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YES NO X IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property? YES NO IF YES, describe size, type and location: 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 (o0,3&59, 9 f 4- Frontage v ` x •12 5�? 12- Setbacks Front Q;C, '33-11 Side L: 4(D' R: 4()i L: LA51 R: CVO' L: R: Rear ` ` Building Height + 9 Building Square Footage W21 5r/ %Open Space: (lot area minus building&paved parking C /� #of Parking Spaces ) #of Loading Docks 5� Fill: 5� (volume &t location) 12. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: "t4W -1Z Applicant's Signature ? 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. OOO.pdf File No. AY'-0 3,5 ____j ZONING PERMIT APPLICATIO ` DIN° Please type or print all information and return this form to the Building Inspector's Office with the$so.filing fee(check or money order)payable to the City of Northampton 1. Name of Applicant: — \i E'c-e cA-r)_ f`�. m,— Address: c Telephone:—b,—l—` ?(-n 1 2. Owner of Property: -t Address: tjtu aQn Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) C* 4. Job Location: 46 c AP.!"' Parcel Id: Zoning Map# - _ Parcel#-2�-L—+ District(s): `> In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: Cc .` •-� I(D4- 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): L M kj 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans .A 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO �6j 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) File#MP-2003-0050 APPLICANT/CONTACT PERSON CELLURA TODD G ADDRESS/PHONE 135 SOUTHAMPTON RD LlSd T 8401 PROPERTY LOCATION 46 SOVEREIGN WAY MAP 36 PARCEL 243 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM ILLED OUT ee Building Permit Filled out Fee Paid - Typeof Construction: ZPA-CONSTRUCT SFH W/COMMON DRIVE W/LOT 11 New Construction _ Non Structural interior renovations Addition to Existing - Accessory Structure - - BuildinQ Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRE TED: __.Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER: § Intermediate Project: Site Plan AND/ORpecial 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 S5pet Commission Z--- 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. sewage disposal facilities water supply facilities C B-8) Existing&proposed: landscaping,trees and plantings(size&type of plantings CAnra►t (C2�v �l t stone walls, buffers and/or fencing: B-9 Signs-existing and proposed: p.,K_1•r r;n• 1 t t CL. �(� - Location dimensions/height color and illumination B-10. Provisions for refuse removal,with facilities for screening of refuse when appropriate: B-11 Lighting: - Location K-)O* C T t c L 7 Details Photometric Plan showing no more than.5 foot candle at property line FOR MAJOR PROJECTS ONLY: B-12. An erosion control plan and other measures taken to protect natural resources&water supplies: C. Estimated daily and peak hour vehicles trips generated by the proposed use, traffic patterns for vehicles and pedestrians showing adequate access to and from the site,and adequate vehicular and pedestrian circulation within the site. Site Plans submitted for major projects shall be prepared and stamped by a: Registered Architect, Landscape Architect,or Professional Engineer (At least one plan must have an original stamp,remaining plans must either have an original stamp or copy of original stamp.) 9 SITE PLAN REQUIREMENTS REQUEST FOR WAIVERS APPLICATION This form MUST be included in your application packet. The site plan MUST contain the information listed below.The Planning Board may waive the submission of any of the required information,if the Applicant submits this form with a written explanation on why a waiver would be appropriate. To request a waiver on any required information,circle the item number and fill in the reason for the request. Use additional sheets if necessary. If you are not rNuestingany waivers,please note that on this form. A. Locus plan B. Site plan(s)at a scale of 1"=40'or greater B-1. Name and address of the owner and the developer,name of project,date and scale plans: B-2. Plan showing Location and boundaries o£ - the lot - adjacent streets or ways - all properties and owners within 300 feet - all zoning districts within 300 feet tB-3 Existin and proposed: -building \ t°Yi �V�\ - ��n ► Qc'tw e V,1 t 10 fn t U-� c t° -setba�om property lines ---� t7CCL:6 t3; -building elevations - p 4(. -all exterior entrances an exi 1 Gz� e eva on p ans or all exterior facades structures are encouraged) B-4. Present&proposed use of the land buildings: CB-5. Existing and proposed topography(for intermediate projects the permit granting authority may accept generalized topography instead of requiring contour lines): - at two foot contour intervals - showing wetlands,streams surface water bodies showing amage swales and floodplain �- - showing unique natural land features B-6. Location of: - parking&loading areas - public&private ways - driveways,walkways - access&egress points - proposed surfacing: B-7. Location and description of- all stormwater drainage/detention facilities K-f C4 P-21 16 e-t iZi Q water quality structures public&private utilities/easements G. Explain how the requested use will promote City planning objectives to the extent possible and will not adversely effect those objectives,defined in City master study plans(Open Space and Recreation Plan; Northampton State Hospital Rezoning Plan;and Downtown Northampton:Today,Tomorrow and the Future). L3 1 y r stn 9. I certify that the information contained herein is true and accurate to the best of my knowledge.The undersigned owner(s)grant the Planning Board permission to enter the property to review this application. Date: V -02- Applicant's Signature: Date: Owner's Signature: (Owners signature or letter from owner authorizing applicant to sign.) (Applicant must include waiver form on p 8 indicating that either all information is included or that waivers are being requested.) MAJOR PROJECTS MUST ALSO COMPLETE THE FOLLOWING MAJOR PROJECT APPROVAL CRITERIA: Does the project incorporate 3 foot sumps into the storm water control system? Yes No (IF NO, explain why) Will the project discharge stormwater into the City's storm drainage system? Yes No (IF NO,answer the following:) Do the drainage calculations submitted demonstrate that the project has been designed so that there is no increase in peak flows from pre-to post-development conditions during the: 1, 2,or 10 year Soil Conservation Service design storm? Yes No (IF NO,explain why) Will all the runoff from a 4/10 inch rainstorm(first flush)be detained on-site for an average of 6 hours? Yes No (IF NO,explain why) Is the applicant requesting a reduction in the parking requirements? Yes No If yes,what steps have been taken to reduce the need for parking, and number of trips per day? 7 How does the project meet the special requirements?(Use additional sheets if necessary) `hL CCMonr ,(Vnr WA Onku c'C56 T-Yc�� �►���l s, cuno b=11 � O t d 441 G -t CnVl a n:- kv--, c _k>,kl be n-reei +. F. State ow the project meets the following technical performance standards: 1. Curb cuts a E _ l Check off all that apply to the project: use of a common driveway for access to more than one business use of an existing side street use of a looped service road 2. Does t e project require more than one driveway cut? NO YES(if yes,explain why) 3. Are pe estrian,bicycle and vehicular traffic separated on-site'? YES NO(if no,explain why) FOR PROJECTS THAT REQUIRE INTERMEDIATE SITE PLAN APPROVAL, ONLY.SIGN APPLICATION AND END HERE (_Applicant must include waiver form on p.8 indicating that either all information is included or that waivers are being requested.) 9. I certify that the information contained herein is true and accurate to the best of my knowledge.The undersigned owner(s)grant Planning Board permission to enter the property to review this application. Date: Applicant's Signature: Date: Owner's Signature: (Owners signature or letter from owner authorizing applicant to sign.) FOR PROJECTS THAT REQUIRE A SPECIAL PERMIT OR WHICH ARE A MAJOR PROJECT, applicants MUST also complete the following:_ F. Explain why the requested use will: not unduly impair the integrity or character of the district or adjoining zones: not bpd„etrimental to the health,morals or general welfare: be in harmony with the general purpose and intent of the Ordinance: f� t`✓r\ 6 .e c= 4 6 B. How will the requested use promote the convenience and safety of pedestrian movement within the site and on adjacent streets? How will the project minimize traffic impacts on the streets and roads in the area? llr,y }'1 t�7 �1 i►'1e l�l 12 C "> Where is the location of driveway openings in relation to traffic and adjacent streets? What features have been incorporated into the design to allow for: access by emergency vehicles: - ( '_ y `-jky',ee, +"yurmbe�� _ L4-- the safe and convenient arrangement of parking and loading spaces: CC 11 etc provisions for persons with disabilities: i._,_X xjl6 CK--81,-A 6eyzAt- Ate' — C. How will the proposed use promote a harmonious relationship of structures and open spaces to: the natural landscape: S �r i r (A ( _p- I QC sm Xt— to existing buildings: C4, �y^ y _� i A'sY x kA ha-ti< fi t, _ \` ; ( t lv�1`C" Cat D n :v:• LC-A""11 other community assets in the area: D. What measures are being taken that show the use will not overload the City's resources, including: water supply and distribution system:�fi� L � \ > sanitary sewage and storm water collection and treatment systems: '��r►S r_` �ti-►_S�'�X�. � C���["�4 t Cam-, `-�.t��'-� C:z..�.� r�� i� t-�1Gxc. fire protection,streets and schools: A : i ; 0 How will the proposed project mitigate any adverse impacts on the City's resources,as listed above? E. List the section(s)of the Zoning Ordinance that states what special regulations are required for the proposed project (flag lot,common drive,lot size averaging,etc.) 5 CITY OF NORTHAMPTON PLANNING BOARD APPLICATION FOR: Please Note: An omission of information could lead to a delay in processing your application. 1. Check type of project: INTERMEDIATE PROJECT: Site Plan AND/OR Special Permit with Site Plan Or MAJOR PROJECT: Site Plan AND/OR Special Permit with Site Plan 2. Permit is requested under Zoning Ordinance: Section: Page: - 3. Applicant's Name: . S"OrF'rT_ Address: _S j 4. Parcel Identification: g ' arce` TpJ 61mn District: Street Address " C Cl is Property Recorded in the Registry of Deeds: County: _Y" Book: Page: 5. Status of Applicant: Owner ��; Contract Purchaser Lessee Other 6. Property Owner: ,� N t i_ Address: i °`� Telephone: u1'� �-- i 7. Describe Proposed Work/Project: (Use additional sheets if necessary): i +fit Has the following information been included in the application? Site/Plot Plan List of requested waivers Fee Signed Zoning Permit Review Form&Application y� 8. Site Plan and Special Permit Approval Criteria.(If any permit criteria does not apply,explain why) Use additional sheets if necessary. Assistance for completing this information is available through the Office of Planning&Development. A. How will the requested use protect adjoining premises against seriously detrimental uses? t C>t c1�_ ( t d` fC. C'� -�'C' i �z1ef euL4� '") t 21 l How will the project provide for: n ( surface water drainage:�k_(A='U , " �A 1.Y 1--w, - LC;i cA t " ;f-),4 ib sound and sight buffers: VX1 i VA i vi q (?t om �5ha e tL C CCU m the preservation of views,light and air: s ��t C�r( `t &Y ice-+=�_-- l`1 4