24C-019 (6) 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
182,774 sf 182,77 4sf
Frontage 555.45 ft 555.45 ft
Setbacks Front 45.33 ft 45.33 ft a�}
Side L: 18.83 ft R: 10.67 ft L: 18.83 ft R: 10.67 ft 1: 15- R:
Rear 217.33 ft 217.33 ft a�
Building Height
25ft 25ft
Building Square Footage
36,937 sf 36,937 sf
%Open Space: (lot area
minus building a paved 58% 54% 56%
parking
#of Parking Spaces
115 spaces 143 spaces
#of Loading Docks
1 loading space 1 loading space
Fill: +/-200 cy at
(volume a location) NE corner of site
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
///J �► �
Date: 7/29/13 Applicant's Signature � T �,t:/.! ` - - ��
' 6uf j L. u
NOTE:Issuance of a zoning permit does not reliev pplicant s burden to comply with all zoning
requirements and obtain all required permi s from the Board of Health,Conservation Commission,
Historic and Architectural Boards,Department of Public Works and other applicable permit granting
authorities.
W:1Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
RECEIVED
I
JUL 2 9 20 13 I /�f
File No. /7}y�� ®r/ - /d,
DEPT I 8S :..': -1,0-6'0,-4.i
NOHAMPTON MAO ZONING PERMIT APPL7CATION ! 10.2)
Please type joyr�print all information and return jthis Jjfo irm to 7the Building
Inspector's Office with the$15 filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: The Berkshire Design Group
Address: 4 Allen Place, Northampton, MA 01060 Telephone: 582-7000
2. Owner of Property:, Hampshire Regional YMCA
Address: 286 Prospect Street, Northampton, MA 01060 Telephone: 584-7086
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) Consultant
4. Job Location: 286 Prospect Street, Northampton, MA
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: YMCA health &fitness facility
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
It is proposed to add 25 employee parking spaces to free up other existing spaces for users.
7. Attached Plans: Sketch Plan Site Plan X Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW YES X IF YES, date issued: unknown
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW X 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\Bui]ding-Inspector\Zoning-Perm it-Application-passive.d oc 8/4/2004
File#MP-2014-0012
APPLICANT/CONTACT PERSON Berkshire Design Group
ADDRESS/PHONE 4 Allen Place (413)582-7000
PROPERTY LOCATION 286 PROSPECT ST
MAP 24C PARCEL 019 001 ZONE URB(85)/URA(15)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid 4/7 9 45-
Building Permit Filled out
Fee Paid
Tvpeof Construction: ZPA- ADD 25 EMPLOYEE PARKING SPACES
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 INTED:
Approved V Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: 5 3 90 8 CO +
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan
Major Project: V 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
6/1/1/
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.