23D-119 File N MP-2019-0073
APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC
ADDRESS/PHONE P O BOX 60627 (413)584-7522
PROPERTY LOCATION 188 FEDERAL ST
MAP 23D PARCEL 119 001 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 '
Tvpeof Construction: BUILD SCREEN PORCH IN HALF OF EXISTING DECK FOOT PRINT, PORCH TO BE
SINGLE STORY WITH TIE-IN TO EXISTING REAR BUMP OUT ROOF
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Buildine 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:§ to
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 Dale
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.
File No.
ZONING PERMIT APPLICATIO (§ D
Please type or print all information and return this f o the Building
Inspector's Office with the $30�iiing fee (check or mone or erhmaWIM6gto he
City of Northampton
DEPT OF BUILDING INSPECTIONS
1. Name of Applicant: Ohl C NomrNamPrON
Address: I,& Pl"I6JCQ.P�t9
P lyg/O61 Telephone: r2Z SPS 1SZZ
2. Owner of Property: &,-Aa &'044' A 1/4,6.0 ,c
Address: Af f &!(&W W Sf ��Y 17909 d"Z Telephone: 0.1. 3 yAE, A;75-
3.
7S3. Status of Applicant: Owner // Contract Purchaser Lessee Other (explain) Cso/ e6)' --
4. Job Location: /,f if �iaX .S� Flnwft Ino t214�2_
Parcel ld: Zoning Map# Rb n Parcel# I Iq District(s):
In Elm Street District In Central Business District
TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: 42LW /Q�,,Z—ce
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Rol/d S&",47 101-CA /n 14 ?6/sh�Feaf a/Aa`_
�rd4 �° SizeS sA Mrth �72-i� y& ,th/S 0414 6 mP-o✓t/s�
7. Attached Plans: Sketch Plan >4= Site Plan -V Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW k 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 _� 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 On Other Side)
W:\Doc m ts\F'OWS\orlgimlhBuilding-Inspecmr\Zoning-Permit-Application-pmive.dm SAaM
10. Do any signs edst 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) offer 1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO `C
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 reseroed
for use by the Building
De artmem
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size "d a f/LPo , yg
c s
Frontage /`n / ltq l
Setbacks Front .,. 21 e 1 ;11 Na C11^N(E
Side L: v'fj" R: -6Y'6// L: 44° R:'yiyb r(CRN0 L: R:
Rear j�0 / p /
Z (NA E
Building Height
2 -
P
Building Square Footage / 9a I-/VWf c2 yMu(
( SiACF (Q y SPdLe
%Open Space: (lot area M
minus building Et paved 110712 trr074re4 n./0 7/
7-
arkin i WMP
#of Parking Spaces S s
#of Loading Docks O
Fill:
volume Et location
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 612 e!7 Applicant's Signature /�,ZJG?f�v�v ♦//�/
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.
W1Documena\FORMS\original\auilding-Inspector\Zoning-P=it-Application-passive.doc 8/42004