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35-012 (4) o m �o F'T. O E t P . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . y . . . . . . . . . . . . . . . . . . . . . . . . . . I , . . . . . . . . . . �0 Z Zr r• O 1. AC . . . . . . . . . . . Ai . . . . . . . . . . . . . . . . . . . . . . MO . . . . . . . . . . . . . . . . . . m . . . . . . . . . . . . . . . . . o_ �Y I I I I 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 Plans and Plans,must be filed with this application before a permit be granted. i Zone APPLICANT NOT TO FILL IN SPACES ABOVE THIS LINE Application for a Dwelling Permit t Py a Northampton,Mass. . . . . . . .` ._,. .`�' ° . . . . . 19 a Tblephone No. . . . . . . . .: .... . . . . . . . . To the Supt.of Buildings: Application for a permit to build is hereby made according to the following:- 1. Location, Street and No. . �(d'!. ` i f' ' ' . . . . . . . .. . . . . . . . . .. . . . . . . . . Lot No. . . . . . . . . . . J is F 1 . . . .. . . . .. . . . . . 2. Nearest cross street . . . . . ;�:'. :�. . . � . . .. . . . . . . . . . . Size of lot . . .. . . . . 3. Owner's name . . . . . . . . . . . . . . . . . . . . . ?,.il. jij Address . . .. .'. . . .�:. " 4. Architect's name . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address .. . . . . . . . . .. . . . . . 5. Builder's name .S�`. . . y� 'f/l.�t.�l`.1t . . . . . . Address . .4JM� t� Mass.Construction Supervisor's License No. . j Z . . . . . . . . . . . Expiration Date . . . . � . 6. Use of Building:One-family . . . . . ..I? ..... . . . . . . . . Two-family . . . . . . . . . . . . . . . . . . . . Other . . . . . . . . . . . . . . . . . . . 7. Number of rooms in each family unit: . . . . . ... . . . .`. . . . . . .. . . Number of Bathrooms . . . . ? r`� i 8. Is there a garage attached? . . . . . . . . . ). . . .. . . . . . . . . . . . . . . . . . 9. Size of building 't.. . ......,. . .f. ... . x. . .1. . . . . . . . . . . . . . Square footage .�::`�.'! . �c.a_� . . .../LAG- .`...a . . ... . 10. Number of stories f. ��-, 3 11. Distance from finished grade to high point of roof . . . . . . . . . � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . 12. Type of construction . . . . . . . . Pn 40. . .F/2I9 � .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . 13. Distance from building to street line in feet . . . . . . . .` ' . ./. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14. Distance from building to side lot lines in feet:Left . . . . . . . . . . . . . . . . . . . . . Right . . . . ... . . . . . . . . . . . . . . . . . . . 15. Distance from building to rear lot line in feet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16. Is a plot plan being filed with this application? . . . . . f 17. Species of framing lumber:DF . . . . . . . . . . . . . . . . . . . . Spruce . . . . . . . . . . . . . . . . . . . . Other �� �' �� �'" 18. Are all structural conditions noted on drawings? . . . . . . .q�S. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. Nature of land upon which the structure will be erected:Natural . . . . .I...... . . . . . . . . Filled . . . . . . . . . . . . . . . . . . . 20. Depth of basement or cellar floor below finished grade . . . . C ,©C7lCGFr ��AlC,P '� �. cr 21. Material of foundation walls . . . . . . . . . . .'�. . . . . . . . . . . .��.! .�. . . . . . . . Thickness in inches . . .r�. . - .Z . .:. . . . �� i 22. Type of roof:Flat . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . Pitched . . . . . . . 23. Material or roof covering . . . . . . , 01.4!./ . . . . . . . . . . . . . . . . . . . . . . . . . . . . LAIC 7'—C� �. . . . . /LCf/� i 24. Method of heating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2. . . . . . . . . . . . . . . . . . . . . . . . . . . 25. Will the building conform to the Building and Zoning Ordinances? . . . . . 5. . . . . . . . . . . . . . . . • • • • . . • • . 26. Septic Tank? . . . . . . . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . City Sewer? . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27. Construction within 100 ft.of wetlands? . . . . .y . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 > 28. Construction within 100 year flood plain? . . . . . . . . ... F" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29. Estimated cost:Total $ . . . . . . 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. / l �_ d C �� s 7 r 7. �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' ./. . . . . . . . . . .'. . . �- Signature of Contractor Signature of responsible applicant WRITTEN DESCRIPTION OF WORK TO BE DONE IV r" � � �. . .n' F. . . S . . . . . . .� Q0 . . . . . . . . .. . . . . . d. . .�. . . . . 1c. . �f. . . LFc//z ��. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. C The work described below.which includes all)W of the work descrtbed in your request,is within the Suffer Zone as defined in the regulations.and will alter an Area Subject to Protection Under the Act.Therefore,said work requess the filing of a Notice of Intent. This Determination is negative: 1. G The area described in your request is not an Area Subject to Protection Under the Act. 2.- 0 The work described in your request is within an Area Subject to Protection Under the Act,but will not remove, fill, dredge,or after that area.Therefore,said work does not require the filing of a Notice of Intent. 3. The work described in your request is within the Buffer Zone,as defined in the regulations,but will not after an Area Subject to Protection Under the Act.Therefore,said work does not require the fftg of a Notice of Intent. As described in Request, no wider than 11' . 4. 0 The area described in your request is Subject to Protection Under the Act,but Since the work described therein meets the requirements for the following exemotion.as specified in the Act and the regulations,no Notice of Intent is required: Issued by_ _Northampton Conservation Commission i S This Determination must be signed by a majority of the Conservation Commission. pn this 13th day of iwlaY _ 19 91 ,before me personally appeared - David Cepgler to me known to be the Perscin din,acid who executed,ttie#oregomg inswment:and aciaowlailgedtFiaf�7s�i6'"execuTec� __�_____ _ the same as his/her free act and deed. te,t+ritiotti� , �..�.r Sob Notary Public My commission expires This Date,i miaaon toes not relieve the atio cant from cornotymg with ail other appl=bie few,state or iocai Statutes.ordem.ii:es. by4aws or reputations.This Demwaviton alien tie valid oor three years tom the ante of issuance. The applicant,tote owner,any person aggrNwd by this Detemwtation,any owner of land abutting the tents upon which the omposedwork a to be Go".or any ten re stoents of ire city or town in wtuen such land is!pasted,are hereby no&xw of tneir right to request on DgpW neat of Environmental Protection to new a superseding Determination of Appliaabiiity,providing the request a asatse by omihac mail or hand dskwry to the Department,with the approptsate filing fee and Fee Tnuiarn ttal Form as provided to 310 CMR 1o.7.i(7)walmn tan pairs tnotn "dots of issuance of this Determination.A copy of the request shah at ire same am*be sent by oartilOo titan or nerd dowery to the conservation Cmmasion and the apphmm 2-2A 310 CMR 10.99 Forrro 2 24! b_ , (m of Plow by OM Commonwealth Gty,T"n Northampton of Massachusetts qt Omasta 4116/91 Determination of Applicability Massachusetts Wetlands Protection Act, G.L. c. 131, §40 & NORTHAMPTON WETLANDS PROTECTION ORDINANCE From_ Noxtha�gten Gonservatioa Gornmigcinn Issuing Authority To John Omasta John Omasta (Name of person m`�ing request)- (Name of property owner) , 865 Westhampton Road Address Northampton, MA Address Same This determination is issued and delivered as follows: ❑ by hand delivery to person making request on (date) 131 by certified mail,return receipt requested on May 14, 1991 (date) Pursuant to the authority of G.L.c. 131, W,the Northa=ton Conservation Cammi ssinn has considered your request for a Determination of Applicability and its supporting documentation,and has made the following determination(heck whichever is applicable): Location;Street Address Westhampton Road, Northampton Lot Number: _MA ID. 35 -- 12 This Det nation 1. ❑ 1 he area descn below,which includes all/part of the area described in your request,is an Area Subject to Protecdon Under the Act.'Therefore,any removing,filling,dredging or altering of that area requires the filing of a Notice of intent. r 2. The work described below,which includes all/park of the work described in your request,is within an Area Subject to Protection Under the Act and will remove,fill,dredge or atter that area.There- fore,said work requires the fang of a Notice of Intent. Effective 11/10189 2-1 HOWARD LABORATORIES , INC . 750 M. Pleasant St. , Rear Amherst, MA 01002 � 413-549-8260 #1609 Water Analysis Report Analyzed for: John 0masta Sample Location: West Farms Rd. Address: west arms R . Telephone: 586-0031 Sample Collected b : Kirk Henshaw Date Received:-2/29; 91; Paramjtgr Results-- Limits - Cgmments Total -Coliform Bacteria 0 colonies/100 m1 1 colony/100 ml -------------- -------------------------• ............................................ ph 7.6 pN units 6.5 - 8.5 pN units ............... ..........•................ .................... ......................... Alkalinity 100 Mg/1 No Standard ............... ........................... .................... ............-........•... Hardness 120 mg/1 No Standard < 50 soft/50-100 msdium/> 100 hard ............... - -.-.------------------- Conductivity .197 mS/aa No Standard .....r......... •------------------------ ----------------- ----------------------- Chloride 2.1 mg/l 250 mg/1 -------•------- --------------------------r -------_.._....------- ------------------------- 1;49 Mgn 0.3 mg/1 --------------- ------------------------- ----------------- ----------------- _•_ Sodium 11.4 „g/1 20 Mg/1 - -------------------------------------------- I...._...._......._ .-----------.._...----- Nitrite 0.2 sg/l 10 "/l --------------- ----------------•---_r.... r...------.....--- --------------------- Nitrite 0.010 mg/l No Standard ---------------------------------------•... r...............r-- ........................ j,Xolor 79 Pt Co Color Units 15 Pt Co Color Units -*------------- -------------------------- --- -------------- ------------------------ *Taurbidity 14 FTU 5 FTU t -¢ ......• .i_ G-.r-• ilfri_'.•• ._T.f.. r • ................Ir.r- ...•.. r.............r.--------------------------------------------------------------- This sample does / does not meet acceptable standards of potability for the parameters tested. Analyst D Li 4bo, PhD, 14PH _-.. Date 2/25191 Checked ! Recommendation ' Vepartmem vo Y WATER WELL COMPLETION REPORT j � I ` WELL LOCATION tiEt7i3 1C DESCRIPTION. s Address y'e12 --t' — s $ - $ of rirr.,vr, W e4t P- ,e t _ -- ► Welt owner ]0 h AddressS la,.L= l: S E W of r pnC rrrrenN+s1 "frHcVel I ;htenvct W" Lo Board of Health permit yes ❑ no� (rood) l i WELL USE WELL DATA Domestic Public❑ iaI-,-' Tota)well depth_ ft { Monitarirrg❑ ()the( Depth to bedrock Water-bearing rocklunconsokdated material, ethoddrN)adDescription 11 n A it . -f•�i-.eA—ge Date drifted e�._°J ter-bearing zones: CASING 1)From To -c�`Ype 2i from__r__�_"_To Lertgth. -tt.Diati.D.) 3S Fray» To Length into bedrockGrave)pack weilc dia. Protective well sea); Q� Screens dia.Grout_❑ Other %' G `: Sidt e', length from_.to t WELL TEST 0V I -Static water tevel below land surface F°s-e W it. Date. Drawdown -ft. after pumping hr.-7Z- ln.at 9pm How measured .4h0fz—Reco"ry .�--ft. after_____hr -min. L of FORMATIONS COMMENTS e Meteriala from 7a t orner ii&c i +r 4-a�4 k,f - G .v` Mass.Registrations Z 9'(6 f '* Firm l K - Address y't'' r y G7o[✓ {� rz 1l > f' k'-y ci { CitylTawn WOrer F.r 11< .i)iRD ,Cif 4 EXL1'M C9 0Y THE COMMONWEALTH OF MASSACHUSETTS v BOARD�OF HEA H OF......... ...... ................... ........... ...................... .......... .......... No............_........... 4 ctt Vrkfgf Permission is hereby granted........ -----------PYVLZ4:z�--------....................................................... ----------------- to Construct 0 Ind--,id -r ewage Disposal System ... .... .... .. at No---------------- ..... .. ............... •.. ..... .....X . as shown on the application for Disposal Works Construction Perm" --- ---- --- C:�� Da ...... Snit .......... ................. --- --- .. . .... ........................ ------ r vl��� .r�0 0i I DATE..._...--. ................ card of ealth FORK! f255 '13's W RRcN. INC.. PUBLISHERS FORM A NORTHAMPTON, MA 3/22/1991 APPLICATION FOR ENDORSER= OF PLAN BELIEVED NOT TO REQUIRE APPROVAL File five completed forms and plans and one mylar with the City Clerk and the Planning Board in accordance with the requirements Of Section 3.02. To the Planning Board: The undersigned, believing that the accompanying plan of his/her property in the City of Northampton does not constitute division within the meaning of the Subdivision Control Law, herewith submits said plan for a determination and endorsement that Planning Board approval under the Subdivision Control Law is not required. 1. Applicant John P. Omasta ` l V, , Print or type name Signature 865 Westhampton Rd Northampton 586-0031 Address Phone t O P. masa 2 . Owner John P Print or type name Signature V 865 Westhampton Rd Northampton 586-0031 Address Ph ne 3 . Surveyor Richard J. LaBarge, Sr. Print or type name 4Sgmn at Unit C-9 , 1 Stadler St. Belchertown, MA 323-8550 Address Phone 4. Deed or property recorded in Hampshire County Registry, Book 2898 page 17 5. Location and Description of Property: 6. Assessor's Map ID: 35 Lot(s) : 12 NgaF, 2 9 9Ci i Date . Submitted for Planning Date Planning Board Board Approval: Decision F' d: City Clerk: City Cler -.Q_.._ 1 (Signature) 10/ 0 A true col , G c a attest: City Clerk 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; Y) I further agree that if in the inspections any of the permit conditions are not not that I will at no expense to the City remove and replace the driveway as directed by the City Engineer. By: P tioner BM: 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. CITY OF NORT RAN PTON MASS. + May 3 19 91 THE BOARD OF PUBLIC WORD The uudersigaed respectfully petiition your honorable body for Permission to install driveway at 155 West Farms Road Fifteen (15) foot =xi— 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 3Z or more. OIL 0"aevlaeate gy. John P. Omasta dig_=31 Proposed Location Inspected by Gravel Base Grade Inspected byz Final. Approval., THE BOARD OF PUBLIC WORKS Voted that petition be ---granted. $25.00 Fee Paid Samuel B. Brindis, P.E., Director of Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) Date Filed ' File No._ — ZONING PERMIT APPLICATION (510. 2) 1. Name of Applicant: Address: -- �sf, _ -�.. Telephone: - t IV 2 . Owner of Property: /,' /Address: Telephone: _ , � Telephone: 3 . Status of Applicant:-Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet_ # _� Parcel# �Z , Zoning District(s) (include overlays) Street Address Required Pro osed stin 5• E$i b Zoning Use of Structure/Property ti< F< (if project is only interior work, skip to #6) Building height ,( %Bl.dg.Coverage (Footprint) ;?q)(°ce. l Setbacks - front side rear Lot size Frontage ( }' Floor Area Ratio %Open Space (Lot area minus building and parking) Parking Spaces .-', -- Loading - Signs - : . Fill (volume & location) J YS Narrative Description of Proposed Work/Project: (Use additional sheets i :y � t�s�xnzlf.• necessary)-- o ` rr,.y 1 .s;,,•f c ( i rcC`L!��j/c i G�> 7. Attached Plans: °` Sketch Plan Site Plan 8. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: T Applicant's Signature: - - - - - - - - - --�THIS SECTION FOR OFFICIAL USE ONLY: Approved as presented/based on information presented Denied as presented Reason for Denial: Signature of Building Inspector Date �'( 3 b� 41:�y/9i ct) p CA M1��11 H M1+1 � .y �°, rw R. � CD rr ,•.* 'O-. 'C C/� • � i�; S CA n o fD ti M eD 11 CD y �" CD fD .r .� . o c ° L4n o o t > C m O !7 !,1 0 CD CD O eD _ r } �+ CL � Y4 ^mss c � ''�' O• � �„ � � ;�. (✓ C y eD �c fD go IQ ►� H x' R. CL � w-•r c m o �+ C t1 ►—� `p COD v i C'n QD 9 4d n , a k�� KvK niq f � - t P�YCg r., C' Ito� F M � � f: x pl Y w.n _ y.x � S � ry 4 ` y .`''• K w As. %A �p 'ar Art, 0.. p„ 'O • Lo n 00 fb A �'! .3 ear .�.�. �'► ,�"�. 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