38A-049 (2) File# MP-2020-0043
APPLICANT/CONTACT PERSON CITY OF NORTHAMPTON
ADDRESS/PHONE Office of Planning&Sustainability (413)587-1262 Q
PROPERTY LOCATION LAUREL ST
MAP 38A PARCEL 049 001 ZONE PV000)/URB(3)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
lypeof Construction: ZPA-HOUSING
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 PRNTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: §
OILIEi1N11K ' SPS
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* per
10
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
c/ Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
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.
' I
EC 19 2019 ` Vile No.
ZONIN E IT APPLICATION 01 o.2)
Please t e''6i prin a in. ormation and return this form to the Building
Inspector's Offieeiliit the $30fi1ingfee (check or money order)payable to the
City of Northampton
1. Name of Applicant:City of Northampton, through its Office of Planning Eat Sustainability
Address:210 Main St., Northampton, MA 01060 Telephone:413.587.1265
2. Owner of Property: Commonwealth of Massachusetts through the Division of Capital Asset Management
Address: 1 Ashburton Place, 15th Floor, Boston, MA 02108 Telephone:617.727.4050
3. Status of Applicant: Owner Contract Purchaser XXX Lessee Other (explain)
4. Job Location:Laurel Street, Northampton, MA 01060 (Map ID 38A-049-001)
Parcel Id: Zoning Map#38A Parcel#049 District(s):Planned Village (PV)
In Elm Street District In Central Business District
TO BE FILLED IN BY THE BUILDING DEPARTMENT
5. Existing Use of Structure/Property: Vacant lots (city demolished collapsed homes a decade ago)
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Housing. (Request
is simply to amend the existing Village Hill Special Permit to include this project. We would then come back
for Site Plan Approval when City donates to affordable housing provider and they prepare their designs)
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YESyes for Planned Village but it did not include this site
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 XXX 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:
(Form Continues On Other Side)
W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
w �
10. Do any signs exist on the property? YES NO XXX
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES NO XXX
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 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
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
1.67 acres 1.67 acres
Frontage 294' 294'
Setbacks Front
Side L: R: L: R: L: R:
Rear
Building Height
Building Square Footage
%Open Space: (lot area
minus building B paved
parking
#of Parking Spaces
#of Loading Docks
Fill:
volume ft location
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 12/17/2019 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
authorities.
W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004