16 Arnold Ave ZPA Demo 2013-05-23File # MP- 2013 -0115
APPLICANT /CONTACT PERSON SMITH COLLEGE
ADDRESS/PHONE 126 West St (413) 585 -2424 ()
PROPERTY LOCATION 16 ARNOLD AVE
MAP 31 D PARCEL 063 001 ZONE EU(100)/URC(100)
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid 4a 24 4 4444 —
Building Permit Filled out
Fee Paid
Typeof Construction:_ZPA - DEMOLITION OF ENTIRE STRUCTURE
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 PRE�� I�NTED:
_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:
Findin Special Permit Variance*
Received & Recorded at Registry of Deeds Proof Enclosed
L,/ Other Permits Required: AA-0 LVT 1 T N 1 � IF V ( t
Curb Cut from DPW
Septic Approval Board of Health
Permit from Conservation Commission
Permit from Elm Street Commission
Well Water Potability Board of Health
Signature of Building Official
Permit from CB Architecture Committee
Permit DPW Storm Water Management
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.
Water Availability Sewer Availability
* 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
t
MAY I ( 2013
Fite No
ZONING PERMIT APPLICAPF16NT
Please. "e or print all information and return this form to the Building
Inspector's Office with the $ filing fee (check or money order) payable to the
City q
. o f Northampton
1. Name of Applicant: 744E. — [9lJSTE-;—:S OF TOEGH(T4 C6LLEEGF.
Address: C/o PACI.U M6MIJT— Telephone: 413-
2, Owner of Property:
Address: �2t WEGT GTVIEET. O'Tod Telephone: 41-3 - 6'b'5-2424
3. - Statusof Applicant: Owner X Contract Purchaser Lessee Other (explain)
4. Job Location: I (P 4�,F-W)LD AQErILA
Parcel Id: Zoning AA o 1) ParceW 0(0-3 ' District(S)OZC&A NGF-Ut
In Elm Street District In Central Ekisiness District
(TO BE F1LLED IN BY THE BUILDING DEPAITINDIT)
5. Existing Use of Structure/ Property: Co U W %T , OooD FP-A.Me-,
AP=TMeo P-.>uiuDlt-tC�
6. Description of Proposed Use/ Work/ Project/ Occupation: (Use additional sheets if necessary).
159
1111r.
QlEt OP EqJtV-E 'STF-UCTUVF—, A, Ua AZ JOLD A,\JE.
Attached Plans: Sketch Ran Ste Plan Engineered/ Slurveyed Plans
Hasa Soeciai Permit/ Variance/ Finding ever been issued for/ on the site('
NO DON'T IqCVJ X YES IF YES, date issued:
IF YM Was the permit recorded at the Registry of Deeds?
IF YES enter Book
Page and/ or Document #
9.Does the site contain a brook, body of water or wetlands? NO DON'T KNOW
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 9de)
W:' +.origiii 8/4.-f2004
10. Do any signs exist on the property? YES NO X
IF YE$ describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES NO
I F YE$ describe size, type and location:
11. Will the construction activity disturb (clearing, grading, excavation, or filling) gvQr 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 norm Water Management Permit from the DPW is required.
12. ALL INFORMATION NRJST BE CONPLE1 or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This column reserved
for use by the Building
Department
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: / lO / Applicant's Signature
NOTE: Is ance 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 Healtli, Conservation Commission,
Historic and Architectural. Boards, Department of Public Works and other applicable permit granting
autliorities.
W:`Doctuneuts\FORMS'\ original \Building- lnspectorlZoning- Permit - Application- passive.doc 8/4!2004
EXIS'T'ING
PROPOSED
REQUIRED BY
ZONING
Lot Size
7,50o s. F
N /A
Frontage
Setbacks Front
Side
L: It
L: R:
L• R;
Rear
A
Building Height
� t
N /A
Building Square Footage
%Open Space: (lot area
minus building & paved
parking
t�
# of Parking Spaces
+u /A
# of Loading Docks
Fill:
(volume & location)
/ �e
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: / lO / Applicant's Signature
NOTE: Is ance 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 Healtli, Conservation Commission,
Historic and Architectural. Boards, Department of Public Works and other applicable permit granting
autliorities.
W:`Doctuneuts\FORMS'\ original \Building- lnspectorlZoning- Permit - Application- passive.doc 8/4!2004