25A-110 (4) City of Northampton, Massachusetts
Office of Planning and Development
City Hall • 210 Main Street
Northampton, MA 01060 • (413) 586-6950
FAX(413) 586-3726
•Community and Economic Development
•Conservation•Historic Preservation
• Planning Board•Zoning Board of Appeals
• Northampton Parking Commission f
TO: Anthony Patillo, Building Inspector l •
RE: Permit application
6W <� I
FROM: Laura Krutzler, Board Secretary/OPD
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DATE: Gjf2�f �, ire
Would you please review and return the
n Yt.T
enclosed "�``'�-�� application sT "T
before the Planning Board/Zoning Board of
Appeals meeting scheduled for 2 -1�4r so
that we can advise the Boards of any
concerns you may have.
Thank you.
10. Do any signs exist on the property? YES NO
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NOj
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This GOTH t0 be filled in
by the Building Drpartmeat
(Required
Existing Proposed By Zoning
Lot size
Frontage ,
Setbacks - '-��
- side L: R:
- rear
Building height
Bldg Square footage
%Open Space: '
Lot area minus bldg
&paned parking! J ✓ ` s
#} pf Parking Spaces
f1 of Loading Docks 3
Fill:
(vol-ume--& location) 1 f
F}
f
13 . Certification: I hereby certify that the informa'on cont 1 d herein
G is true. and accurate to the best of my knowled
DAVE: APPLICANT's SIGNATURE
NOTE: Waqano/a of a zoning permit does not relieve an ap 1lomnt's burden to comply wlt'7,_All,
zoning requirements and obtnln all required permits from the Board of Health. Conservation
Commission, Department of Publio Works and other applioable permit granting authorities:.-
:' '„ FILE #
Y FEB a '998
hs File No.
-SING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 2
Address: 9;z7) c���c' �( Telephone: SCj S^ C y 7 Q
2. Owner of Property: S�
Address: al) i 2s S Telephone: 5 OU l
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: 31;,3 3r^A -c
Parcel Id: Zoning Map# , _ Parcel# District(s): (,r R
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Propos d Use ork/Projectt.O upati (Use qdditional sheets if neces ary
ci Fe' e a
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7. Attached Plans: Sketch Plan Site Plan _ Engineered/Surveyed Pla*
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special PermitNadance/Finding ever been issued for/on the site?
NO DON'T KNO%^! YES _ IF YES,date issued: /:Z
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document#
1�7
9. Does the site contain a brook, body of water or wetlands? NO _ DON'T KNOW YES n�t4�
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IF YES, has a permit been or nee o be obtained from the Conservation Commission?
Needs to be obtained Obtained date issued:
(FORM CONTINUES ON OTHER SIDE)
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THIS LINE LAIC) OUT BASED ON GESIOREK'S DEEb AND STATE HIGHWAY PLANS
JOSEPH AND MARY GESIOREK
BOOK 965, PAGE 450 - TRACT 1
FILE # JbJ:�Ib
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APPLICANT/CONTACT PERSON: �:!� ,,.�LL� J?'C •5 � -C%�� i
ADDRESS/PHONE:
PROPERTY LOCATION:
iVIAP '? PARCEL: //G _ ZONE
'PHIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
EN CL SED REQUIRED DATE
70 G FnRM TT
Riiilffing
Fee pqifi
ArMition to Existing
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
Approved as oresentedfbased on information presented
XDenied as presented: 1 \ 1
Special Permit and/or Site Plan Required under: § i+3 (1 J n•(0 (v'PLANNING BOARD ZONING BOARD
Received & Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § w/ZONING BOARD OF APPEALS
Received & Recorded at Registry of Deeds Proof Enclosed
/
Variance Required under: § w/ZONING BOARD OF APPEALS
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
Permit from Conservat' Commission C��'� r ���C'A
Signature of Buildu ector Dtte
NOTE:Is-suanoe of a zoning permit does not relieve an appiloant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authoritles.
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B-6. Location of.
parking&loading areas ��
public&private ways
driveways,walkways !Pf
access&egress points /
proposed surfacing: A/
B-7_ Location and description of:
all stormwater drainage/detention facilities
- water quality structures �✓
public&private utilities/easements
sewage disposal facilities
water supply facilities ,✓`III
B-8. Existing&proposed:
landscaping,trees and plantings(size&type of plantings)
stone walls, �i�
buffers and/or fencing: /f✓��
B-9. Signs-existing and proposed: f
Location
dimensions/height �4
color and illumination
B-10. Provisions for refuse removal,with facilities for screening of refuse when appropriate:
FOR MAJOR PROJECTS ONLY:
B-1 1. 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
8
SITE PLAN REQUIREMENTS
REQUEST FOR WAIVERS APPLICATION
The application MUST include a site plan containing 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.
A. Locus plan
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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:
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B-2. Plan showing Location and boundaries of:
- the lot J F V e r
adjacent streets or ways
all properties and owners within 300 feet
- all zoning districts within 300 feet
B-3. Existing and proposed:
buildings e «-
setbacks from property lines_ wf v t / _
building elevations L/el /;- i1 ('t C''e^1 Y s
all exterior entrances and exits �� �J �✓� J
(elevation plans for all exterior facades structures are encouraged)
B-4. Present&proposed use of
!
the land Vr_rr0
buildings:
B-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 ' /-r 4r Bn
showing wetlands,streams,surface water bodies _ o�. n u/L,-` -? ! '
showing drainage swales and floodplainy:
showing unique natural land features
7
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,, a elopment 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 4110 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?
NO YES
If yes,what steps have been taken to reduce the need for parking, and number of trips per day?
6
F. Explain why the requested use will:
not unduly impair the integrity or character of the district or adjoining zones:
not be detrimental to the health,morals or general welfare: L? /'-f' i via o
be in harmony with the general purpose and intent of the Ordinance:
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).
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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: 3 3o �M Applicants Signature:
Date: 1 Owner's Signature: _, �t —
(If not the same applicant's)
MAJOR PROJECTS must also complete the following page:
5
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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 floe project require more than one driveway cut?
NO YES(if yes,explain why)
3. Are pedestrian,bicycle nd 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.
9. I certify that the information contained herein is true and accurate to the best of my
knowledge. The undersigned owner (s) Planning Board permission to enter the
property to review this application.
Date: Applicants Signature:
Date: Owner's Signature:
(If not same as applicant)
For projects that require a Special Permit or which are a major project, applicants must also
complete the following page.
4
C. How will the proposed use promote a harmonious relationship of structures and open spaces to:
the natural landscape:
to existing builg�
�, VnM �
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: `Thrr! cro r-7-) ),ez,—) v i-T /c 1 H r
t ,
sanitary sewage and storm water collection and treatment systems:: /
fire protection,streets and schools:
How will the proposed project mitigate any adverse impacts on the City's resources,as listed
above?
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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.)
How does the project the special requirements?(Use additional sheets if necessary)?
F. State how the project meets the following technical performance standards-
1. Curb cuts are minimized: �C-UNC I-n(e �`�•
3
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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 rotect(a/djoining premises against seriously detrimental uses?
/ , �, ,-•
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How will the project provide for:
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surface water drainage: r' r l~ J't`;
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sound and sight buffers:_
the preservation of views,light and ir:
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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 oads in the area?
Where is the location o driveway op rings in relation to trafTic and adjacent streets?
What features have been incorporated into the qcsign to allow for:
access by emergency vehicles:
the safe and convenient arrangement of parking and loading spares:
provisions for persons with disabilities: -
2
�. t
CITY OF NORTHAMPTON
PLANNING,4O RD
SPECIAL PERMIT & SITE PLAN APPROVAL_ PERMIT
INSTRUCTIONS & APPLICATION FORM:
A SEPARATE APPLICATION MUST BE FILED FOR EACH PERMIT REQUESTED
PLEASE PRINT OR TYPE ALL INFORMATION
PERIVLIT INsTRucuoNs.
The numbers of the instructions listed below, are the same those listed on the application form.
1. Check off the Type of permit:
Information can be obtained from the Zoning Permit Application denial, the
Building Department and/or the Office of Planning & Development (OPD).
Intermediate Projects:
New construction or additions of between 2,000 and 4,999 square feet of gross
floor area (excluding single family homes and agricultural uses).
Projects which require 6 - 9 additional parking spaces.
Projects which require a Special Permit or Site Plan Approval, do not qualify as a
—� Major Project, and are not a sign.
Projects which require Site Plan Approval, and do not require a Special Permit.
Planned Village Projects which require Site Plan Approval and are not a Major
Project.
Major Projects:
New construction o1 auuiLiuLUS UL J,vvv Syua1C 1CCL U1 inure of gross floor area.
Commercial Parking lots and parking garages
Except for the CBD, establishments selling foods prepared on the premises where
consumption is primarily off the premises and retail establishments selling
principally convenience goods.
- Automobile service stations
Projects which require 10 or more additional parking spaces.
- Rural Residential Incentive and Planned Business Park projects.
2. Fill in the Specific Section and Page of the Zoning Ordinance, that shows why the Special
Permit is required. This information can be obtained from the Zoning Permit Application
denial, the Building Department or from OPD.
1
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CITY OF NORTHAMPTON uU i4
PLANNING BOARD APPLICATION FOR: � � U t5
Type of Project;
� +
SM PLAN APPRQYAL: 0
intermediateProJect(S►tePlari}
1VlaJor Project(Site Plan Special permit)
OR
SPECIAL PERMIT:
Intermediate Project(with Site Plan Approval) k
MajorProject($rtePlan SpecialPennf)
Permit is requested under Zonug Oriitnance Sectron Pg
1. Applicant's Name:
Address: 32 Sfi Telephone: 52 S - rt,,1 77
2. Parcel Identification: Zoning Map# Parcel# Zoning District:
Street Address:
3. Status of Applicant: Owner, Contract Purchaser; _ Lessee
Other(explain)
1 Property ONrner: \41,D'At
Address: Telephone:- -59'$-00 7 e
5. Describe Proposed Wor�//W'Protject (Use additional sheets if necessary): 1
LICP `d r IF
rl LL _pr �h< Cc M! -t YnY r r� T o f fn Q! C nr_( I�fi 't om
Has the following information been included in the application?
Site/Plot Plan List of requested waivers fee
2 sets of labels(supplied by the Assessor's Office)
Signed dated and denied Zoning Permit Application
Three(3)copies of the Certified Abutters List from Assessors'Office.
1