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18C-048 (16) HUNTLEY ASSOCIATES,P.C. LETTER OF TRANSMITTAL Surveyors Engineers Landscape Architects 30 Industrial Drive East Northampton,Massachusetts 01060 DATE:8/09/2005 JOB NO.: 05-131 (413)584-7444 ATTENTION: RE: Zoning Permit Application TO: City Hall,Building Department 210 Main Street Northampton,MA 01060 WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ® Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change Order ❑ COPIES DATE NO. DESCRIPTION 1 8/09/05 1 Zoning Permit Application Form 1 8/09/05 2 Zoning Permit Application Plan(24"x36") 1 8/09/05 3 Zoning Permit Application filing fee- $15.00 (Check#2848) THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑Resubmit copies for approval ® For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS Hand delivered. COPY TO: SIGNED: Mark McClusky,P.E. If enclosures are not as noted, kindly notes us at once 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 x NO IF YES, describe size, type and location: Approx. 10'x10'and will be located near the front setback line. 11. 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 269,575 SF 260,434 SF Frontage 553' 602' Setbacks Front 110' 98, Side L: 122' R: 102' L: 122' R: 102' L:" R: Rear 100' 100' Building Height 25.5' 25.5' Building Square Footage 37,768 SF 37,768 SF Open Space: (lot area 63% 62% minus building ft paved parking #of Parking Spaces 91 60 (Net Total=141) #of Loading Docks N/A N/A Fill: N/A N/A (volume Et location) I F I 12. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: 9 7 a Applicant's Sign atur 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. OOO.pdf li LG s File No. Please type o print all information and return this form to the Building Inspector's Office with the $15.filing fee (check or money order)payable to the City of Northampton 1. Name of Applicant: Mr. Steven Raso Address: 737 Bridge Road Telephone: (413) 586-3300 2. Owner of Property: Northampton Nursing Home Inc. Address: 737 Bridge Road Telephone: (413) 586-3300 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)x(Manager) 4. Job Location: 737 Bridge Road,Northampton Parcelld: Zoning Map#, _ Parcel# Districts) In Elm Street,District 'InZentral'BusinessDistrict (TO BE�FILL£D IN BY,THE BUILDING flEPARTMEN7 j . 5. Existing Use of Structure/Property: Two-story brick building used for a rehabilitation and nursing home center. 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): The project includes the closure of one existing driveway and the addition of two new driveways. Project also includes parking addition and reconfiguration as well as appurtenance work including grading, drainage, and landscape. Project will require additional Bridge Road curb cut. 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 X 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 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) File#MP-2006-0016 APPLICANT/CONTACT PERSON HUNTLEY ASSOCIATES PC ADDRESS/PHONE 30 INDUSTRIAL DR EAST (413)584-7444 PROPERTY LOCATION 737 BRIDGE RD MAP 18C PARCEL 048 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILL D OUT ee � Building Permit Filled out Fee Paid Typeof Construction: CLOSURE OF EXISTING DRIVEWAY AND ADDITION OF TWO NEW DRIVEWAYS, ADDITIONAL CURB CUT ON BRIDGE RD. 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 AC ON HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION P TED: 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 Co sion 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.