24B-038 (17) C The LETTER OF TRANSMITTAL
Oi ®` • St
41-€6C
TO: Building Department DATE August 23, 2010 PROJ. NO.
Puchalski Municipal Building RE: Zoning Permit Application
212 Main Street 327 King Street
Northampton, MA 01060
ATTENTION: Louis Hasbrouck, Building Commissioner Fast Food Restaurant
WE ARE SENDING YOU:
❑ LETTER ✓ ATTACHED
✓ PLANS ❑ REPORTS
✓ APPLICATION ✓ CHECK
OTHER
COPIES DATE NO. DESCRIPTION
1 8 -23 -10 completed Zoning Permit Application form
1 8 -23 -10 L -2 Site Plan layout sheet prepared by the Berkshire Design Group
1 8 -23 -10 22805 $15.00 application fee
THESE ARE TRANSMITTED AS CHECKED BELOW:
✓ FOR APPROVAL ❑ APPROVED AS SUBMITTED
❑ FOR YOUR USE ❑ APPROVED AS NOTED
❑ AS REQUESTED ❑ RETURN FOR CORRECTIONS
❑ FOR REVIEW ❑ SIGN & RETURN
❑ BIDS DUE
COMMENTS:
A 4,418 sq ft fast food restaurant with drive -thru customer service window has been proposed for the street front
out parcel as depicted on the enclosed site plan. The single story steel frame structure would have a brick
exterior with EIFS trim with approximately 40% of the King street facade being store front windows.
Should your have questions or require addition al information please do not hesitate to contact this office.
COPIES TO:
Peter La Pointe
Vice President Real Estate & Construction
360 Bloomfield Avenue • Suite #208 • Windsor, CT 06095 • phone: 860 - 688 -3667 • fax: 860 - 688 -2343
10. Do any signs exist on the property? YES X NO
IF YES, describe size, type and location: C t X 2 4 I de, t c_%' e �•t c�1
Are there any proposed changes to or additions of signs intended for t e property? YES X NO
IF YES, describe size, type and location: • . - .i A • n.1
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 L_A_
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
• 77 Ac. /Jc .
Fronta
c"99. /8' AJo G1r9) •
Setbacks Front 1
Side L: R: L: R: L: R:
Rear # /'A SC
Building Height /
Building Square Footage
% Open Space: (lot area
minus building a paved
� � � � �
parking
# of Parking Spaces
3
# of Loading Docks
Fill: N
(volume it location) /�
13. Certification: I hereby certify that the information contained hereinis ttue and accurate to the best of
my knowledge.
Date: 9 3 l Applicant's Signature _ o `�
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.
W:\ Documents \FORMS \original \Buil ding- lnspector\Zoning- Permit- Application- passive.doc 8/4/2004
AUG 2 4 2010 i P��
File No.
jPE IIC' O11 NG PERMIT APPLICATION ( §10.2)
-- teas e or print all information and return this form to the Building
Inspector's Office with the $15 filing fee (check or money order) payable to the
/ City ofNorthampton
1. Name of Applicant: a ! (/ is S' L.
4,12 .4 nrl p To w..)
Address: 3 )oo e 3d9' C f O F8z*-
2. Owner of Property: •� : L. __ _ L
Address: _.5 4.4 G Telephone:
3. Status of Applicant: Owner A Contract Purchaser Lessee Other (explain)
4. Job Location: 37 7 k Q 59 t2C
Parcel Id• . Zoning Ma p #" Parcel# Distnct(s)
In. Elm. Street District In. Central Business. District
(TO BE FILLED IN BY THE BUILDING. DEPARTMENT)
5. Existing Use of Structure /Property:_ T, v e o� ti i� k LA--e47 ' o, -f-
6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary):
NC La 1 5 re, � y S fee( 5 h2 P t.aV !v i ol
/ To
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 DONT KNOW YES )C IF YES, date issued: a -21 la
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW X YES
IF YES: enter Book Page and /or Document #
9.Does the site contain a brook, body of water or wetlands? NO ,X 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: \Documents \FORMS\ original\ Building- Inspector\Zoning- Permit- Application- passive.doc 8/4/2004
File # MP- 2011 -0025
APPLICANT /CONTACT PERSON COLVEST NORTHAMPTON LLC
ADDRESS/PHONE 360 BLOOMFIELD AVE SUITE 208 (860) 688 -3667 (13)
PROPERTY LOC , Q 7 Q. T
MAP 24B PARCEL 038 000 ZONE HB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
(ON1NG ORM FILLED OUT
- F& - ' f - 1s
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA - FAST FOOD ADDITION
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
Approved , V /Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER : § 35 " WA CH ME/UT / ' 4 ( ST C NA A P°
Interm •': •' Site Plan AND /OR S ecial Permit with Site Plan •tco -1 ( , .3 MASK1 f t T6c e
Major Proje l Site Plan AND /OR __ 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
Fj .ZS'� i 0
Signature of Building 0 icial 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.