49-054 File #84
APPLICANT/CONTACT PERSON:JG SITE SERVICES LLC
78 POPLAR AVE WEST SPRINGFIELD, MA 01089(413)437-0446
PROPERTY LOCATION 1005 PARK HILL RD
MAP:LOT 49-054-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $40.00
Type of Construction: ZPA -2 FAMILY HOUSE
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION
PRESENTED:
Approved Xdditional permits required(see below) For all projects that need additional reviews D+I;F .,[]
as checked below,please see the Office of Planning& Susta inability Permit page or scan here - '
PLANNING BOARD PERMIT REQUIRED UNDER:§ Ike: OF Uses LO3P
Intermediate Project:_ 17 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 Commission Permit DPW Storm Water Management
Demolition Delay
II- 16- ZQZI
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 Office of Planning&
Development for more information.
I C 1 �FI
NOV 1 5 2024 CrJi Li ?
File No. s! O
, F_
iw,,p ,. ^Cj NG PERMIT APPLICATION(350•4.4)
Please type in this fillable PDF or print and hand-write all information and return to
the Building Inspector at the Building Department (212 Main St.) with the $40 filing fee by
check and money order (payable to the City of Northampton) or credit card (in person only).
1. Name of Applicant: JG Site Services, LLC -_ Email:)on@jgsiteservices.com
Address: 78 Poplar Avenue, West Springfield, MA 01089 Telephone: (413) 437-0446
Southampton Consulting Group, LLC
2. Owner of Property:108 Fomer Road. Southampton. MA 01073 Telephone: (413) 205-6941
3. Status of Applicant: Owner Contract Purchaser( I Lessee Other V Explain:Owner's Consultant
4. Job Location: 1005 Park Hill Road -Assessor's Parcel ID 49-054-001
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: Vacant, Wooded Land
6. Description of Proposed Use/Work/Project/Occupation (Used Additional Sheets if necessary):_
The proposed project is for the construction of a two-family home with public water and private (septic)
sewerage. Access will be established via a new curb cut at Park Hill Road. Please see the attached plan
for further detail.
/ (Preliminary)
7. Attached Plans: Sketch Plan Site Plan: V Engineered/Surveyed Plans Y
8. Has a Special Permit/Variance/Finding ever been issued for/on the site? No Z1 Don't know L I Yes❑ If Yes,
date issued Was the permit recorded at the Registry of Deeds? No Li Don't know H Yes Li
If Yes, enter Book _ _ Page Document#
9. Does the site contain a brook, body of water or wetlands? No V Don't Know l l Yes If yes, has a permit been
or need to be obtained from the Conservation Commission? Needs to be obtained I 1 Obtained H
Date:
Numerous; Unknown total at this time pending final design.
10. How many trees will be removed? At 4 ft. above ground level, how many of the removed trees are 5" in
diameter or greater(Multiple)
11. Do any signs exist on the property? No El Yes If Yes, describe size, type and location:_____
Are there any proposed changes to or additions of signs intended for the property? No 1J Yes u If Yes, describe
size, type and location:
12. Will the construction activity (clearing, grading, excavation or filling) disturb over 1 acre, or is it part of a common
plan of development that will disturb over 1 acre? No I7 1 Yes l 1 If Yes, then a Northampton Stormwater
Management Permit from the DPW is required.
13. ALL INFORMATION MUST BE COMPLETED, OR PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This column reservedfor use
by the Building Dept.only
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
80,004+/- SF No Change
Frontage
467.84' No Change
Setbacks Front - 27'
Side L: - R:_ L: 69.8' R: 239.2' L: R:
Rear _ 90.6'
Building Height
<35'
Building Square Footage
<5,000 GSF
%Open Space:
(lot area minus building B
paved parking l 100% 94%
#of Parking Spaces
4
#of Loading Docks
0
Fill:
(volume a location) - To Be Determined (Export)
Driveway Grade%
- Max. 10%
14. Certification:I hereby certify that the information contained herei is true and accurat-to the best of my knowledge.
Date: it Applicant's Signatur
NOTE: Issuance of a zoning permit does not relieve applicant's burden to comply with all zoning requirements and
obtain all required permits from the Board of Health, onservation Commission,Historical Commission and Architectural
Boards,Department of Public Works and other applicable permit granting authorities.