13-073 (40) ., •
File#MP-2003-0117
APPLICANT/CONTACT PERSON Coler&Colantonio, Inc.
ADDRESS/PHONE 1 Sugarloaf Str 413 665-5321 ()
PROPERTY LOCATION 25 COLES MEADOW RD ,
MAP 13 PARCEL 073 001 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ONING FORM FILLED OUT
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-ADDITION&SITE WORK
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 PRES yNTED:
Approved VAdditional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER : § S,. 2—.
71 Tc/ ✓ec1L`C --
Intermediate Project : Site Plan AND/OR Special Permit with Site Plan SiTr _A/L.,/
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 J/.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 *ssion
—1/e•S"---/3
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.
File No. eP03 1f 2
ZONING PERMIT APPLICATION (§i o.2)
Please type or print all information and return this form to the Building
Inspector's Office with the $io.filing fee (check or money order)-payable to the
City of Northampton
1. Name of Applicant: New England Deaconess Association
Address: 80 Deaconess Road, Concord, MA 01742 Telephone: 978-369-5151
2. Owner of Property: Same as above
Address: Telephone:
3. Status of Applicant: Owner X Contract Purchaser Lessee Other (explain)
4. Job Location: 25 Coles Meadow Road, Corner of North King Street
Parcel Id: Zoning Map# _ Parcel# 7 ) District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: Level 4 Nursing Home
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Assisted living facility, including congregate assisted living, Alzheimers
and assisted living cottage apartments /9d4a ., I 4
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 DON'T 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 ofvater or wetlands? NO DON'T KNOW _ YES X
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained X Obtained , date issued:
(Form Continues On Other Side)
10. Do any signs exist on the property? YES X NO
IF YES, describe size, type and location: 2 Project signs: one (3'x4' ) at corner of
Coles Meadow Road & North King Street; One (24"x32") at corner of Coles
Meadow Road & driveway to facility.
Are there any proposed changes to or additions of signs intended for the property? YES X NO
IF YES, describe size, type and location: Existing sign at driveway entrance will be
moved back to improve vehicle sight distance
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 11.09 Ac + 11.09 Ac + pc�FID"
Frontage 1126'+ N. King St. Same
754'+ Coles Meadow Rd. Same / ' 5-
Setbacks Front 171 ' Coles Meadow Rd. 30
155' N. King St.
Side L: 60' R: L: 60' R: L: ZC) R:
Rear 243' 54.75' �(.3
Building Height
31' 35'
15-c
Building Square Footage 38,800 88,167
Open Space: (lot area
minus building a paved parking 89% 71% 20 A
# of Parking Spaces
44 90
# of Loading Docks
1 1
Fill:
(volume Et location)
12. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 2/2.6/D3 Applicant's Signature '. t104—
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.
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