18-022 (7) File #52
APPLICANT/CONTACT PERSON:CITY OF NORTHAMPTON PLANNING DEPT
210 MAIN ST NORTHAMPTON, MA 01060
PROPERTY LOCATION 196 COOKE AVE
MAP:LOT 18-022-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $
Type of Const ction: ZPA -4 HOUSING UNITS OF WHICH AT LEAST 2 WILL BE AFFORDABLE
UNITS
New Construction
Non Structural 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 RESENTED:
Approved X Additional permits required (see below) ��rr,,��
PLANNING BOARD PERMIT REQUIRED UNDER:§ 350 "613 .4 350 "6.a
Intennediate Project: Site Plan AND/OR V Special Penn it With Site Plan
Major Project: Site Plan AND/OR SpecialPermit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Perm its Required:
Curb Cut from DPW Water Availability SewerAvailability
Septic ApprovalBoard 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
Demolition Delay
7 d as
Sigm ture 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,Depar i ent
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 Office of
Planning&Development for more information.
RECEIV-tt-r)
JUl 1 9 2022 File No.
— r
' NG PERMIT APPLICATION (§10.2)
OFPTjY '""�"n"'.,acec' n�' '' 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: City of Northampton, through Planning Ft Sustainability
Address: 210 Main St., Northampton, MA 01060 Telephone: 413-587-1265
2. Owner of Property: City of Northampton
Address: 210 Main St„ Northampton, MA 01060 Telephone: 413-587-1265,
3. Status of Applicant: Owner XX Contract Purchaser Lessee Other (explain)
4. Job Location: 196 Cooke Avenue (Boggy Meadow Road)
Parcel Id: Zoning Map# 18 Parcel# 022 District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: Parking Lot and old Moose Lodge
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Four housing units of which at least two will be affordable units as defined under sectyion 360-6.12, with 250%
of usual RR zoning allowed, no minimum lot size, and 40% reduction in frontage, lot depth and lot width.
7. Attached Plans: Sketch Plan XX _ Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO XX DON'T KNOW 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#
XX
9.Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES rt
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained XX
(Form Continues On Other Side)
W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passivc.doc 8/4/2004
10. Do any signs exist on the property? YES NO XX
IF YES, describe size, type and location:
•
Are there any proposed changes to or additions of signs intended for the property? YES NO XX
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 XX
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 2.5 acres for four lots(at 25o%
3'07 of allowed densi
b'-350-6.12)
Frontage 316'on Boggy Meadow Rd 316'on Boggy Meadow Rd.
Setbacks Front 200+ 40'
Side L: 300'+ R: 10' +/- L: 20' R: 20" L: R:
Rear 10' +/-
50'
Building Height 34'
20' +/-
Building Square Footage
2,000 sq ft +/- 4,400 square feet
% Open Space: (lot area
minus building a paved 80% 80%
parking
#of Parking Spaces
40 8
#of Loading Docks 0 0
Fill: 0 0
(volume ft location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Fet:fizyn
Date: _7/20/22 Applicant's Signatur
NOTE: Issuance of a zoning permit does not relieve an ap icant'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.
W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
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