https_northampton.lincware.com_clouda_doc_run_northampton_Northampton_ApplicationForPermit.pdfPermit Application
Please note: If this form sits idle for more than 30 minutes, you will have to start over.
A red dot to the left of a field name indicates the field is required. A green dot indicates the
requirement has been fulfilled.
Please enter the property's owner information
•Property Owner Name:Historic Round Hill Summit
•Property Owner Address:333 Elm Street
•Property Owner City:West Springfield
•Property Owner State:
•Property Owner Zip Code:01089
Please enter the applicant's information
Applicant Information:Same as property owner?
•Is the applicant a City of
Northampton government
department?
•Permit Applicant Name:Thomas Douglas Architects
•Permit Applicant Address:196 Pleasant St
•Permit Applicant City:Northampton
•Permit Applicant State:
•Permit Applicant Zip Code:01060
•Permit Applicant Phone Number:
Format: ###-###-####413-585-0641
•Permit Applicant Email:douglas@tdouglasarchitects.com
Owner Information
Massachusetts
Applicant Information
No
Massachusetts
General Information
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To complete the following section you will need the assessor's map-block-lot (##-##-###) and
zoning district for all parcels involved in the project. If this project contains multiple parcels,
please separate section-block-lot with semi-colons ";"
Click the following link to look up a map-block-lot number or zoning district:
Click here to look up a map-block-lot or zoning information
•How many lots will this project
contain:1
•Street Number of project:49
•Street Name of project:
•Choose City and Zip Code
where proposed work is located:
•Registry of Deeds or Land Court
deed book and page number for
work location
0 2014/04/26
•Zoning Districts and Overlay
Districts for work location:URC (100)
•Assessors map # for work
location:
•Assessors block # for work
location:
•Assessors lot # for work location:
What PERMITS or AMENDMENTS are you applying for (check all that apply)
(NO application is complete until the fee is paid)
•Please select the permit type:
Planning Bd. Special Permit w/ Site Plan - $325
Planning Bd. Special Permit w/ Site Plan for flag lots - $1,075
Planning Bd. Special Permit w/ MAJOR Site Plan NO Special Permit -
$1,075 plus $0.05/sq. ft new building
Planning Bd. Site Plan (NO Special Permit) - $325
Administrative Site Plan Review - $100
ROUND HILL RD
Northampton 01060
31B
004
001
Permit Type
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Planning Bd. Major Site Plan or 40R Approval (No Special Permit) -
$1,075 plus $0.05/sq. ft new building
Approval Not Required Plans - $250/plan page
Subdivision Preliminary - $600 plus $75 per unit
Subdivision Definitive IF Preliminary approved GREATER of $3000 or
$10 linear foot of road
Subdivision Definitive IF NO Preliminary GREATER of $4600 or $14
linear foot of road
Subdivision Definitive Amendment - $500
Zoning Board Special Permit - $325
Zoning Board Finding - $325
Appeal of Building Commissioner-Zoning - $325
Comprehensive Permit (40B) - $1,075
Variance - $1,075
Demolition (Demolition Delay) - $200
Historic District Determination of Non-Applicability - $0
Historic District (Elm St) Determination of Appropriateness - $325
West Street Architecture - $200
Central Business Architecture - $325
Wetlands Notice of Intent, Abbreviated NOI or ANRAD, IF state
wetlands (WPA Form 3, 4, or 4A) - $225 plus city share of state fee
Wetlands Notice of Intent IF ONLY local wetlands (WPA Form 3) -
$100 plus $100 per lot/building/unit
Wetlands Request for Determination OR Resource Delineation (WPA
form 1 or 4a) - $175
Wetlands Amendment - $175
Wetlands extension - $125
Wetlands Certificate of Compliance request - $0
•Existing use of your structure or
property:
The buildings are being renovated. This is an amendment to the original
site plans, granted in 2012 and June 2016 for the reuse of the former
Clarke School campus.
•
Describe planned use, your
proposed project and your
request in DETAIL (include
relevant sections of regulations)
AND whether you have
discussed this with your
neighbors:
Gawith Hall is being renovated for office use. Skinner Hall and the Boiler
House will be renovated for residential use- multi family, apartments.
Additional Information
Fee Amount
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Fee amount:
Describe in detail how you meet ALL SEVEN requirements:
1. Will protect adjoining premises from seriously detrimental uses.
2. Will minimize and mitigate traffic impacts.
3. Promote a harmonious relationship of structures and open space.
4. Protect the general welfare.
5. Avoid overloading and mitigate impacts on City resources.
6. Promote city planning objectives (see Sustainable Northampton, Open Space Plan, and
Transportation Plan).
7. Meet all zoning requirements.
•Describe:
These issues were addressed in the original applicaton. This is an
amendment to that application. Please see below for proposed changes.
Address how you meet ALL THREE of the criteria below to improve circulation and reduce
traffic and parking and any other related mitigation:
1. Minimizing curb cuts, using only ONE unless traffic safety requires more, and using access
from a common driveway, shared service road, or existing side street when possible.
2. Separation on-site of pedestrians, bicycles, and vehicles.
3. Reducing parking demand and reducing the number of required parking spaces (provide detail
on any request to reduce the number of parking spaces).
•Describe:
Review locations for proposed changes to exterior lighting for Gawith
Hall, Skinner Hall, and the Boiler House.
In conjunction with the Historic Commission, review changes to the
design of the new addition and minor changes the existing architecture at
Gawith Hall.
Review location and screening for new and existing ground mounted
Describe in detail how your project will avoid traffic conflicts where traffic accesses your site,
including any traffic mitigation at your curb cut:
•Describe:
No changes are proposed to the original application of June 2016
Describe in detail how your project mitigates all off-site (beyond your driveway access point)
traffic impacts using one of the following three approaches:
1. Providing off-site traffic improvements or public bicycle and pedestrian improvements that
Special Permit and/or Site Plan
Site Plan Criteria
Site Plan - Onsite Traffic
Site Plan - Offsite Traffic
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reduce traffic to mitigate for your projects traffic.
2. Paying payment-in-lieu of traffic, bicycle, and pedestrian improvements in accordance with the
Zoning.
3. Providing clear documentation as to why your project does not generate any new traffic.
•Describe:
No changes are proposed to the original application of June 2016
List any requested waivers from the requirements that the plans include the following, along with
the reasons for those waivers:
1. Site plan at 1"=40' or greater.
2. Name and address of the owner and developer, name of project, and date.
3. Existing and proposed buildings, property line setbacks, building elevations, exterior
entrances/exits.
4. Present and proposed use of the land and buildings.
5. Existing and proposed topography using two foot contours.
6. Wetlands, streams, water bodies, drainage swales, wetlands, unique land features.
7. Location of parking, loading, public/private ways, driveways, walkways, access and egress,
surfacing.
8. Location and details of all storm water drainage, detention and water quality facilities, public
and private utilities and easements, sewage disposal facilities, water supply facilities.
9. Existing and proposed landscaping, trees, plantings, stone walls, buffers, and fencing.
10. Existing and proposed sign locations, dimensions and details.
11. Provisions for refuse removal and screening.
12. Lighting/photometric plan (with a maximum of 0.5 foot candles at property boundary).
13. Erosion control plan (MAJOR projects only).
14. Traffic study (MAJOR projects only).
15. Stormwater Management Plan with Drainage Calculations (MAJOR projects only).
16. Plans stamped by Professional Engineer (MAJOR projects only).
•Describe:
This is an amendment to the original site plan, special permit application.
Only drawings describing the proposed changes are being submitted.
Attach text and supporting information describing project as a multi-page TIF or PDF. If file size
is too large, digital file must be included with submittal.
Upload: upload (10 MB max)
Site Plan - Request Waivers
Upload All Projects
Upload Plan Sheets
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Upload all plan sheets showing existing and proposed work as a multi-page TIF or PDF named
'plansheets.' If the file size is too large digital file must be included with submittal.
Upload: upload (10 MB max)
By typing my name in the signature box, I certify that all the information above is accurate to the
best of my knowledge, I am the property owner or have permission from the property owner to
apply for this permit. I also grant permission to the City of Northampton to inspect the proposed
work.
•Signature:Thomas Douglas
Date Signed:
Submit Cancel
Signature
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