17C-129 (9) 10. Do any signs exist on the property? YES X NO
IF YES, describe size, type and location: Three"No Parking" and two "Tenant Parking Only" signs
Are there any proposed changes to or additions of signs intended for the property? YES X NO
IF YES, describe size, type and location: Three Handicap parking signs.
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 134,669 SF 134,669 SF
Frontage 488' 488'
Setbacks Front 1 20' 20'
Side L: 22' R: 20' L: 22' R: 20' L: R:
Rear 18' 18'
Building Height
25' 25'
Building Square Footage 25,118 SF
25,118 SF
Open Space: (lot area 69% 66%
minus building 8 paved parking
# of Parking Spaces
23 39
# of Loading Docks N/A N/A
Fill: N/A N/A
(volume Et location)
12. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: Applicant's Si natur,,G/e ��
PP g
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comp y with1 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.
ZONING PERMIT APPLICATION( q.�
Please type or print all information and return this form to a Building,, �,A
Inspector's Office with the $15.filing fee (check or money orderj pa bte�o i e
City of Northampton
Mr. John Hite,Northampton Housing Authority ��
1. Name of Applicant: �_.,, ,"7, ha"'
Address:49 Old South Street Telephone: (413) 584=
2. Owner of Property: City of Northampton
Address:High Street Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
4. Job Location: High Street, Florence
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: Forsander Apartments is a 72 one-bedroowm units for elderly housing in
nine two-story brick buildings. There is also a Community Bldg. with a laundry and maintenance garage.
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
The project includes the removal and replacement of existing bituminous concrete roadway, curbs,
parking lots, and walkways. The rebuilding or replacement of exist. catch basins and peastone drainage
swale. The addition of parking spaces and the replacement of existing ramp to accomodate ADA req.
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 X 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 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-2005-0061
APPLICANT/CONTACT PERSON NORTHAMPTON HOUSING AUTHORITY
ADDRESS/PHONE 49 OLD SOUTH ST Q 584-4030 Q
PROPERTY LOCATION 137 HIGH ST
MAP 17C PARCEL 129 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FI ED OUT ?/ / �1 i
Fee
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA
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 PRE NTED:
Approved V Additional 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
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 C ssion /T
v-� :Z/2 00
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.