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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 4—V46' 'WZ F7 Alterations
aNORTHAMPTON, MASS. >� 2 �0 19�' Additions
APPLICATION FOR PERMIT TO ALTER Repair
!� Garage
1. Location
!Z z� /�",�, , -��!'` Lot No.
Address
2. Owner's name ..
61 L�3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition 4 ,
5. Alteration
6. New Porch
7. Is existing building to be demolished? A-
8. Repair after the fire A j a
9. Garage /-.# D No.of cars ` Size
10. Method of heating ,�pin o .
11. Distance to lot lines &�o 14 �l
12. Type of roof 4a ,
13. Siding house
14. Estimated cost--1%�'l 63 Ekl
The undersigned certifies that the abo tements are true to the best of his, her
knowledge and belief
Signature of responsible app,icant
Remarks
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monwealth of Massachusetts
utive Office of Environmental Affairs MAR Z
,epartment of
iv'ironmentat Protection
PART A - CERTIFICATION -. - "
ss: 1238 Burts Pit Rd.Northampton,MA
:ion: 1117/97
Julie Kossen
,ss: 1238 Burts Pit Rd., Northampton, MA 01060
Board of Health,Northampton
ss:
Owner Number: SSDS-213
pector: Thomas S. Leue, Homestead Inc.
ldress: 1664 Cape St., Williamsburg, MA 01096 (413) 628-4533
ION STATEMENT
i have personally inspected the sewage disposal system at this address and that the information reported is true,
complete as of the time of the inspection. The inspection was performed based on my training and experience in the
on and maintenance of on-site sewage disposal systems. I do not represent or warrant the operation or proper function of
or any period of time. The system:
x Passes
Conditionally Passes
Needs Further Evaluation By the Local Approving Authority
Fails
m Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspection. If the system is
system or has a desic- ..;w of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the
rnt of Environmental Protection. The original should be sent to the system owner and copies to the buyer,If applicable and the approving authority.
INSPECTION SUMMARY:
inspection is in accordance with 15.301(2) whereby the facility is planned for a change in use
xpansion for which a building permit or occupancy permit from the local building inspector is
uired.
The system has sufficient capacity for the intended use?
No X _ Yes Undetermined
The change in use or expansion will affect the building footprint?
No X _ Yes N/A
3. All system components, including the reserve area, have been identified on site?
No X_ Yes
4. The proposed construction, if any, will not be placed upon any system component?
No . X Yes N/A
Inspector's Signature: Date: November 7,.1997
^^„;calf edition 04/25/97 Page 1 Homestead Inc.
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DEPARTMENT OF BUILDEKZG INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WORICER'S COMPENSATION INSURANCE AF iAVTr
Wright Builders , Inc.
N c�asp/permi tt cc)
with a principal place ofbusinessJresidence az:
115 Industrial Drive , Northampton 413-586-8287
(phone#)
do hereby certify, under the pains and penalties of perjury, that:
X am an employer providing the follotvulg Nvoilker's compensation coverage for my
employees woridng on this job.
Travelers Insurance Company UB346R2936 3- 1-98
(LlSUrance Camay) (PoLicy 1\,'umbcr) (Expiration Date)
( ) Y am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) i Qnsurmnc--Compazy/Poky Number) (Expiration Date)
(Name of Contractor) (Insurance CompanyiPolicy Number) (Expiration Dale)
(Name of Contractor) (Lnsur-AA(-- Company/Poky Numbu) (Expiration Date)
(Name of(,ontractor) (Insurance Comparry/Policy Number) (Expiration Date)
(end additioml rbcct if moo=—Ty to informsaoo Pcnimng to all oodrnGOn)
( ) I am'a sole proprietor and have no one wonting for me.
( ) X am a home owner perfomtrig all the work myself.
NOTE:please be awsrc tbxt whilo bommwo=wbo cm,lay persotu to do fnx;xd.., 000srvccioo'or repair work co a d�Tj ing of
not mote thsa tllruo units in which the boamwocr r=do oc m the gouods zppu�tbctcte ere oot geoenity ooan6aed to be
employ—under tbo wockcr".o=sicn Act(GL152ts 1(5)�appd=600 try a bomcowncr for a tier =oc permit may cvidmw the
legpl ru- of as caployec under tho Workcei Coaipaxmdoa AcL
I undcsaand daA a copy of thin a #—d may bo forwudad to tbo Depertme elndatilri d Acd&.&Olboe of Iasasr+eoe for db
cov=a va ificslioa and that failwiz to retort coverabo antis soctioa 25A of MGL 152 an lead to tbo'imposition of aimioml pcaaltic
oomisliag or a Eme bf up to S 1,30o•po and/or impr600mmt of up to oat ytar and dva pc=Wes in the form of a Stop Work order and a
find o(5100.00 a day apical mt_
' Signed this 23 _day of 7 1997 For dcpctmmral u,o only .
% — Permit Number
Map;Y Lot I!
Signabarc of L.iccnseclPcrmiv=
j
—IVV I t
THIS PLAT COMPILED FROM DEEDS, PLANS - ID OTHER
SOURCES AN. IS NOT TO BE CONSTRUED AS A.. ACCURATE
SURVEY AND IS NOT TO BE RECORDED.
FEB 2 61998
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T0: SPRINGFIELD INSTITUTION FOR SAVINGS & ''
AMERICAN TITLE INSURANCE COMPANY
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION AI.I. EASEMENTS. ENCRO AC"MENTS AND HUiLUINGS ARE LOCATED ON
THE GROUND AS.SHOWN. AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT-LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD. INSURANCE MAPS FOR
COMMUNITY #,_.,, 250167
SURVEYOR: —NOTE—
THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
1K�� —MORTGAGE LOAN INSPECTION PLAT-
wwDALL
E NORTHAMPTON, MASSACHUSETTS
+3300 32
I5 PREPARED FOR
fil CARL J. RUSSO
SCALE: 1 "=80 ' AUGUST 20, 1993
HAROLD L. EATON AND ASSOCIATES, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
• 235 RUSSELL HAnIFV _ ►�ecc��u� �c,T�
CITY OF NORTHAMPTON TEL No .1-413-586-3726 Sep 19,96 14:50 No .006 P.01
9o. Do any signs e)dst on the property? YES NO-- t
iF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NOA
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT. CAN B$ DENIED Dug To
LACK OF INFORMATION.
:at: 001MM to be ftizo3 is
_ by rss. �,� ...,,Q Deprcr�►at
_ Required
Existing Proposed By Zoning
Lot size �9 � ' �� �� •
Frontage l r
Setbacks f
10
-side L: R: L: 5P R:
-rear
Building height Z a r
Bldg Square footage r 6 S ( QG a
%Open Space: 4
area minus(&paved parking) dg �b ^,
i O �,c, c.
,pt Parking Spaces -Z
#.of Loading Docks
Fill:
=tvol-time--& locations
13. Certification: I hereby- certify that the information 'contained here1n r
4, is true and accurate to the-.'best of my knowledge.
DATE: Z APPLICANT's SIGNATURE :,
NOTEt an of a Bonin `+
p Permit does not relieve an a bent's burden to 0 p?tr•VWC1W�irit:n
signing roquirements and obtain all required permits from the Board of HoaKh, Conservation..
Commission, Department of Pubiio Works and other appiioabie permit aran tin
s.iRitthoritiis:;: e
Yc•.Sa. 'FILE # . � • - ,
CITY OF NORTHAMPTON TEL No .1-413-586-3726 Sep 19,96 14:48 Na .005 P.01
File No.
FEB 2 61998
ZONING PERMIT APPAXCATZ0N (§10. 2)
PLEASE TYPE OR PRINT ALL INFORILTION
1. Name of Applicant:
Address: Telephone:
2. Owner of Property:
'� i
Address: 2_ 1. f Telephone:-
3. Status of Applicant; Owner Contract Purchaser Lessee
der(explain):_
4. Job Location:
Parcel Id: Zoning Map# Parcel# O10 7 District(s):'
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. . Existing Use of Structure/Property24e,
6. Description of Proposed UseAftrklProject/Occupation: (Use additional sheets if necessary/):
R
A
1
7. Attached Plans: _Sketch Plan Site Plan be— Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Bultdtng Dept or Planning Deparhnent Files.
8. Has a Special PermiWariance/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#
S.' Does the site contain a brook,body of water or wetlands? NO_Cyl— DONT 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)
Y 963251
FILE #
"c
x F FEB 2 6 {998
APPLICANT/CONTACT PERSON:
ADDRESSIPHONE:
PROPERTY LOCATION: �� �%I rt �� 2� � Cli� Z4?J► U�
MAP ,7 PARCEL: 5;26 7 ZONE 5'R
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee plid
'Building Permit Filled nilt
Type nf Cnn�tnir inn-
New Cnnstriirfinn
Addition to Existing
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THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
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
Permit from Conservation Co s'ion
Signatur ACrBuilding Inspector ate
NOTE:issuanoe of a zoning permit does not relieve an applioant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorlties.
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