15B-024 File#MP-2020-0065
APPLICANT/CONTACT PERSON KEITER BUILDERS
ADDRESS/PHONE 35 MAIN ST (413)586-8600 Q
PROPERTY LOCATION 136 CHESTERFIELD RD
MAP 15B PARCEL 024 001 ZONE URA(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildina Permit Filled out
Fee Paid
T_ypeof Construction:_ZPA-SUBDIVIDE PROPERTY TO CREATE 2ND BUILDING LOT
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
qX171,2,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.
f P '
: VS
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APR 2 7 2020
C File No. nP dU C/�
ZONING PERMIT AP_PLICATl+01sa )
Please type or print all information and return this form to the Building
Inspector's Office with the $30rling fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: Keiter Properties, LLC.
Address: 35 Main Street, Florence, MA 01062 — Telephone: 413-320-9035 (Scott Keiter)
2. Owner of Property:__loanne Lucey__ _ _ ___-
Address: 136 Chesterfield Road, Florence, MA 01062 _Telephone: 413-478-4239 _^
3. Status of Applicant: Owner ___Contract Purchaser X___ LesseeOther (explain)______.__
4. Job Location: 136 Chesterfield Road, Florence, MA 01062
Parcel Id: Zoning Map# ! Parcel# "i" District(s):
In Elm Street District In Central Business District
_ATO BE FILLED IN BY THE BUILDING DEPARTMENT)_ _
5. Existing Use of Structure/Property:-__Single family residence
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Keiter Properties is under contract to purchase 136 Chesterfield Road and would like to subdivide
the property in order to create a second building lot.
7. Attached Plans: Sketch Plan x__- Site Plan XEngineered/Surveyed Plans X___-
8. Has a Special Permit/Variance/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 -_ XDON'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
10. Doany signs exist onthe 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? YE3_______NO_______
IF YES, describe gze, type and hocadun:________
11. Wilt the construction activity disturb (clearing, grading, excavation, or fitting) over 1 acre or is it part of a common
plan ofdevelopment that wilt disturb over 1 acre? YESNO ----X---
IF YES,
__X-__|FYES' then a Northampton Storm Water Management Permit from the DPW is required.
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN DE DENIED DUE TO LACK OF INFORMATION
This column reserved
for use bgu6oBuilding
EXISTING PROPOSED RFQUIRED BY
ZONING
I,ot Size
36,360 SF 12,430 SF / 23,930 SF
Frontage 161.62' 111.62' / 50'
Setbacks Front
Rear Existing. New lot line Meet URA
to meet URA
Building Height 24' Pending home design
Building Square Footage 2,500 SF Pending home design
%Open Space: (tot area
minus building Et paved 95%+ Meet LIRA
parking
#of Parking Spaces 2 Meet URA
(volume Et location) NA Pending
13. Certification: | hereby certify that the information contained herein is true and accurate \othe best of
my knowledge.
Z.
April l8 2020
Da�e� zApplicant's 5ignature._
NOTE:Issuance ofa zoning permit does not relieve unapplicant's burden mocomply with all zoning
requirements and obtain all required permits from the Board o[lIrmltb,Conservation Commission,
1-fistoric and Architectural Boards, Department of Public Works and other applicable permit granting
authorities.