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35-025 (2) I I 1 rk n � z ° N n I � a I o a , a ` I I _ jbi f I I 2 I W = D I I i I � I N 1 �n 11 4 N_ zr 10 ko } _ % Z w a N r � r � c -� D -,-,b / T 9h�� c 1-c`). ct-D- c t ~ �l N O r G► 3 d� Q s 0 M � � X � o 00 ; W N N 4 71 N 2 GX - W o ,7 '� I c 0 0 ° kI -___i ► S17-Ee ; Z` 6N 1� n n1 Iv �l C> ~ 303�o a D i� I—! II II i I I � R ' m II li n I � � II o� I I II a 0 II ( I 7;z lI 1 I � 2 n I I O I I I I I I �r l7 II I I I I I II If y � n II II iI fl I I fl � I IT ILL I � TT, r z ► f n r II a 0 (s1 b t n i ot � i II IIII i I I 0 � I � z � I I � I , � I I 1 � l ^ I 1 }C a � 1 3 N 1� �� L. _,. �.. 7 �� y �� e rt _7A a c n. A �Y y` l V t � t � 1 [ ,V ft Issued By Northampton Conservatio Co lion Signatures: This Order must be signed by a majority of the Conservation Commission. On this � x day of c 1995, before me personally appeared , to me known to be the person described in and who executed the foregoing instrument and acknowledged that he/she executed the same as his/her free act and deed. Notary Public My c is ion expires The applicant, the owner, any person aggrieved by this Order, any owner of land abutting the land upon which the proposed work is to be done, or any ten residents of the City or town in which such land is located, are hereby notified of their *right to request the Department of Environmental Protection to issue a Superseding Order, providing the request is made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee Transmittal Form as provided in 310 CMR 10.03(7) , within ten days from the date of issuance of this determination. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and the applicant. "-Detach on dotted line and submit to the Northampton Conservation Commission prior _ to commencement of work. PLEASE NOTE--THIS IS NOT REQUIRED IF THE COMMISSI011 ).T:fi ALREADY RECORDED THE ORDER, AS IS THEIR USUAL PRACTICE, UNLESS LAND IS RGISTkI;v - IN LAND COURT. . . . . . . . . . . . . . . . . . . . . . . . . . . . ..... . .. . . . . . . . . . . . . . .. . . . . .. .. ... . . . . . .. . . . . . . .. .. . To Northampton Conservation Commission: Please be advised that the Order of Conditions for the project at,S�'Ct;Qr/�iQtR �� ° i1e Number 246- f has been recorded at the Registry of Hampshire County and has been noted in the chain of title of the affected property in accordance with General - condition 8 on . 19 If recorded land, the instrument rument number which identifies this transaction is If registered land, the document number which identifies this transaction is Signature Applicant page 5-6 (memorex\wp\conscom\order.cc) _ 25. If checked: ( j YES An "As Built" plan shall be included with the project engineer's certification, detailing the post-development conditions of the site: 26. Erosion control barrier shall be located to the limit-of-work line. In ethe area surrounding the dirt path, erosion control `-barrier shall be armored with hay bales in addition to•the silt fencings. r**rtrt**,t,t,t*,t,r**,t,t,r�*,trt,r,t,r***,r,r,t,r,t,t***,t,t,r*,rrt*�,t*w**,r*,t***,►**,r*,r,r**,rw,tw,r*,t**,r*** page 5-5 (memorex\wp\conscom\order.cc) r 17. Areas of construction shall remain in a stable condition at the close of each construction day. Erosion controls shall be inspected at this time, and maintained or reinforced to meet specifications in the plans and this order; 18. All construction areas shall be restored to original condition or better upon completion of the project, including replanting of vegetation; 19. The Commission and its agents shall have the right to enter and inspect the property at any time for compliance with the conditions of this Order, the Act, and Wetlands Protection Regulations: 310 CMR 10.00 and Chapter 24 of the City's Ordinances: "The Wetlands Protection Ordinance". They shall have the 'right to request and receive any data or documentation that is deemed necessary for evaluation of compliance. 20. This Order of Conditions shall apply to any successor in interest or successor in control; 21. The contractor is as responsible as the applicant and property owner for any violations of the Orders of Condition and penalties under the law, while all activities regulated by this Order are being performed. Pi"copy oV tti"is Orcgri cgnst-ru- a"cti�i' equipmt n a oyes»+s aY $e�a is "gin rovddlpl'and , be ,infatrrheco� atioa th idt _ ... ... This 1F"rdCAt ion,,,#shal* be es s S e:� aFrl44 cMtr c o whenever i we rk f:s occurisigi . : g g r r rm ea°f a on-site and in all;excavating mA a nw or s npe=soM .._.» 22. All required permits must be obtained from the Planning Board, Zoning Board, Department of Public Works, and Building Inspector prior to the start of projects involving fill within any wetland resource area; 23. The owner of the property described in this Order, must advise any potential buyer of the property that any construction or alteration to said property, including brush cutting or clearance, may require action by the Northampton Conservation Commission. Any instrument conveying any or all of the owners' interest in said property or any portion thereof, shall contain similar language as follows: "This property may be subject to the Northampton Wetlands Protection Ordinance, Wetlands Protection Act, an Order of Conditions, and/or a Determination of Applicability from the Northampton Conservation Commission"; 24. Upon completion of the project, the Applicant shall submit a statement that all work has been done in conformance with the provisions of the Order of Conditions and request a Certificate of Compliance. -� If checked: [ ) YES Certification shall be by a Professional Engineer or by a Wetlands Consultant who shall have been approved by the Commission: page 5-4 (memorex\wp\conscom\order.cc) 9. A sign shall be displayed at the site not less than two square feet or \..I 00,,.lo more than three square feet in size bearing the works, "Massachusetts Department of Environmental Protection, File Number 246-381". f � 10. Where the Department of Environmental Protection is requested to make a determination and to issue a Superseding Order, the Conservation Commission shall be a party to all agency proceedings and hearings before the Department. 11. Upon completion of the work described herein, the applicant shall forthwith request in writing that a Certificate of Compliance be issued stating that the work has been satisfactorily completedz . 12. The work shall conform to the following plans and special conditions: PLANS TITLE DATED SIGNED & STAMPED BY: Plan #1 Attachment 01 . Attachment #2 Map #35 Contour Map - Easthampton, MA N4215-W7231-.5/7.5 - 1964 photorevised 1979 Exhibit 3 Estimated Habitat Map - 1993 edition ,Septic System Design - Project location - West Farms Road, Northampton - Plan dated 3/27/95 - JOB # 50828 - Thermo Consulting Engineers All Plans on File with Northampton Conservation Commission Special Conditions: 13. The applicant shall notify the Commission, in writing, as to the date that Ic the work will be commencing: on the' project. Said notification must be received by the Commission no sooner than (10) days and no later than five (5) days prior to the commencement of the approved activity;- 14. No area within the 100 year floodplain, any wetland, or area within 100 feet of a wetland or 40 feet of a 100 year floodplain, as defined in 310 CMR 10, and City of Northampton Ordinances - Chapter124, shall be permissible disposal sites, unless such areas are,specifically approved by the Commission; 15. Excavated material and topsoil stockpiles shall be located and stabilized so as to minimize washing into wetland areas or waterways; ` 1 16. Adequate measures shall be taken to prevent erosion and siltation of all disturbed areas, and shall be implemented prior to any construction. Sedimentation and erosion control devices shall be placed according to standards set in U.S.D.A. Soil Conservation Service, "Guidelines for Soil and Water Conservation in Urbanized Areas of Massachusetts". Placement of sedimentation and erosion control shall be directed at the site by the project engineer in order to accomplish maximum control df erosion to ensure that no eroded material's will enter wetland resource areas. Hay bales must be staked. Silt fencing must be installed in a dug trenc* with sufficient porosity to allow detained water to pass through while trapping suspended sediments; page 5-3 (memorex\wp\conscom\order.cc) _ Therefore, the Northampton Conservation Commission hereby finds that the following conditions are necessary, in accordance with the Performance Standards set forth in the regulations, to protect those interests checked above. The Conservation Commission orders that all work shall be performed in accordance with said conditions and with the Notice of Intent referenced above. To the extent that the following conditions modify or differ from the plans, specifications or other proposals submitted with the Notice of Intent, the conditions shall control. General Conditions 1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this Order. 2. The Order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state or local statutes, ordinances, by-laws or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply: (a) the work is a maintenance dredging project as provided for in the Act; or (b) the time for completion has been extended to a specified date more than three years, but less than five years, from the date of issuance and both that date and the special circumstances warranting the extended time period are set forth in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6• Any fill used in connection with this project shall be clean fill, containing no trash, refuse,, rubbish or debris, including but not limited to lumber, bricks, plaster, wire, lath, paper, cardboard, pipe, tires, ashes, refrigerators, motor vehicles or parts of any of the foregoing. The applicant is prohibited from using demolition materials, asphalt, large chunks of concrete, tree stumps and limbs, and general refuse; 7. No work shall be undertaken until all administrative appeal periods from this Order have elapsed or, if such an appeal has been filed, until all proceedings, before the Department have been completed. 8. No work shall be undertaken until the Final order has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done. In the case of registered land, the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is to_be done. The recording information shall be proposed work is to be done. The recording information shall be submitted to the Commission on the form at the end of this Order prior to commencement of the work. The Commission usually will record the Order in the Registry of Deeds. It is the applicant's responsibility to insure the Order is properly recorded. page 5-2 (memorex\wp\conscom\order.cc) Z717.20( 310CMR 10.99 Ww� (To be provided by DEP) Form 5 City/Town Northampton Applicant Frederick R. Mailloux commonvealth Map # 35 Parcel 1_.L5 of Massachusetts Order of Condition's Massachusetts Wetlands Protection Act G.L. c. 131, 540 and the Northampton Wetlands Protection Ordinance From Northampton Conservation Commission Issuing Authority To: Frederick R. Mailloux Frederick R. Mailloux Name of property owner Name of Applicant 78 Turkey Hill Road 78 Turkey Hill Road Address Address This Order is issued and delivered as follows: [ ] by hand delivery to applicant or representative on (date) by certified mail, return receipt requested on (date) Project located in Northampton at So. east corner of West Farms & Rvan Roads The property is recorded at the Registry of Hampshire County Book 1874 Page 149 Certificate (if registered) NIA The Notice of Intent for this project was filed on June 28, 1995 (date) The public hearing was closed on 7�0� 1�g� (date) Findings: The Northampton Conservation Commission as reviewed the above-referenced Notice of Intent and plans and has held a public hearing on the project. Based on the information available to the Conservation Commission at this time, the Commission has determined that the area on which the proposed work is to be done is significant to the following interests in accordance with the Presumptions of Significance set forth in the regulations for each Area Subject to Protection Under the Act (check as appropriate) : [ ] Public water supply [X] Flood Control [ ] Land containing [ ] Private water supply shellfish pp y [X] Storm damage prevention [ ] Fisheries ( ] Ground water supply [X] Prevention of pollution [ ] Protection of Wildlife Habitat Total Filing Fee Submitted 1 55.00 State Share $15.00 City Share S 40.00 (1/2 fee in excess of $25) Total Refund Due $ City Portion $ State Portion $ (1/2 total) (1/2 total) page 5-1 (memorex\wp\conscom\order.cc) 31 THE COMMONWEALTH 0 MA 3 USETTS BOARD OF V M26 .......................OF...........NRKt........ .....I................................................. Appliration for 111oposal Works Tonstrurtiolut M' Application is hereby made for a Permit to Construct (X) or Repair an Individual Sewage Disposal System at: West Farms Road ......................... ....... Location-Address or Lot No. F derick P ,,...IL .Ad...rjLr.Qj.. .............. A....NAi11QMX.............. ... Owner Address .................................................. ......... ing-taRer Address Type of Building Size Lot..40.40..........Sq. feet U Dwelling—No. of Bedrooms........ThTfM........................Expansion Attic Garbage Grinder (X 04 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria 0- Other fixtures ..................................................................................................................................................... < Design Flow........... ............................gallons per person per day. Total daily flow.......A§Q.............................gallons. Septic Tank—Liquid capacity..15.Q.Q.gallons Length...1.011...Width......S;El;...Diameter................Depth.....4..X.t. Disposal Trench—No.....3.............WidthX.ft.........Total LengthL50 £t.....Total leaching area.....9.00......sq.ft. Seepage Pit No..................... Diameter.................... Depth below inlet....................Total leaching area.................sq.ft. Z Other Distribution box ( .14 Dosing tank ( ) Percolation Test Results Performed by..11=t1ey..Assnciates........................... Date....5,1.18.184.................. Test Pit No. I......Zr:0..minutes per inch Depth of Test Pit...11)..ft..... Depth to ground watengre&tex..than 10ft Test Pit No. 2................minutes per inch Depth of Test Pit...11.1 t..... Depth to ground water.greatex...than 10ft ............................................................................................................................................................. 0 Description of Soil.........TPI..zl;......Q..: 1Z!!..jarganic,..topsiAl...12!!...n..12.Q!!..1ay.ers..j3f...sand..anii..gravel ....... ...Qrgamic .._of............. s.a..nd..a.n..d....Zp.y. q.1................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed...................................................................................... ........ �/...Ils Date ApplicationApproved By................................................................................................ .................... .............. Date Application Disapproved for the following reasons:............................................................................................................. ..................................................................................................................................................................................................... Date PermitNo...........................»._.............._ Issued........................... Due - - ------- -------------------- ------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Tnuftratr of Tompitattre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired,( by...................................................................................... _71111-111-111*1-1-- TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....11.......................................................................... Inspector........*...... ................. .......... .......... ............ ......... THE COMMONWEALTH OF MASSACHUSETTS Ct BOARD OF H EA ...............OF .. .... . ........... 0...../ **' " N .................. UisposuL Marko Tonshiglion Pgrutft Permission is hereby granted........tp-r-j....4_0,ia-6��........ .. ............................................ to Construct or ReZdr an Individual S ja a DIS pWSystem .......... ...... ('=1.................................................... at No........... ._X4... ..Z..5: r Street as shown on the Tapli'cation for Disposal Works Construction Pe t N 1'9_.r7..St.... Dated.. .............. ......... mrd of e Health DATE... ............................................... ---B FORM 1255 A.M.SULKIN. BOSTON C I T Y OF N 0 R T HAM P T O N, M A S S. March 19 1997 THE BOARD OF PUBLIC WORKS The undersigned respectfully petiition your honorable body for Permission to install driveway at 18 West Farms Road Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All drainage shall be directed off the driveway surface to adjacent land and not on the existing roadway. Driveway surface to be paved if the grade of the proposed driveway exceeds 3% or more. C By: .ter "'Chris Finn 584,-4172 29 Hickory Drive, Florence Proposed Location �,�,, Inspected by: s 0 G�� J _�` 9 7 Gravel Base Grade Inspected by: Final Approval: THE BOARD OF PUBLIC WORKS Voted that petition be granted. $25.00 Fee Paid �90� Samuel B. Brindis, P.E. , Director of Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) Conditions: Driveway Permit In lieu of plan approved by City Engineer I agree to the following added conditions: 1) I will contact the Department of Public Works and have an inspector check and approve the graded gravel base prior to paving to insure compliance with slope and location; 2) I further agree that if in the inspections any of the permit conditions are not met that I will at no expense to the City remove and replace the driveway as directed by the City Engineer. By. c etitioner Chris Finn 584-4172 29 Hickory Rd. , Florence NOTE: The Public Works Department recommends that you provide a plan showing the proposed driveway with grades and location in the future to avoid possible expense which you will incur by not getting approval of actual plans in advance. L4 NORTHAMPTON WATER DEPARTMENT 237 PROSPECT STREET NORTHAMPTON, MA 01060 586-6950 Ext. 300 Subject: Municipal Water Availability Location: 18 West Farms Road Inquiry Made By: Chris Finn Date of Inquiry: 03-20-97 Municipal Water Main in Front of Location: YES x NO Size/Material/Age of Water Main: 8" CI 1930 Approximate Street Pressure: 52 PSI Size of Service Connection: No Existing Service Comments: A corresponding "water entrance fee" shall be paid prior to making any connection to the municipal water system. Arrangements of such installation shall be made with the Northampton Water Department with a minimum of 5 working days notification. All work shall conform to Northampton Water Department specifications. arles Borowski Superintendent of Water Enclosure: Letter to Frank Sienkiewicz from Sam Brindis, dated June 14 , 1991. cc: Samuel B. Brindis, Director, DPW Peter McNulty, Jr. , Assistant Director, DPW George Andrikidis, Assistant City Engineer Anthony Patillo, Building Inspector A: \WATER\Availab1. 50S (!iz#y of Wort4amptou � � �Iassachusctts ;a - "5" , DEPARTMENT OF BUILDIT;G INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 Square Footage Amount Basement @ .10 /,---00 /Zo,Cb 1st Floor @ .40 zU v 2nd Floor @ .20 1/2 Floors, Attic, Garage %10 3 Deck, Porches D CC�c TOTAL = 2 r r /11D� � "I V;iL- 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_ IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This columm to be filled in by the Building Department Required Existing Proposed By Zoning v Lot size s ' /9 S Frontage Setbacks G' 3c� �8D - side L: 0 R: `)0 L: 12' R: C 2 O - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg ' &paced parking) .pf Parking spaces f Hof Loading Docks C ___--- Fill: (vol-rime--& location, 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: C lV APPLICANT's SIGNATURE NOTE: Issu no® of a zoning permit does not relieve an applicant's burden to comply witir,,,all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Pubtio Works and other appiiooble permit granting authorities.:.. ,'. ` FILE # File No. `y ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: R1 O 14 "0 Address: � �c `7 T�(� (-Ff� w�Telephone: N 6L 2. Owner of Property: �"41CL4 t/ X Address: /r7 8 Tu k y 14,L­t-- V Telephone: _S—? 3. Status of Applicant: Owner 'X, Contract Purchaser Lessee Other(explain): 4. Job Location: Cc,2„c 2_ lb' 5'j -fi b m J. rISD Parcel Id: Zoning Map# 3�� Parcel# District(s): �/P—/zl (TO BE FILLED IN BY THE BUILDING DEPARTMENT S. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 7. Attached Plan Sketch Plan Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special PermitiVariance/Finding ever been issued for/on the site? NO 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 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) t� n FILE if PANT/CONTACT PERSON: ADDRESS/PHONE: -�4: PROPERTY LOCATION: MAP PARCEL: ZONE :" THIS SECTION FOR-OFFICIAL USE ONLY: PER UT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FTI 11'ED OUT Fee Pnid Riiilding Permit Filled n1vt Fe New Cringtrnrtinn Additinn to Existing U Building Plan, Trichided- T.1q,.tQ of Plan's Plnt)Plnn >/ Q THE FOLLO ACTION�HAS BEEN TAKEN ON THIS AP ICATION: )C Approved as presented/based on information presented Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval-Bd of Health Well Water Potability-Bd Health C n Z 2 Signature of Building Wector Date NOTE:Issunnoa of a zoning permit does not relieve an appiioant's burden to oomply with all zoning requirements and obtain ail required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applicable permit granting authorities. k� �� � t�,�� � �.,� � r �`�� a `t�. � � ' ter a �# � r ti ,� >_ � g � t� dj x - '�'�� � �y SAC.�� , .. �, � �� z�� � ,- �, �,� ,, �,� _ - 6 �_�:� ,. �, r� � � � ;,,, .-" �,.��:. r _. „_: . .. _- -- .: � � L � a�- � �x ��k� � {� ���" ��i �t�ri �ZHy� _ f n �`'..' � �� � � a.. Y ,� . 'figg. k'�3�r �� �. $ ,: r�" nA,, ��� �p x � a ,z� �� ., r '., � �, yF ,� �' gym. �b � �„ ��z .� �� ,, r { ,y, � ,, '�' Vie....., C�* .. „.s: �._ .-,��t .-. -x._ .. .. . �,,,—�,e � r-. �, .-.. ...�. � `� � � >, ' � � �g �s}`s, `� „�s }i �` 'd'F... ni -{b'fr� 2' s � . �� „�,� � � x� � � � �: �` �' � , . a � ��, r. � �� � �'� zk � , �t ` y �. �.. t�.r 3 f i��` � b � � €s -a � � ��v �� t�"k P as .,!• " . CA un its r rt y o f Sa w Z98 c`q ID z u•d ���rT/J.� �"J t1�o a rT q O Q'.T' O„o c'J,ti' • s r7 5 ql 5sg. o O G�vi . Q, �C5 r l ,v Q•.0. v 8 a � TO ° d 154 g �d '�y �s t 12 o k R O a �,• OR EL • vo FT. DEtP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T PO Z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . jr O > C r . Oi . vo . . . . . . . . . . . . . . . . . . . . GN to00. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -.� d 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . m . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c . . . . . . . . . . . . . . . . . NOTE:IN ORDER THAT THIS APPLICATION MAY BE ACCEPTED,THE DATA CALLED FOR BELOW MUST BE SO SET FORTH THAT WE CAN DETERMINE FROM THE APPLICATION AND THE ACCOMPANYING PLANS WHAT THE EXISTING CONDI- TIONS ARE AND WHAT THE FUTURE CONDITIONS WILL BE. Plot Plane and Plans,must be filed with this application before a permit be granted. MAR 24 Zone APPLICANT NOT TO FILL IN SPACES ABOVE THIS LINE Application for a Dwelling Permit a Northampton,Mass. . . . . . . .A,: c /.& /. .!.Telephone No. . . . ..` .`f-:.�.�L 7b the Supt.of Buildings: Application for a permit to build is hereby made according to the following: . . . . . Lot, No. . 35 2 1. Location,Street and No. . . . . C0A_r� _ �v2.K . .�C' . . . . . X . .. .�.0-�. . . . . . . . 2. Nearest cross street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Size of lot . . . . . . . . 3. Owner's name . . ." L21 c k-_ . . . .h`�t.�t.d.11. .?C . . Address . . . . �g. . . . .1. . . . . . . .Lf 4. Architect's name. . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . 2 g. . . .Ht c ka2y 0(e, N� }tv!�% n . . . . . . . . . . . . . . . . . . 5. Builder's name . . . . .�I�ff.!i p . . . . .1.N N. . . . . . . . . . . Address . . x.�. . . . .". dt2�. . p . N(H r u L� f Mass.Construction Supervisor's License No. . . . -`'�. � .�". . . . . . . . . . Expiration Date . . . . .. ./. /• /. . . . . . 6. Use of Building:One-family . . . . . . . �. . . . . . . . . Two-family . . . . . . . . . . . . . . . . . . . . Other . . . .. . . . . . . . . 7. Number of rooms in each family unit: . . . . . . . . . . . . . . . . . . . . . . . Number of Bathrooms . . . . . . . . . . . . . . . . . . . . . . . 8. Is there a garage attached? . . . .YE_-.5' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Z �. . . . . . . .. . . . . . . Square footage . . . . c`I Q . r 9. Size of building . . . . . . . . . . . .�: . .�.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Number of stories . . . . . . . N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Distance from finished grade to high point of roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Type of construction . . . .. . . .W.Q g.�. . . . . . . . .. . . . .s •� __ . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Distance from building to street line in feet . . . . 14. Distance from building to side lot lines in feet:Left . . . . 12c, . . . . . . . . . . . . . . . Right . . . . . .JrO . . . . . . . . . . . . . . 15. Distance from building to rear lot line in feet . . . . . . .C G . . . . . . . .. . . . . . 16. Is a plot plan being filed with this application? . . . . . . . . .. . . . . . . . . . 17. Species of framing lumber:DF . . . . . . . . . . . . . . . . . . . . Spruce . . . . . . .K. . . . . . . .. Other . . . . . . . . . . . . . . . . . . . . 18. Are all structural conditions noted on drawings? . . . . . . . S. . . . . . . . . . . . 19. Nature of land upon which the structure will be erected:Natural ./ ' X . . . . . . • . . • Filled . . . . . . . . . . . .. . . . . . . 20. Depth of basement or cellar floor below finished grade . . . . . .7. . . . . .. . . . . . . . • . • • • . . . . . . • • I� • • • • • • . • 21. Material of foundation walls . . �o`. . ..E!? Cc . �,2�� Thickness in inches . .. . . . . . . . . . . . . . . . . 22. Type of roof:Flat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pitched . . . . . ? . . . . . . . . . . . . . . . . . . . .. . . . . . . 23. Material or roof covering . . . . S�' t?.L /. . . . ...I����. . .. .L -k f.f. . . . . .' .'. 1. . . . .` .. . . . . . . .. . . . . . . 24. Method of heating . . . . . . . . . . . . . . . . . ✓.�� . . . . . . . . . . . . . . . . . . . . . /. . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . 25. Will the building conform to the Building and Zoning Ordinances? . . . . .. ./. .� 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26. Septic Tank? . . . . . . 7'1.. . . . . . . . . . . . . . . . . . . . . . . . . . . . City Sewer? .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . 27. Construction within 100 ft.of wetlands? . . . . . . . . . . O . . . . . . . . . . . . . . . . . 28. Construction within 100 year flood plain? . . . . . . ./�/.C. . . 29. Estimated cost:Total$ . . . .9-5 (9)V• 6V. . . . . . . . . . . . . . . . . . . . . .­ ­ - No building or structure which is erected or altered,shall be used,in whole or in part,for any purpose until a certificate of occupancy is issued by the Building Inspector. The undersigned certifies that the above statements are true to the best of his knowledge and belief. 'k . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Signature of Contractor Signature of responsible applicant WRITTEN DESCRIPTION OF WORK TO BE DONE . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .