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35-296 (3) v Ma r � b _ H ; FT. Otte . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . in . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I o . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Z r . nor N N Lj . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . n m 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,wip-t 4-application before a permit be granted. •_ .._7 A2a � Zone E APPLICANT NOT TO FILL IN SPACES ABOVE THIS LINE for a Dwelling Application Permit a Northampton,Mass. . . . . . . . . . . . . . . . . . . . . 19 . . Telephone No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7b the Supt.of Buildings: Application for a permit for build is hereby made according to the following:- � 1. Location, Street and No. . �. . . r ? �,,`'`•g �``� . • • . • . . • . • • . • • . • • . . • • • . • Lot No. . �� . . • . • • b.(o (k/" tct. ?7�Mi. . Q�Size of lot . . . . .. 3,.b.3.Z-. . . . . . . . . . . . . . . . 2. Nearest cross street . . . .��. . . . . . . U0 3. Owner's name 3.9. .2G b"( �at. �!. b( �AArtt.M, . . . .:....{-may. . . . . . . . �. . . . . . . . . . Address y. . , . r k - �e-k:Z� . . fl�,cic�nlE Address . "�`�.� 4. . . . C,�evc Vii.�.. . . . . .. . . . . 4. Architect's name . . . . . .�la�. . .. . . . . 5. Builder's name . . . . . . . . .. . . . . . . . .b . . . . . . .F'?. . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 . . . . Z. r . . . • . . • . • • 8. Is there a garage attached? . . . . . . Q . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .pp. . .J . . . . . . . . . . . . . . . . . . . . 9. Size of building . . . . . . .5.�? . .I. . • . . • • • • • • • . • • . • • . . Square footage . . . . . . . . . . 10. Number of stories . . . . . . ..`.` Q 11. Distance from finished grade to high point of roof . . . . . . . . . .+. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Type of construction . . . . . .. ��c n 1 ,-;�C.. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....`. . . . . . . . . . . . . . . . . . 13. Distance from building to street line in feet . . . . . . . . : =J. . . .i. . . . . . , 14. Distance from building to side lot lines in feet:Left . . . . .�j.. . . . . . . . . . . . . . . . Right . . . . . . . . . . . . . . . . . . . . . . . . . 15. Distance from building to rear lot line in feet . . . . . . . . . .. -�... . . . . . . . . . . . . . . . . . . . . 16. Is a plot plan being filed with this application? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . 17. Species of framing lumber:DF . . . . . . . . . . . . . . . . . . . . Spruce . . . . . . . . . . . . . . . . • • . . Other . . . .. . . . . . . . . . . . . . . . 18. Are all structural conditions noted on drawings? . . . . . . . . . . . • . • . • • • • 19. Nature of land upon which the structure will be erected:Natural . . . . . . • � • Filled . . . . . . . . . . . . . . . . . . . 20. Depth of basement or cellar floor below finished grade . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . c�c c e�< . . . . . . . . . . . . . . 21. Material of foundation walls . . . . . . . .�. . . . . . . . . .E._.r. . . . . . . . . . . . . . . Thickness in inches 22. Type of roof:Flat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pitched . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . 23. Material or roof coverin �7����4�a .��: . .`�4� rrj< _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �v� r°= aS — 4�0� q c— 24. Method of heating . . . . . . .'. �� E3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25. Will the building conform to the Building and Zoning Ordinances? . . . . . . . . • • • . • • • • . • .• • • • . • • . • . . ' . 26. Septic Tank? . . . . . . . .`•' . . . . . . .. . . . . . . . . . . . . . . . . . City Sewer? . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . 27. Construction within 100 ft.of wetlands? . . . . . . . . . . . . • . 28. Construction within 100 year flood plain? . . . . . . .��?. . . . . " . . . . . 29. Estimated cost:Total$ . . . . S .Ca ho�. . .(08 S8U 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 h' ow edge a belief. ,t� ,R . . . . . . . . . . . . . .. . . . . . . Signature of Contractor Si ature of es n 'bl pp scan WRITTEN DESCRIPTION O W K BE DONE C7We� . . . .`'�G. . . . LQ!?S.lc,�c � . . . . .� �1. . . .�? H . . . . )C . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . ",,.IQ . . . . . .. . . . . . . . . . . . . . .. . . . . C,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . =ovs' oy C itj) of Xorffjwllptell _ �QaIsxrh list ttI f ` Offiee of the �1napertor of 'tuilbings 212 Main .Street •Municipal Building Northampton, Muss. 01060 CERTIFICATE OF OCCUPANCY December 22, 1997 #721 Page No. 35 — Plot 296 Single family att garage/deck/porch 69 Woodland Drive - Lot#25 Building (Name) Address -- Jeffrey Smith Address 34 Regency Park Agawam 01001 Owner - Same Address Same Applicant - — Residential Use: 1st _ Occupancy ---- 2nd Occupancy - 3rd Occupancy - 4th Occupancy -- Zone District SR Required Inspections: New Building XX Existing Building , Elevator Electrical Plumbing ire g GAS r/ Building :0 \, Ins o 6g i , . 2 41%1 t 3 NORTHAMPTON WATER DEPARTMENT -# 237 PROSPECT STREET NORTHAMPTON, MA 01060 586-6950 EXt. 300 Subject: Municipal Water Availability Location: 69 Woodland Drive (blot #25) Inquiry Made By: Jeffrey Smith 587-1768 Date of Inquiry: 7-16-97 Municipal Water Main in Front of Location: YES _ NO Size/Material/Age of Water Main: 8" DI 1995 Approximate Street Pressure: 54 PSI Size of Service Connection: 1" Copper Comments: The City of Northampton has not accepted responsibility for the maintenance of the water main and service connections as of this date of inquiry, 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. rl�, :;2 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\69WoodlandSmith .r 4(tw l P� Iwo Z 4 obi.�o- �O • Crit 1 of a>rtf attl tat► L 9 . � • y .t_... �nsenrhicsrtte � y — �, c DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street • Municipal Building Northampton, Mass. 01060 Square Footage Amount Basement @ .10 2c-0 [lo lst Floor @ _40 2 4ko 2nd Floor @ .20 Z3 1/2 Floors, Attic, Garage .10 Deck, .Porches .10 �� q" �2Y TOTAL e j Y 4-C t1/Jf p�, Bfi0 of 'Narf11antptarl . B B �aSf RChtif[I14 m DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building 'o Northampton, Macs. 01060 '+ W 0 RICER,S COMPENSATION INSURA-NCE + r AVIT (1ic°:ns�/permittf) with a principal place of btlsinesslresideoce at: 9r 04 (phone;) �.�- 7�b-f�/�.3 ( "t}/stzirJ� do hereby cer-cif,, tinder the pains and pea-,16es of perjury, chair O I am an employer providing the following v:or'r:er s compensation cove'ge for my employees worming on this job: (Insurance Company) (PoLicy Number) (Expiration Date) ( ) I 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) Qnst=c-t Cor pauy/Pobcy Number) (Expiration Date) (Name of Contractor) (Insurance Companyi?ohcy Number) (Expiration Date) (Name of Contractor) (LDsuranc� Compaup/Poky Numtxs) (F-pi-radon Date) (Name of Contactor) (Ibnuan�Company/Poky Number) (E)piration Date) (e.aseh ad&ti0o3l rood ifnoo�to for inform=rioo perhiaiag to all oocL7ador=) ( ) I am a sole proprietor and have no one workng for me. I am a home owner performing all the work myself. NOT&please be aorarc that whUo bomcowocn wbo employ pawn=to do %**<-3acr coastrucrioa"or repair work on a dwtlriag of not mom thsn thruo units is tchich the bomoowocr r=dc,a co tho gouods=ppurtemsat tbacto ere oot gmasily oomidacd to be employcn under tho rvvekuk oet>pc:as:3im Act(GL152,zs 1(5)).appdcx600 by a bomcowncr far a 60==tic permit may cvtdmoc the legal etatua of as employer uodectho Wor4co�s Conapow+i.ioa Ad I undcs:=aad&4.x copy of this mr—d may bo forwmrded to the Dopwtmcut of iodti.Wi d Acc offs.of Ia-.vranoa for tho coverage vcrificsiioa aid that Wdurc to scarrc covcrxso undo soctioa 25A of MGL 152 can Lmd to tbd imposiboa of crimixul pcoaltics ooau=a3g or a•fine tf up to s 1,5oo.00 arNor iuipraoa meat of up to one year and civil pcmriics is the form oC a Stop W tick Order and a ,. finooC5100.00 achy9-11nv�t�e. ) f Signed this y day �l 199 For —'y Pcrmit Number MaP4 Lot# Signahtrc c 3 NORTHAMPTON WATER DEPARTMENT JUL 47 237 PROSPECT STREET NORTHAMPTON, MA 01060 586-6950 Ext. 300 Subjec '. ' 4al Water Availability Location: 69 Woodland Drive (Lot #25) Inquiry Made By: Jeffrey Smith 587-1768 Date of Inquiry: 7-16-97 Municipal Water Main in Front of Location: YES _ NO Size/Material/Age of Water Main: 8" DI 1995 Approximate Street Pressure: 54 PSI Size of Service Connection: 1" Copper Comments: The City of Northampton has not accepted responsibility for the maintenance of the water main and service connections as of this date of inquiry. 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. rl�, 2 c-Saries 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\69WoodlandSmith 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: Peti io er 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. Permit: 05-98 ` OF NORTHAMPTON, MASS. l i !C July 16 19 97 THE BOARD OF PUBLIC WORKS The undersigned respectfully petiition your honorable body for Permission to install driveway at 69 Woodland Drive [Lot #251 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. By: J #gecy h ar rive Proposed Location Agawam, MA 01001 587-1768 Inspected by: as 0 �� �� 7-17-6/77 Gravel Base Grade Inspected by: Final Approval: THE BOARD OF PUBLIC WORKS Voted that petition be granted. $25.00 Fee Paid k,--- Samuel B. Brindis, P.E. , Director of Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) � ..� ° " Chi#fir �fnz-#I��t»1}�#opt t JUL A itJJy�,(JJ 7 y`1AS6 AC�)I1B tIIB � a DEPARTMENT OF BUILDING INSPECTIONS INSPECTO X212 Main Street ' Municipal Building Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: ��1 � Z � ��-_ LO-T- is C-t+ (0 9) w0V�(GI-X 6r;v,-t I /_ JOB LOCATION: (Map) ( Pare-11 ( Subdivision) HOMEOWNER: _ 3 � y PQ � /(Name & Address ) � v YY?C4 6/661 Sill 0-4 ­A-V7-1,16,P ( Home Phone) (Work Phone ) The current exemption for "homeowners" was extended to include Owner-occupied Dwellings of one ( i )or two (2) families and to allow such homeowner to engage an individual for hire who does not possess a ' license, provided that the owner acts as supervisor. CMR780 Section 109. 1 . 1 DEFINITION OF HOMEOWNER: Person( s ) who own a parcel of land on which .he/she resides or intends to reside , on which there is , or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures . A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official , on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time , during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Porkers ' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person( s ) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility ' for compliance with the State Buildin C 'de , City of Northampton Ordinances , State and Local ni g La nd State of Massachusetts General Laws Annotated. HOMEOWNER SIGNATURE BUILDING PERMIT ## 10. Do any signs exist on the property? YES NO y 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 cola to be filled in by the Building Department (Required Existing Proposed By Zoning Lot size 33� (03 Z Frontage ;)-c;)-S Setbacks - �� C3 - side L: R: L: ? R: 57 a CG - rear .-7 / b Building height 5 Bldg Square footage e �a � j2 , � U �_ %Open Space: (Lot area minus bldg i O 7 &paved parking) 2�yr� # .pf -Parking Spaces e ref Loading Docks Fill: (voltime.-& location) 13 . Certification: I hereby certify that the informat ' ain herein is true and accurate to the best of my knowledg . .1 DATE: 7 Lf APPLICANT'S SIGNATURE NOTE: Isss once of es zoning permit does not relieve ajnnp Y en to comply wittA 4111 zoning r"ulramenta and obtain all required permits h B rd o! Health, Conservation iCommisslon, Department of Publlo Works and other aioa to germlt granting authorities. FILE JUL 2 4 � ± File No. �© � t ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: P �J (h IV 2ne: y 13 - �7�--6- )993 Address: �y Q 49��i/ 6y Dv . �e�G�CI�I. M1 e p hf one: 2. Owner of Property: CI,k1� �-- Address: Telephone: 3. Status of Applicant: C /Owner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# JS Parcel District(s): S (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: Sketch Plan Site Plan tl� 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 DON'T KNOW t/ YES IF YES,date issued: IF YES: Was the permit recorded at the Regist ry of Deeds?/ NO DON'T KNOW V 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) FILE # 9625 8 9 /CONTACT PE ON: �l r ADDRESS/PHONE: �-✓�. �� / - �PROPERTY LOCATION: MAP PARCEL: ZO NE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FH,T,ED MIT Rpmodelin2 Interior Additif T OLLOWING CTION 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 _f Permit from Conservat' COP ' S)Fft Signature of Building Wflector Date NOTE: issuanoo of at zoning permit does not relieve an applioant's burden to comply with all zoning requirements and obtain ail required permits from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorttles. a CL COD CD Ln v'o 0 R C C ebb dCL o `t �- cn M o�,�o � o' .... � O r• r• 11J ` � � � C% �' �•���, N tq O L cn \ O rt LQ a O CID co O � � '� ' ❑ b L= CD �. y � ° voc °c o °°° CrQ Un y CD b � r { Y G Y r g SO its WIST � , 4 a Y � v s 1 �D r e� MR w 5 win Ago 1 r U too Vi" Wd $ kt TWIN 1,WON 4 WX r �x � '�' •�u-�'�r l r c s d � s air �, e4 L fAV Mkt ` rF x"�aR i,a 4 z0 r t og nP i'hby! K ms`s rn l` 'x . z "r 1 ,�¢�, x a � r } Not low WIT 17, + x M one poll _Ti um 4 at ME On us X SAO mc u N ,;. „r .r,y, "" r a - a '2 i :� a' ^fit V „ a a ,, . r '. owe cr yr►�s,•' i CT Ln �. zgpi n IS Ln Ass ' ,