55 Damon Rd ZPA 2017-08-14File# MZP-2018-00014
APPLICANT/CONTACT PERSON:
16 HARVARD ST WESTFIELD, MA 01085
PROPER TY LOCATION
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid $30.00
Building Pennit Filled out
Fee Paid $30.00
TypeofConstruction: UTILIZE PORTION OF BUILDING OF THE EXISTING BUILDING FOR A 6,000 SF
RETAIL BUILDING AND A 2,500 SF DUNKIN DONUTS DRIVE THRU.
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 TIDS APPLICATION BASED ON
INFORMATION PRESENTED:
__ Approved __ Additional permits required (see below)
.3'5" 0 -Io ,i -6 {.t>t< uf itUt. vl' 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 ]Jan
5)0-9t3 (A)(7) [cif,A~G.t ZONING BOARD PERMIT REQUIRED UNDER:§ _________ _
Finding, ___ ~---_ Special Permit _______ Variance* ___ _
_____ Received & Rec9rded 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 Commission ---____ .Permit DPW Storm Water Management
___ Demolition Delay
Si~~d3{J
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 ~ther applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards ofMGL 40A. Contact Office of
Planning & Development for more information.
File No. YI? Z. f' -I fl-/ 'f
Please type or print all information and return this form to the Building
Inspector's Office with the $15.filingfee (check or money order) payable to the
· City of Northampton
1. Name of Applicant: American Dream Realty, LLC
Address: 16 Harvard Stre~t, Westfield, MA Telephone: 413-246-9676
2. Owner of Property: Robert s. Thomas
· Address: N/A -not listed on deed Telephone: 413-246-9676
3. Status of Applicant: Owner Contract Purchaser X Lessee Other (explain)
4. Job Location: 55 Damon Road, Northampton MA
5. Existing Use of Structure/Property: Former automobile dealership
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if .necessary):
The applicant proposes to lltiJize a portion of the existing b1JiJding
for an 6,000 +/-s.f. retail building and a 2,500 +/-s.f.
Dunkin Donuts drive thru ·restaurant. Associated site improvements include pave,
parking/drive areas, site grading, stormwater improvements, and landscaping.
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 __ ~-DON'T KNOW __ x __ _ YES ___ _ IF YES, date issued: _______ _
IF YES: Was the permit recorded at the Registry of Deeds?
NO ___ _ DON'T KNOW __ x __ _ YES ___ _
IF YES: enter Book_' ___ _ Page _____ and/or Document# ______ _
9.Does the site contain a brook, body of water or wetlands? NO _x __ DON'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: _______ _
C kO,_fV\.('-..( Q \ l °" IC\V\<t C 0\N\_ 4
W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc
(Form Continues On Other Side)
10. Do any signs exist on the property? X YES ___ _ NO ___ _
IF YES, describe size, type and location: A Stee \ beo..<'l'\ / (O{\(fe-\e (.}.)C\\, lt:t.be\ecl "AJo<-\ho.{'('\pton
l'('lc\.11-s+(',o..\ ~<"k 1
' a:\ cc.,'t'\e<" M' \A({'IC~ Re).. "\-Trc-~S'\-d<-, \ Qr-i\Je, .A. "5e,vtce +
Po..(\S'' Si')('\ (A2\?{:C>~. s'L x 6 1
\-\) \oca..-\ec\ b--1 Tc-Jv..~-\-,,o..\ O,,\le €'.f\-\1:'0-\\Ce.
entrance ..
Are there any proposed changes to or additions of signs intended for the property? YES NO __ _
IFYES,describesize,typeandlocation: Re{'t"\o\ft' (°'r cleo..\E'(Sl"\ip ('e\o..t~ Si'3f\S, S,~ro +c·r-
f\ew ~se ose ,1e-\-.\o f>.e cle-\ec-~it\tck.
11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of. a common
plan of development that will disturb over 1 acre? YES~ NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This column reserved
for use by the Building
De artment · .-------------.-----::E=XI=s=T=IN=G=----r----::P=R=-o=p=-o=· -::,sE=.=-o----,,=-
Lot Size
Frontage
Setbacks
in feet
Building Height
Front
Side
Rear
Building Square Footage
% Open Space: (lot area
minus building & paved
parking
# of Parking Spaces
# of Loading Docks
Fill:
(volume & location)
577. 36 ft
,0 r~u.s'\~,e.,
7c. z C Oo.t("I(;")
L:b\,5 R: ~.\
~7.3
L 'iS ++
1,g,3¢0 S,f,
'22, 7 "lo
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tb, 2. ( 06-:t'('lu('\)
L: 1.\7, 0 R: 5. "Z.
7Z.
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-~ 3b%
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NlA
N/A
13. Certification: I hereby certify that the information contained herein is true and ac r
my knowledge. .,
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.
W:\Documents\FORMS\original\Building-Inspector\Zoning-Pennit-Application-passive.doc 8/4/2004