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23A-034
File#MP-2019-0006 APPLICANT/CONTACT PERSON SEVEN SISTERS MIDWIFERY LAND LLC ADDRESS/PHONE PO BOX 60179 (413)560-0581 PROPERTY LOCATION 74 MAPLE ST MAP 23A PARCEL 034 001 ZONE GBO 00)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid "17) Building Permit Filled out Fee Paid TypeofConstruction: ZPA-FREE STANDING BIRTH CENTER/MEDICAL OFFICES AND 2 APMTS 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- 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 S' tore 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. x Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact the Office of Planning&Development for more information. File No. /IIn- (g - (� ZONING PERMITAPPLICATI©N 01o.2) Please type or print all information and return this form to the Building Inspector's Office with the $30 filing fee (check or money order)payable to the City of Northampton 1. Name of Applicant: -� -6o1(' Address: -3L pmh St- Telephone: `ihi S30 6"'?o 2. Owner of Prloperty:5 -i-, Address: tjco OK 'j/Telephone: ria 5'30 D,'jy/ lDor4 3. Status of Applicant: Owner V" Contract Purchaser essee Other (explain) 4. Job Location: 14 A-PL-E ra2u M�' Parcel Id: Zoning Map# bA Parcel# to 3District(s): In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: ISM PT' 1-07- 6. Or6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): F12EFSTANT�( NCti P��(LTf{ C�I�TE� �M�D[CA-L �� IGGS Z — ��ED2oo M fl-PFl-2T wt Er�1T-S 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans 6. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and/or Document# 9.Does the site contain a brook, body of water or wetlands? NO V-� 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) W 1Docu mtsTOR Sbnginal`Building-InspxtortZ ng-Petmit-APPlication-paasive doc 8,1412004 10. Do any signs exist on the property? YES NO IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property? Yr � ES NO IF YES, describe size, type and location: (-ONN G 111& 59 r( L•-55 y 1-"kA (00 11. Will the construction activity disturb (clearing, grading, excavation, or filling)over 1 acre or is it part of a common V plan of development that will disturb over 1 acre? YES_ NO Y" 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 BeIpartment EXISTING PROPOSED REQUIRED BY ZONING Lot Size f 869 Frontage Setbacks Front Il s Side L: Lq R: S,S 1 L: R: L: R: Rear LI II Building Height 34 ' Building Square Footage Z860 'A?-:- 516L7 %Open Space: (lot area D minus building& paved / L 2 o/ parking �1 td tt of Parking Spaces r.1 Loading Docks {,O Fill: (volume B Location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. [y Date: (b L Applicant's Signature iFA'✓'ek 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. Wt =a nMIFORMS\ongmal,Building-Inspcctotl oning-Pe t-Application-rmsive.doc 8412004 6"wo xi fence along 5 POPa 74 Maple Street, Florence, MA u property line 924 31a xzezzo Lot # 23A-034 N 0 1 rain garden am tree z23"za3 sgfi � 23" maple This Site is relatively flat to remain .7% slope from front to back m I I Existing Concrete .8% slope north to south c retaining wall l7'high It will be graded to provide handicapped $ access on all sidewalks to the entrance sParkIking Area 6" m ofence along eng P wry from the street and parking area. Parking area will be sloped as shown to provide on site drainage recharge. IP Soil Survey I I saewenc Mva Hinckley loamy sand malu�aea _ Lot Size: 14,869 sq ft fi ,ar w'i Building coverage: 3,044 sq ft 22% 45'x 64'80 � Drivway and parking: 4,784 sq ft �I 2sttoorieesh' Sidewalk and decking: 602 sq ft E�ew _ 20" a tree 20"mapcent le Total paving 5386 sq ft I I j m , s to remain 36% Open space: 6,231 sqft 42% Seven Sisters Birth Center I � 233• a I 9 C I �tie .O IgeNan 4IXl vlfi O 16" maple tree • to remain Reo.0 83.16' M125 gb M sidewalk 15'-0' sidewalk a,namg w+a w. t z:w.e,. ar. sl a:axawm em °,saeWvk Maple Street eye mraeo ie•e�g� z rmepne aaoor zemnce °"^'^ �isx