17C-097 (3) File #59 Z -3 K
APPLICANT/CONTACT PERSON:SWANSON, MARIAH R &ARDESHIR PEZESHK
47 STILSON AVE FLORENCE, MA 01062
PROPERTY LOCATION 47 STILSON AVE
MAP:LOT 17C-097-001 ZONE •
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $30.00
Type of Construction: ZPA -ADD NEW DECK
New Construction
Non Structural Reno t io n s
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
IRMATION 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 Pemmit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Reco fded at Registry of Deeds Proof Enclosed
Other Perm its Required:
Curb Cut from DPW WaterAvailability Sewer Ava ila bility
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
Demolition vela
040 ela,1/)E,1
Sigm•I ure 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,Depart ent
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 Office o
Planning&Development for more information.
RECEIVED Ci# alvg
AUG 2 4 ?(;?2 File No. 'Sq
Z . NG PERMIT APPLICATION( i v.2)
Dri3T.ofTHAA P,llel�tiir print all information and return this form to the Building
�l�RM1F'T
frispector'wOffice with the $15 filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: Ardeshir Pezeshk and Mariah Swanson
Address: 47 Stilson Ave, Northampton, MA Telephone: - 6/1— 17-4?v3
2. Owner of Property: Ardeshir Pezeshk and Mariah Swanson
Address: 47 Stilson Ave, Northampton, MA Telephone: 646-647-7403
3. Status of Applicant: Owner X Contract Purchaser Lessee Other (explain)
4. Job Location: 47 Stilson Ave, Northampton, MA
Parcel Id: Zoning Map# f 7G Parcel# 097 District(s):
In Elm Street District In Central Business District
(TO 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):
Addition of new deck
Interior remodeling
7. Attached Plans: Sketch Plan X Site Plan X Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO X DON'T KNOW 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 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)
W:\Documents\FORMS\original\Building-inspector\7.oning-Permit-Application-passive.doc 8/4/2004
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. 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 X
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
8,770 SF 8,770 SF
Frontage
63.91' 63.91'
Setbacks Front
Side L: 2.7' R: 30.8' L: 2.7' R: 20.8' L: R:
Rear
Building Height
29' 29'
Building Square Footage
1,398 SF 1,679 SF
Open Space: (lot area
minus building it paved 75% 72%
parking
#of Parking Spaces
2 2
#of Loading Docks
N/A N/A
Fill: N/A N/A
(volume Et location)
13. Certification: I hereby certify that the information containe erein is true and accurate to the best of
my knowledge.
Date: .� • 2 S e 2 L Applicant's Signatur
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-lnspector\Zoning-Permit-Application-passive.doc 84/2004
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