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31B-168 (9) File #7 APPLICANT/CONTACT PERSON:SMITH COLLEGE XINH SPANGLER CONTROLLER'S OFFICE NORTHAMPTON, MA 01063 PROPERTY LOCATION 23 ROUND HILL RD MAP:LOT 31B-168-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $30.00 Type of Construction: ZPA -DEMO OF STRUCTURE TO PROVIDE OPEN SPACE FOR USE TBD New Construction Non Structural 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 PRESENTED: Approved X 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 Pennit 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 XPermit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay qi) . I ,)-/Y(9 3 Sign ture 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 Office of Planning&Development for more information. File No. ZONING PERMIT APPLICATION ( i o R2) ?p? Please type or print all information and return this form to the Building Inspector's Office with the $30 filing fee (check or money order)payable to the City of Northampton 1. Name of Applicant: Charlie Conant Address: Facilties Management 126 West Street Northampon,MA 01063 Telephone: 413-585-2424 2. Owner of Property: The Trustees of Smith College Address:_College Hall 207-Smith College Northampton,MA 01063 Telephone: 413-585-2400 3. Status of Applicant: Owner X Contract Purchaser Lessee Other (explain) 4. Job Location: 23 Round Hill Rd. Northampton,MA 01063 Parcel Id: Zoning Map# Parcel# District(s): In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUILDING DEPARTMENT) Faculty office building. 5. Existing Use of Structure/Property: 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Demolition of structure is intended to provide open space for use TBD. 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 DONT KNOW 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: (Form Continues On Other Side) W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004 10. Do any signs exist on the property? YES NO IF YES, describe size, type and location: 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 REQUIRED BY ZONING Lot Size Frontage Setbacks Front Side L: R: L: R: L: R: Rear Building Height Building Square Footage % Open Space: (lot area NA minus building Et paved parking #of Parking Spaces #of Loading Docks Fill: (volume Et location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: February 3,2023 Applicant's Signature (2., 4G(g 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.doe 8/4/2004 1 c \. 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