23B-011 193 Locust St ZPA 2018-08-09File # 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 SI(l00)/
ZONING FORM FILLED OUT
Fee Paid
Building Pennit Filled out
Fee Paid
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DA TE
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
THE FOLLOWING ACTI N HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRES TED:
__ Approved dditional pennits required (see below)
~/
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F \c;-' tyV
PLANNING BOARD PERM)YREQUIRED UNDER : § __ dr;[~!??~(~~ot~«~0£ __ S_fTt f Lf\ N Ab() '7 (, p ~'t ~·1
lntennediate Project :~Site Plan AND/OR Special Pennit with Site Plan
Major Project: Site Plan AND/OR Special Pennit with Site Plan
ZONING BOZRMIT REQUIRED UNDER: § ___ ~C/_1_1=> ___ -pa._N-,Ylf) ?eJ1xLGt-
Finding Special Pennit _____ Variance* ____ _
___ Received & Recorded at Registry of Deeds Proof Enclosed ____ _
__ Other Pennits Required:
___ Curb Cut from DPW ___ Water Availability ___ Sewer Availability
1c Approval Board of Health ____ Well Water Potability Board of Health
Pennit from Conservation Commission -~-Pennit from CB Architecture Committee ---
___ Pennit from Elm Street Commission ____ Pennit DPW Storm Water Management
~ ;MJ
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 ofMGL 40A. Contact the Office of
Planning & Development for more infonnation.
File No. -9
ZONING PERMIT APPLICATION (§10.2)
Please type or print all information and return this form o ~._ ......... __ D
Inspector's Office with the $30/ilingfee (check or money ord r) Tm'UiirfifiFti'H~t-=:;,
City of Northampton
JUL 1 9 2018
1. Name of Applicant: Northam ton Area Pediatrics
Address: 193 Locust Street Telephone: DEPT. OF BUILDING INSPECTIONS
TON. MA01060
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# __ o/--._.,a,...{6 __ _ Parcel# 0 i / District(s): _________ _
In Elm Street District In Central Business District. ____ _
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/ Property:__.D~o,.,,ct""'o,...rs...__,,.O"""f ... fi,.,,ce"'---------------------
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
2758 SF parking lot addition with associated stormwater management, 30'xl4' 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 ___ _ 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 __ _ 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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L.---?~i""1T' ..... ~.
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
D evartment
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
55,246 SF 55,246 SF
Frontage
198.3' 198.3'
Setbacks Front 78' 78
Side L: 58' R: 63 L: 58 R: 63 L: R:
Rear 22' 22
Building Height
1 story 1 story
Building Square Footage
7,176 sf 7,498 sf
% Open Space: (lot area
minus building ft paved 36% 31% parking
# of Parking Spaces
68 79
# of Loading Docks
0 0
Fill:
(volume ft location) 0 Approx 255 cy, new parkin~
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: _________ 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-lnspector\Zoning-Pennit-Application-passive.doc 8/4/2004