31B-242 (2) 10. Do any signs exist on the property? YES NO X
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES NO
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
8400 sf 8400 sf
Frontage
60 ft 60 ft
Setbacks Front 33 ft 33 ft
Side L: 6.5 ft R: 11.75 ft L: 6.5 ft R: 11.75 ft L: R:
Rear 46 ft 46 ft
Building Height
30 ft 30 ft
Building Square Footage
1616 sf 1616 sf
%Open Space: (lot area
minus building Et paved 80.7% 80.7%
parking
#of Parking Spaces
0 spaces 0 spaces
# of Loading Docks
n/a 0 loading space
Fill:
(volume rt location) NfA
13. Certification: I hereby certify that the information co 4ined h ein is true a acc t' to the best of
my knowledge.
Date: 7/14/14 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:'O ocuments lFGRMSloriginal'.Buiidiuo-Inspector'•.Zoning-Perm it-Application-passi%;e.dcc 9.4;3004
Fr
jj
Please type or print all information and return this form to the Building
inspector's Office with the$1,5filingfee (check or money order)payable to the
City ofNorthanipton
The Be�Shi Design Group
1. N� �
�
Address: 4 Allen Place, Northampto n, MA 01060 . 582'7O0O
.-_,__
2. Owner of Property. Trustees of Smith College
Address- /2» West Street, N u/th�/ MA 01060 /v�pxxo�' 504-7086
3' Statustf Appticant: Owner Contract Purchaser Lpsuep______-Other (exptain
Northampton, MA
4. Job Location: '`" E"" "^'~~^ ~^ ~''
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/ family residence
6. Description of Proposed Uxe/Work/Project OccuyaUon: (Use additional sheets if necessary):
It is proposed to convert the building to a seven room graduate student residence
7. Attached Plans: Sketch Plan �--_ SitePbun X Engineered/Surveyed Plans
81 Has Special Permit/Variance/Finding ever been issued for/on the site?
NO________ DON'T KNOW X YES— |F YES, date issued:
IF YES: Was the permit recorded aft the Registry*fDeeds?
NO __-_-_- DONTKNOW YES -_—__-_--
IF YES., enter Book — PuQe and/or oncumeot#
n.Does the site contain a brook' body of water o/wetlands? NO X DON'T KNOW _' Y[S
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs tobe obtained _- Obtained ' date issued:
(Form Continues on Other Side)
W:%[)ocu ments'.10 RM S\origi n aP3 u i Iding-ins pe.c.toe-zoning-Pe rna i t-App ii cation-p ss.,lve.do c. 9/412004
File#MP-2015-0005
APPLICANT/CONTACT PERSON Berkshire Design Group
ADDRESS/PHONE 4 Allen Place (413)582-7000
PROPERTY LOCATION 146 ELM ST
MAP 31B PARCEL 242 001 ZONE URC(100)/EU(57)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT k
Fee Paid �
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-GRADUATE STUDENT RESIDENCE(7)
New Construction
Non Structural interior renovations
Addition to Existing
Accesso1y 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 PRE ANTED:
Approved 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 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 Commission Permit DPW Storm Water Management
� v `7h
Signa re 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.