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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.
! 0
Zone
APPLICANT NOT TO FILL IN SPACES ABOVE THIS LINE
Application for a Dwellin Permit
P "e Northampton,Mass. . . . • • • • . • • • • • • . . . 1 ' '
Telephone No. .` � �� . . . . . . . . . . . . . .
7b the Supt.of Buildings:
Application for a permit to build is hereby made according to the fol wing:-
y� Lot No. . .g
1. Location, Street and No. .� N '� ' ' ' ' ' 'may' '
Size of lot . . . ./.,7L. . . . . . . . . . . . . . . . . . . . .
2. Nearest cross street R7- 064 Si
� • � • _.• • ' /
S'�/� -fir. a .. . . . . . Address ,///� /I ?' '/Q"�l . . . . . . . . . . .
3. Owner's name . . . . . . . .
�� Address . . . . . . . . . . . . . . .. . . . . . . . . . . . .
4. Architect's name . • • . +d • • • •• • . . • . '' ' ' . ' . ' '/' . . . . . . �/4
„�,� . .5 . .� . . . . . . . . Address .�/�I . 1 s'° ` . . . . . . . . . . . .. . .
5. Builder's name . /Z / J�
Mass.Construction Supervisor's License No. Q • • • • • • • • • • • Expiration Date . . • :• �/
6. Use of Building:One-family
Two-family . .. . . . . . . . . . . . . . . . . . Other . . . . . . .. . . . . . . . . .. . .
. . . . . . .. . . . . . . . . . Number of Bathrooms
7. Number of rooms in each family unit:
8. Is there a garage attached?j./.. . ./. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .� . . . . . . . . . . . . . . . . . .
9. Size of building . . . . . . ."• �? . . . . . . . . . . . . .. . . . Square footage . . . . . . . . . . . . . . .
10. Number of stories . .'; ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11. Distance from finished grade to high point of roof . .. . ._a-_Z...• • . • • . • . . . . .
12. Type of construction . . . . .AC, W. ,./9 . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . .
13. Distance from building to street line m feet . . . . . . . . . . . . . . . . . . ��cr,,/�'
14. Distance from building to side lot lines in feet:Left . . . .�. . • • . • • • • • . • • Right .`. -
15. Distance from building to rear lot line in feet . /1 .d . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .
. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .
16. Is a plot plan being filed with this application? . . �I•
. . . . . . . . . . . . . . . Other . . . . . . . . . . . . . . . . . . . .
17. Species of framing lumber:DF . . . . . . . . . . . . . . . . . Spruce/
18. Are all structural conditions noted on drawings? . • • • • • • •J• • . . . . .
19. Nature of land upon which the structure will be erected:Natural 4. . . . • . • . • . • . . . . Filled . . . .. . . . . . . . . . . . . . .
20. Depth of basement or cellar floor below finished grade
. . .. . .. . . . . . . .
1 � Thic ess in inches . .
21. Material of foundation walls . . . . . . . . . .
�� .
22. Type of roof:Flat • • • . •• . • . • . ' . ' . . . . Pitchell[�
�-� r: 1� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23. Material or roof covering . . .4- AIf � /O j�.Y
24. Method of heating /. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .
25. Will the building conform to the Building and Zoning Ordinances? . . / '-" . • • • • • • . . • . • . • . • .' ' . ' . ' . . . ' .
26. Septic Tank? . . .,C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . City Sewer? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
27. Construction within 100 ft.of wetlands?.-1e_3_-.o__::f_-q• . • •
28. Construction within 100 year flood plain? . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . .
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.
*rar . . . . . . . . . . . . . . . . . . . ..g . .� • � • � � � • ' tune respon le p ' ant
natur of ConWRDESCRIPTION OF O K TO BE DONE
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 mot fh e T viii 4t no expense
to t! ^ City rcmvve and replace the driveway as directed
by the City Engineer.
i
By: j n
Pet tion r James F. B le
!
i`
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.
C I T Y OF N O R T H A M P T O N, M A S S.
HugusL ZQ, 19 96
THE BOARD OF PUBLIC WORKS
The undersigned respectfully petiition your honorable body for
Permission to install driveway at 120 Woodland Drive Lot 19
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 37 or more.
BY:
]Jam s/F. Boyle S
Proposed Location J n
Inspected by: y_IJK�''�
T J
Gravel Base Grade
Inspected by:
Final Approval:
THE BOARD OF PUBLIC WORKS
Voted that petition he granted.
$25.00 Fee Paid a C�_
Samuel B. Brindis, P.E. , Director of Public Works
(SUBJECT TO ATTACHED CONDITION 1 & 2)
.4 7.4
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38'07' W
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183.35'
..- N 29-46-25 25� W
160.46
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R,r=�-�300.00'
tY120.43 ko!5 .443 5
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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 colua to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size S1 ,92 3n j o
Frontage ` -7 g
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage 7 �
%Open Space:
(Lot area minus bldg
' &paved parking)
# of Parking Spaces
# of Loading Docks
Fill:
'4 vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
Gj is true and accurate to the best of my knoyeldge.
DATE: A 5
APPLICANT's SIGNATURE
NOTE: Isaunnoe of a zoning permit does not relieve an applioant's burden oompty with all
z®ning requirements and obtain all required permits from the Board of Health, Conservation ..
Commission. Department of Publio works and other applionbla permit granting authorities.
FILE #
0 61 /,3'f
File No.
ZONING PERMIT APPLICATION (§10 . 2
PLEASE TYPE OR P T ALL INFORMATION
1. Name of Applicant:
Address: ✓ Telephone:
2. Owner of Property: F,
- -- 1'
Address: /A �9 Telephone:
3. Status of Applicant: wner Contract Purchaser Lessee
Other(explain)'
4. Job Location:
Parcel Id: Zoning Map#`L_ Parcel# 19 District(s): k
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: y 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 Permit/Variance/Finding ever been issued for/on the site?
NO r 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_,.,ZDON'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)
FILE
Mv,
4
10
APPLICANT/CONTACT PERSO
ADDRESS/PHONE: r
PROPERTY LOCATION: 4C 1 !
MAP PARCEL: / ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
7,nN]-NG FORM FIT LED OITT
Fee Pnid
111iii1din2 Permit Filled njit
Fee Pgid 2 ZZ6 7& OW --
T
T OL 0 G AC ION HAS BEEN TAKEN ON THIS AP ICATION: <''
_ Approved as presentedibased 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
I/
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
lPerm�t f se
1
Signature of Building Inspector Date
NOTE:Issumnoe of as 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 applioeble permit granting authorities. _
A
9b
766 W[51 fAllM", 110AD 11011111AMI'1014. MASMACOWSMS 01060
(•113) 5116 0561
LICENSE 9 006063 EXPIRATION 1 12/31/97'
rl.,oOR
-vcoNt) FLOOR
GARA06
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91
ITOP-LHA14PTOIT WATER DEPA=MENT
237 PROSPECT STREET
NOP
MLa,MPTON, HA 01060
586-6950 EXt- 300
Subject: (Municipal Water Availability
Tocaticn: 120 Woodland Drive (Lot 19)
Tr,-U, -,/ Mar,- Bv: James F. Boyle
Date of jr.cuir•7: August 30, 1996
V
I ',Iain in Frc-nt of Loca-:�4cn: --S
-In i c i:,,a 1 ;eater er x
Size/:,Iaterial/Age of eater :tai n: 8" DI 1996
1ppro y_4
� mate SI-e.:-- Pressure: 42
DS-
Size Of Service Connection: copper
C c e n t s The City of Northampton has not accepted responsibility for the
maintenance of the water main and service connections as of this
date of inquiry.
corresponding "water entrance -fee" shall he bald prior to ::ia"-Iing
any connection to the -. unicipal water syste7, _ i-
. range=ts of sucn
ins tallation shall he nade with the NorZh Water Dezar . ent
:with a of 5 working
days noti -L c at c-, -1cr'1 shall
confc-m to Northa—iton Water Depart7en -
speci--icaticns .
C'-,a--Ies Borc'.•;ski
Sunerintendent of Water
Enclosure: Letter to Fran"k 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
Tony Patillo, Building Inspector
C: \1-MB\Forrs\Avai lab! .Wat