62-66 Green St Zoning ApplicationFile # MP-2013-0031
APPLICANT/CONTACT PERSON TRUSTEES OF THE SMITH COLLEGE
ADDRESS/PHONE COLLEGE HALL
PROPERTY LOCATION 62-68 GREEN ST
MAP 31D PARCEL 048 001 ZONE EVAI00)/NB(l00)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid 74V
Tv-peof Construction: ZPA - DEMO & REMOVE FOUNDATION
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 PRESENTED:
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
V 1/11 0 ' ther Permits Required: Pe I -
t 3
Curb Cut from DPW
Septic Approval Board of Health
— Permit from Conservation Commission
Permit from Elm Street Commission
Signature of Building Official
Permit from CB Architecture Committee
Permit DPW Storm Water Management
— 916112
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.
Water Availability Sewer Availability
Well Water Potability Board of Health
* Variances are granted only to those applicants who meet the strict standards of MGL 40A- Contact the Office of
Planiiing & Development for more information.
.,/.`
r �----- --'� l
L File No.
Please type or print all information and return this form to th Building
Inspector's Office with the $15filingfee (check or money order) payable to the
City ofNorthampton
Mo0TqAHPT60, MA W(0-3
2. Owner of Property:
Address: ( :� J k.M F Telephone:
l Status of Applicant: Owner Contract Purchaser Lessee Other (explain
Parcel Id: Zoning
In Elm Street District Central Busin
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/ Property: VACAmr
6. Description of Proposed Use/ Work/ Pn4ect Occupation: (Use additional sheets if necessary):
'
7 Attached Plans: Sketch Plan Site Plan �� Engineered/Surveyed Plans
V. Has aSpecial ever been issued /o,^m the site?
NO DON'T KNOW X ___ YES |F YES, date issued:
IF YES: Was the permit recorded a¢ the Reg ofDeeds?
NO DON'T KNOW YES
IF YES: enter Book Page_________ and/or Dncumcnt#
p.Dues the site contain u brook, body of water orwetlands? N0 _X __ DON'T KNOW Y[3_____
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs tnbe obtained Obtained date issued:
(Form Continues on Other Side)
W-\Documenti�FORMS\original\Bttildin,--inspector\Zoniti,--Perrr.it-Application 84/2004
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
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
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: Applicant's Signature /la'a Date:
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 AVorks and other applicable permit granting
authorities.
W:kDocuments\FORMS\originaV%Building-itispectorlZoning-Permit-Application-passive.doc 814i2OO4
EXISTING
PROPOSED
REQUIRED BY
ZONING
Lot Size
M IA.
Frontage
Setbacks Front
Side
Rear
L: R:
L: R:
L: R:
Building Height
Building Square Footage
% Open Space: (lot area
minus building it paved
parking
# of Parking Spaces
# of Loading Docks
1 Fill:
I (volume Et location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: Applicant's Signature /la'a Date:
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 AVorks and other applicable permit granting
authorities.
W:kDocuments\FORMS\originaV%Building-itispectorlZoning-Permit-Application-passive.doc 814i2OO4