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38-050 (35) File#MP-2005-0058 APPLICANT/CONTACT PERSON MASSI)EVELOPMENT, ADDRESS/PHONE 1441 MAIN ST (413)755-1380 PROPERTY LOCATION EARLE ST MAP 38 PARCEL 050 001 ZONE PV THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATIQN CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM LLED OUT J2!KO Building Permit Filled out Fee Paid Typeof Construction: ZPA-DEVELOP 11 COMMERCIAL/RETAIL LOTS ON SOUTH CAMPUS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Buildiniz 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 &"�Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER: § Intermediate Project Site Plan AND/OR Special Permit with Site Plan tow J'a 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 Co cion 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. Fite No. 'lease`type-o print all information and return this form to the Building Inspector's Office with the $s5,filing fee (check or money order)payable to the City of Northampton 1. Name of Applicant: Hospital Hill Development, LLC c/o MassDevelopment Address: 1441 Main St„ Springfield, MA 01103 Telephone: (413) 755-1380 2. Owner of Property: Same as above. Address: Telephone: 3. Status of Applicant: Owner X Contract Purchaser Lessee Other (explain) 4. Job Location: Prince (Rt. 66) and Earle St. (Former NSH) Parcel Id: Zoning Map# Pa el# District{s}; In Elm Street District in Central Business District (TO BE FILLED IN BYiTii BUILDING DEPARTMENT} 5. Existing Use of Structure/Property: Former Northampton State Hospital 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Development of 11 commercial/retail lots on the "South Campus" of The Village at Hospital Hill development, i 7. Attached Pians: Sketch Plan Site Ptah X Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issuedfor/on the site? August 2003, Planned NO DONT KNOW YES IF YES, date issued: Village District Amended Special ermit IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES X IF YES: enter Book 8024 Page 252 and/or Document# 9.Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES X (Associated with Subdivision IF YES, has a permit been or need to be obtained from the Conservation Commission? Roadway, Not Individual Lot Development) Needs to be obtained Obtained X , date issued: 1/26/2004 (Form Continues On Other Side) W:\Documents\FORMS\originai\Building-inspector\Zoning-Permit-Application-passive.doc 8/4/2004 . ' � \ � 110. Do�y��se��ondepmpe�? Y� NO � |FYES, describe size, type and location: Are there any proposed changes tomadditions of signs intended for the property? YES NO |FYES, describe size, type and location: TDD Onoo Further Site Plan Approval Process 11. Will the construction activity disturb (clearing, grading, orfiihng)over1 acre orbitpart ofacommon plan ofdevelopment that wit(disturb over 1 acre? YES_XNO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12' ALL INFORMATION MUST BECOMPLETED, orPERMIT CAN 8EDENIED DUE TQLACK OF INFORMATION Mis column reserved for use by the Building Department EXISTING PROPOSED REQUIRED BY ZONING Lot Size 23t Acres N/A Frontage 1081't - Prince St. Setbacks Front 265 0 1 - Grove St. of Building Height 401t Less Than 40' Building Square Footage -+122,000 t226,400-So.Campus Rd . t14,000 - Earle St. t100,000 - Earle St. %Open Space: (tot area minus building 8t paved N/A parking #of Parking Spaces 601 So. Campus Rd. 1 190t Earle St. #of Loading Docks Fill: To be Determined (volume Et location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: 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 vv;xm"cumenus\FOxwm\o,gi,a|\Bmxmng-m9nowmZoo}os-Pvmit-Annocatimo-pmmhr.dom 8/4o004 BEALS AND_TH-WkS', INC. �.' Tel.508-366-0560 Reservoir Corporate Center Fax:508-366-4391 144 Turnpike Road(Route 9) mail@btiweb.com ` L I Southborough,Massachusetts 01772-2104 http://www.btiweb.com Octal?er`L 6, 204 Mr. Anthony Patillo, Building Commissioner City of Northampton Building Department 212 Main Street Northampton, MA 01060 Via: FedEx Reference: Zoning Permit Application The Village at Hospital Hill—South Campus Prince and Earle Streets Northampton, Massachusetts BTI Project No. 1700.09 Dear Mr. Patillo: Enclosed for your review is a Zoning Permit for The Village at Hospital Hill— South Campus. It is our understanding that this permit must be reviewed by your office prior to our submission for Site Plan Approval to the City of Northampton Planning Board. It is our intention to file for Major Project Site Plan Approval from the Planning Board on November 11, 2004 in efforts to commence redevelopment of the project site. A check in the amount of$15 has been included with this request to cover the permit filing fee. Should you require additional information to assist in your review please do not hesitate to contact us at 508-366-0560. Very truly yours, BE LS AND T OMAS, INC. David J. LaPointe, RLA Associate Enclosure CC. Elizabeth Murphy, Hospital Hill Development, LLC/MassDevelopment HSJ/cp/170009LT008