23B-011 (5) File d MP-2019-0008
APPLICANT/CONTACT PERSON Northampton Area Pediatrics
ADDRESS/PHONE 193 Locust Street
PROPERTY LOCATION 193 LOCUST ST NORTHAMPTON AREA PED
MAP 23B PARCEL 011 001 ZONE SI0001/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
TypeofConstruction: ZPA-2758 SF PARKING LOT ADDITION AND 30X14 BUILDING ADDITION ON
THE NE CORNER OF BUILDING
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan t�
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON '(IJ I'Vow 6d tic�y.
INFORMATION PRES TED: k
Approved dditional permits required(see below) h
PLANNING BOARD PEREQUIRED UNDER: § -{�I1(' ef(,,e SITE ?LANA" 76
iate Pap�W4
IntermedProject: Site Plan AND/OR Special Permit with Site Plan \l
Major Project Site Plan AND/OR Special Permit with Site Plan
ZONINGBOARD REQUIRED UNDER: § `I i
E sei7x C� Frtmrrt
Finding Special Permit Variance-
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
S w Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Stre/etf Commission Permit DPW Storm Water Management
7LZ6 /18
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.
File No. 9
ZONING PERMITAPPLICATION 01o.2)
Please type or print all information and return this form 1 o t D
Inspector's Office with the $30fi1ingfee (check or money or r)
City of Northampton
JUL 1 9 2018
1. Name of Applicant: Northam ton Area Pediatrics
Address: 193 Locus[ Street Telephone:
DEPT OF aUILDINGINSPE TIDNa
N.MA 01060
2. Owner of Property: Northampton Area Pediatrics
Address: 193 Locust Street Northampton Telephone:
3. Status of Applicant: Owner X Contract Purchaser Lessee Other (explain)
4. Job Location: 193 Locust Street
Parcel Id: Zoning Map#�.3L� Parcel# 0 1 District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: Doctors Office
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
2758 SF parking lot addition with associated stormwater management 30'x14'building
addition on the northeast corner of the building.
7. Attached Plans: Sketch Plan Site Plan X Engineered/Surveyed Plans X
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO X DON'T KNOW YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document N
9,Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES X
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained X Obtained date issued:
(Form Continues On Other Side)
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10. Do any signs exist on the property? YES X NO
IF YES, describe size, type and location:
Approx 4x5' sign at parking lot entrance
Are there any proposed changes to or additions of signs intended for the property? YES NO X
IF YES, describe size, type and location:
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 X
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
Department
EXISTING PROPOSED REQUIREDRY
ZOtiIVG
Lot Size
55,246 SF 55,246 Sp
Frontage
198.31983'
Setbacks Front 78, 18
Side L: 58' R: 63 L: 98 R: 63 L: R:
Rear 22r 22
Building Height
1 story 1 story
Building Square Footage
7,176 sf 7,498 sC
%Open Space: (lot area
minus building& paved 36% 31%
parking
#of Parking Spaces
68 79
#of Loading Docks
0 0
Fill:
(voWme EL location) 0 pprox 255 cy, new parkinli
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: Applicant's Signature 1�—�• ��
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.
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NOTES: a 193 LOCUST STREET ASSOCIATES, LLP PIIIAJ�FU 17 IIXIA
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I. FOR REFERENCE TO ENCLOSED PERIMETER SEE BOON 8093 PAGE 66. SCALE' I' = 30' ¢?x Inge
BOON 4889 PAGES 335 & J39. - -" —I
DATE: APRIL 45, 2018
V WERE PREPARED IN ACCORDANCE WITH THE S UNDERGROUND UTILRY LOCATIONS SHOWN HEREON ARE &SED UPON Rsw K. p
iNICAL STANDARDS FOR THE PRACTICE OF IANC SURFACE FEATURES AS LOCATED BY 5URVEY AND AVAIUBLE RECORD DATA, HERITAGE SURVEYS, INC' 3 —
IMONWEALTH OF MASSACHUSETTS. AND ARE APPROXIMATE. ACTUAL LOCATIONS SHOULD BE VERIFIED WITH REGISTERED`PROFESSION IAMD °SUR VEYORS
WE APPROPRIATE UTILITY CDMPANY ANO/OR MUNICIPAL DVERIIES W PRIOR