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10. Do any signs exist on the property? YES X NO
IF YES, describe size, type and location: fact size and location tailmxwn
Are there any proposed changes to or additions of signs intended for the property? YES X NO
IF YES, describe size, type and location: an (2) rlaa sigris are proposed wasuring 5'=0" x 2' each
11. Wilt 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 X NO
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
492,228 SF 240,000 SF
Frontage
159.1 FT 375.0 FT
Setbacks Front
410 FT 15 ET
Side L: R: L: 20 FT R: 20 FT L: 10 FT R: 10 FT
Rear 38 FT 15 FT
Building Height
30' 40'
Building Square Footage
% Open Space: (lot area
minus building a paved 70 65
parking
# of Parking Spaces
59 33
# of Loading Docks
0 0
Fill:
(volume Et location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: • I II /1 Applicant's Signature .AA,/ `...
^�
�pLpt o ♦ �.�
NOTE: Issuance of a zoning permit does not relic . . applicant's burden to comply with all zoning
requirements and obtain all required permits om 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- Applicaliou- passive.doc 8/4/2004
RECEIVED
IOCT l 7 N
File No. O 3 -1 - 5- r )
- y tik.',GsP RMI-T APPLICATION 10.2)
Please type or print all information and return this form to the Building
Inspector's Office with the $x5 filing fee (check or money order) payable to the
City of Northampton
1. Name of Applicant: &Didier On Developnant & lrt Co., Ire.. & Soldier Ch Veterans Village II, LIC
Address: 421 N. Main St, Leeds, Mk 01053 Telephone: 866
2. Owner of Property: U.S. apt of Veterans Affairs
Address: 421 N. Main Street, Teeds, Mk 01053 Telephone: 866-406-W449
3. Status of Applicant: Owner Contract Purchaser Lessee X Other (explain)
4. Job Location: 421 N. Main St., Leeds, M4
Parcel Id: Zoning Map# 11 Parcel# 0 01 Districts) SR
In Elm Street District . In Central Business District
(TO BE FILLED: IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure /Property: Veterans Medir-a1 Center
6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary):
Constrixtion of 60 ma tni.ts of housiig for veterans on 11.3 w.res of lard to be leased
fran the U.S. Veterans Affairs Medial Canter. The project will irc1>xle five (5) new
buildings, alag with parkirg and utilities.
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 X 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 #
9.Does the site contain a brook, body of water or wetlands? NO X DON'T 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)
N4 \Documents \FORMS \original \linil ding- inspector\Zoning- Permit - Application- passive.doc 8/4/2004
File # MP- 2013 -0050
APPLICANT /CONTACT PERSON SOLDIER ON DEVELOPMENT & MGMT CO INC & SOLDIER ON
VETERANS VILLAGE II LLC
ADDRESS/PHONE 421 North Main St. (866) 406 -8449 0
PROPERTY LOCATION 421 NORTH MAIN ST
MAP 11 PARCEL 001 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT //
Fee Paid MO 4 /f.
Building Permit Filled out
Fee Paid
Tvpeof Construction: ZPA - 5 BLDGS - 60 UNITS
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 PRESENTED:
Approved %dditional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER : §
Intermediate Project : 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
LV Other Permits Required: C O M P Re'F96,JS i W -E Mt/A/ 1 ME L LIO, " 2.
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
4
Signature of Building Official Da 1214 te
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.