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25C-132 (2) 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 ly m � TO: Anthony Patillo, Building Inspector p 2 7 RE: Permit application - FROM: Laura Krutzler, Board Secretary/OPD ` DATE: /rzr• 02�/ /9� Would you please review and return the enclosed before the ej-an—Ffingj)joW=oning Board of Appeals meeting scheduled for -e,4 so that we can advise the Boards of any concerns you may have. Thank you. r- - � - -� . � i �� � � //ISO II /0�� �/! V � f � O l` � ` I V, � , � L\ � � � � • t • _ '� I � i `. . � r .. � � , �, z i � �. � .�I �� � � � �, � r � � i . � I � � � i � �� I � _ _ L _ ... .. _. _�>- , CD M r • � 3 p O cDi, M 2 U cn Z ,,a cn O rn ::E I � Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No._ 05"S'114,27 Alterations NORTHAMPTON, MASS. 5 19 Additions APPLICATION FOR PERMIT TO ALTER Repair / Garage �1. Location 0. Lot No. 2. Owner's name ( '`140eZP—s� A/0&ae le, A l Address S? S /95 D//tRs ol�jAj, . 3. Builder's name �l • G,e l 1/111'— S Address 1617 Mass.Construction Supervisor's License No. �e CL //S q(9 Expiration Date / 9 QF 4. Addition / / 5. Alteration 3R,,p ?-Z0Q c° C©AW j�:e< iD/U iii/5/0 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating S 11. Distance to lot lines 12. Type of roof Occ)) /' L /i✓ 13. Siding house 14. Estimated cost:- /Dl D 00 U O The undersigned certifies that the above statements are we to the best of his, her knowledge and belief. Signature of responsible app,icant Remarks //UC f N`'r e D t C A D� /11��J/ /� /rl�/�/V S 5 YV 4(tWfJ, 3 8 �asartrhnsctta DEPARTMENT OF BUIL.DrNG INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFF DAVIT With a principal place of business/residence at: /V 7 10V (phoney#) (strr_et/ci ty/statrizip) do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job- (Lnsuiance Company) (Policy Number) (Expiration Date) ( ) I am a e ro , general contractor or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Conipany/Policy Number) (Expiration Date) (Name of Contractor) (Laurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Lnsuran(-- Compaay/Pohcy Number) (Expiration Date) (Name of Contractor) (Insurance Compaay/Policy Number) (Expiration Date) (attsr$additional shod if noo=n xy to iochidc informapoo pertn;aing to all ooarndon) ( am a sole proprietor and have no one working for me. ( ) I am a home owner performing aU the work myself. NOTE-please be aware that whilo homcowo=woo employ pcxsow to do�irlr.,In c mast uctioo'ar repair work on a dwelling of not moeo than thma units is which the homoowncr roidcs or oa the Uouz dt appurtenant tb=w Ciro Dot gwcralty oomidcred to be employers under tho worker`s oompens4oa Act(GL152,ss 1(5)�aWdcatioo by a homeownef for a liccax a permit may evidence tho lcgil lodes of an omployor under tho Workoes Compcmaiion Act I understand thA a copy of this Grit—ard may be forwarded to tbo Dtparmcv2 of Industrial Accideatf OfSoo of 1n=Arsnoo for the coverage vctifieatioa and that failure to to-=eovcrago under scetioa 25A of MOL 152 an lead to tbd imposition of cx'iminal penalties oombtiag of a-fine bfup to 51,500.00 and/or of up to one year and Civil prnahin in the form of a Step Work Order and a tins 0(5100.00 a day/againstm4 Signed this _&-ly of 19qg� Fordcputm=a —caly Permit Number dvfap# Lot# Si of crmit3cc —NOTE— THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER -,�- -- -S " C"€Si AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. � r JAN 611998 CD 4o-4Z U) fZ yd 1-/Z p: EAS.'TIIAMPTON SAVINGS BANK & LAWYERS TT`I'T_,E JNSURANCE CORPORATION s HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING A'QNUMENTAT10N ALL 'CASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON l�E GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, __XCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN FLOOD PRONE AREA' AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR ;OMMUNITY # 20167 , 1 ;URVEYOR: —NOTE— THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY /�0 of —MORTGAGE LOAN INSPECTION PLAT— �r RANDALL NORTHAMPTON, MASSACHUSETTS DER PREPARED FOR /33032 THEODORE J. WILLIAMS, ET ALS SCALE: 1 "=20 ' SEPTEMBER 26 , 1995 to HAROLD L. EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS <i. -1" 235 RUSSELL STREET — HADLEY — MASSACHUSETTS V 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 NO 0.--' IF YES,describe size,type and location: ii . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DOE TO LACK OF INFORMATION. This --I— to be filled in by the Building D�nr tment Required Existing Proposed By Zoning I Lot size Frontage � j Setbacks - frnnt 71 0 - side L: /1 R: L: R: - rear a Building height Bldg Square footage %Open Space: Lot area minus bldg ` O 60 &paved par king} # bf Parking Spaces e 'of Loading Docks <J Fill: volume -& location) 13 . Certification: I hereby certify that the information contained herein is true a accurate to the best of my knowledge. DATE: I - / APPLICANT's SIGNATURE IE� NOTE: loo ano of a zoning permit does not relieve an am1 ants burden to oompty with-$11 zoning uira ants and obtain all required permits from he Board of Health, Conservation Commission, Department of Publio Works and other applioable permit granting authorities. FILE # JAN 6 ;998 File No.—? t DEPT OF SI t �.. ZONING PERMIT APPLICATION (§10 . 2 PLEASE /TYPE OR1 PRINT ALL INFORMATION �l 1. Name of Applicant: - (_. "q ` ?Da r /olce _ Address: /U Telephone:: 56y - ��07 T 2. Owner of Property: e�XAClcc Address: Telephone:r _ X`/- 7-"/ 3. Status of Applicant: Owner LZ Contract Purchaser Lessee Other(explain): / / 4. Job Location: l d .- -12- FL-/z=, q 4 r)/ Parcel Id: Zoning Map# �� Parcel# IJ A District(s): Z�A-Zf- (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property In (/L/ 6. Description of Proposed Use/ Work/Project/Occupation: (Use additional sheets if necessary): /DN 0 D 46-E= C/VU G� U [lr�Oppir� 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. S. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KN-0W f-� 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�ON'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) ��U ii nn rr FILE # i a 6 X996 . APPLICANT/CONTACT PERSON: ,CPT OF SHAD ' SS/PHONE: _ - � PROPERTY LOCATION: ���� ��— J MAP 1wc7 l- PARCEL. ZONE_ ���_ THIS SECTION FOR-OFFICIAL. USE ONLY: PERNIIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM MIND OUT Building Permit Filled ont >/ x I i Arressni:V Structure 3 Sets nf Pinny I Pint Plan L� i ✓ THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presentedfbased on information presented XDenii/ed as presented: YSpecial Permit and/or Site Plan Required under: x 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 Conservati ommission Signature of Building ector Date NOTE:Issuanoe of a zoning permit does not relieve an applionnt's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applionble permit granting authorities. t I I WWI —'Vol v►_ v . Ro � I ! ! I 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 - water quality structures - public&private utilities/easements - sewage disposal facilities water supply facilities B-8. Existing&proposed: landscaping,trees and plantings(size&type of plantings) stone walls, buffers and/or fencing: B-9. Signs-existing and proposed: - Location dimensions/height - color and illumination B-10. Provisions for refuse removal,with facilities for screening of refuse when appropriate: FOR MAJOR PROJECTS ONLY: B-11. 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 STTE 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 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 of - the lot - adjacent streets or ways - all properties and owners within 300 feet - all zoning districts within 300 feet B-3. Existing and proposed: - buildings - setbacks from property lines - building elevations - all exterior entrances and exits (elevation plans for all exterior facades structures are encouraged) B-4. Present&proposed use of the land 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 showing wetlands,streams,surface water bodies showing drainage swales and floodplains: 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: C-A".S f I IU - 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? NO YES If yes,what steps have been taken to reduce the need for parking, and number of trips per day? 6 1 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: 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). 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: Applicants Signature: &- v— ogI Date: Owner's Signature: . —/— (If not the same as applicant's) MAJOR PROJECTS must also complete the following page: 5 1 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 7NO roject require more than one driveway cut? YES(if yes,explain why) 3. Are pedestrian,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. 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: �91 Applicants Signature: Date: /�� Owner's Signature: �i (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: (�, �^ n/(,- to existing buildings: -�� �I other community assets in the area: f-)";\ r d'V C- D What measures are being taken that show the use will not overload the City's resources,including: water supply and distribution system: sanitary sewage and storm water collection and treatment systems: /Y(— fire protection,streets and schools:_ P-)(- �'t ►�/� How will the proposed project mitigate any adverse impacts on the City's resources,as listed above? <e�( ,S-),-1 111c, 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 meet the special requirements?(Use additional sheets if necessary)? F. State how the project meets the following technical performance standards: 1. Curb cuts are minimized: l j -{- "V(L 3 r 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? How will the project provide for: surface water drainage: C x �+S'} , /l/4f sound and sight buffers: �^ �' }—,' r✓/ the preservation of views,light and air: 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? Where is the location of driveway openings in relation to traffic and adjacent streets? e�(,i S 1-"n4__ What features have been incorporated into the design to allow for: access by emergency vehicles: � t ,'_C fi', tv the safe and convenient arrangement of parking and loading spaces: provisions for persons with disabilities: 2 JAN 2 7 X98 t CITY OF NORTHAMPTON DFF IX K PLANNING BOARD APPLICATION FOR: Type p::W. ect; SITE PLAN APPROVAL Intermediate Project(Site Plan) Major Project(SiteP)an Special Permit) OR SPECIAL!PERMIT: Intermediate Project(with Site Plan Approval) M Projert(Site Plan Special Permit) Permit' requested under Zoning Ordmance;:Section Pg - 1. Applicant's Name: J2I" Address: 1Y2.1,7_14 L•- 'v nit telephone: 2. Parcel Identification: Zoning Map#6 � Parcel# 13 LL, Zoning District: 6� Street Address: ,,,�e /z/���,,��,¢�.✓ 3. Status of Applicant: Owner; Contract Purchaser; Lessee Other(explain) 4. Property Owner:�' R l— S a V j fi a Aj Address T_ {, 7 --{�- f�14 ,,,ol- elephone: y�.�=. ��' / I� 5. Describe Proposed Work/Project (Use additional sheets if necessary): ******************************************************************************************** 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