-001 29 -354 LEARNED RAYMOND H & BONNIE S MA 01062
X431 ACREBROOK DR FLORENCE MA 01062
29 -284-001 29 -284 LEBEAU RICHARD F �30 ACREBROOK DR FLORENCE
29-318-001 29 -318 LEDOUX LAWRENCE E JR &GLORIA FLORENCE MA 01062
t52 PENCASAL DR MA 01062
29 -301-001 29-30 LOCOCO SAMUEL 1 & KATHLEEN A 4-297 ACREBROOK DR FLORENCE
' `'' MA 01062
29 -289-001 29-289 MACLEOD NORMAN S -}-574 RYAN RD FLORENCE
29 -291-001 29-291 MALYNOSKI GREGORY A& KATHLEEN gg RYAM RD FLORENCE MA 01062
29 -109-001 29 -109 NAHLOVSKY JOANN RYAN ROAD SCHOOL 4A NORTHAMPTON MA 01060
V=TPTON .449 OLD SOUTH ST MA 01062
29 -10 29 -104 ,,,,,.45 PENCASAL DR FLORENCE
29 -287-001 29 -287 =HOUSING:AUTHORIT MA 01062
.x.20 PENCASAL DR FLORENCE
29-293-001 29 -293 PETROWICZ FREDERICK&TAMMY A FLORENCE MA 01062
29 -285-001 29-285 POULIN THOMAS A& PATRICIA J -M-540 RYAN RD MA 01062
}112 BROOKSIDE CIR FLORENCE
29 -106-001 29-106 PURDY MARILYN A TRUSTEE WALTER B SASSER IV MA 01062
29 -296-001 29-296 SASSER KATHERINE NORRIS&
C/O JUDITH MACKAY -t' 115 BROOKSIDE CIR FLORENCE Mq 01062
29 -317-001 29 -317 SHEEHAN JUDITH A X37 PENCASAL DR FLORENCE FLORENCE MA 01062
{�4 PENCASAL DR MA 01062
29-294-001 29 -283 SLOC DONALD F &SUSAN E -x-560 RYAN RD FLORENCE
29-283-001 29 -283 SLOCOMBE DONNA L FLORENCE MA 01062
.�28 PENCASAL DR MA 01062
29 -108-001 29 -108 TORRES COLLEEN -r-53 PENCASAL DR FLORENCE
29 -286-001 29-286 VENNE THOMAS R&TAMMY A FLORENCE MA 01062
29 -292-001 29-292 YESKIE DIANE M
-r22 AUSTIN CIR
29-353-001 29-353 ZACH JEFFREY R
MORTGAGE LOAN INSPECTION
\ ` LOCUS REFERENCE
5 BOOK 7391 PAGE 320
�gB PLAN BOOK 74 PAGE 65
+ SL6XCT TO AN EASEMENT TO
NEW ENMAND TEL. 6 TEL. CO.
x \ SEE 8" 1552 PAGE 373.
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LEGEND WOOD STOCKADE FENCE 10•f/- OFF
Q. CONCRETE BOUND FOUND 109,70'+1-
GUN BA"gEL FOUND 7`.I- (OFF
10. Do any signs exist on the property? YES 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 Z
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
Frontage
Setbacks Front -+I-
Side L:W� Al- R:R�4 A�- L: y3-t++/- R: 15�� ( - L: R:
Rear (0 y-�' �/- jGq ?� 4-1,
Building Height
0A ��- 39 41-
Building Square Footage quo I q �D
Open Space: (lot area
minus building it paved �y r��01 (/-
parking
#of Parking Spaces
#of Loading Docks /I/ A
Fill: ,///j
(volume It location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 1.\\O�\ 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
File No. / t -
`'w 4-� ^� °ZO)NING PERMIT APPLICATION (§10.2)
Please type or print all information and return this form to the Building
Inspector's Office with the $15 filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant:���
Address:�7 T4ora5� � �� l'lor�+,.c- �� 010,0 rz Telephoner ��2�
2. Owner of Property::)Lo,v\�vta-N
Address: 27 /t4-4 of ocoZ Telephone:l'/3',Tz`/-36z 4
3. Status of Applicant: Owner ✓ Contract Purchaser Lessee Other (explain)
4. Job Location: 2-1 ?-cv s.4D,- //A 016(.12
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: / zr✓
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
�� QCD (l�n -� � /it S EGG✓c G' Ze VL l `] O Oct
rya 4-1 C, 9�� 1121V 7 7/or24 l Sa ye - LAI$ be rc�rs s cyyj
2r� ro � f� t5r7 Gcd(� ✓IGGJ AylSTvu�i�toh
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 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)
W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
File#MP-2015-0061
APPLICANT/CONTACT PERSON HICKS GARY J&SHANNON HALABOV
ADDRESS/PHONE 27 PENCASAL DR (413)341-3529 Q
PROPERTY LOCATION 27 PENCASAL DR
MAP 29 PARCEL 295 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
b
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-ADD 2ND FLR Q BEDRMS,2 BATHROOMS)
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)
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.