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NOTE:IN ORDER THAT THIS APPLIC ( 1 MAY BE ACCEPTED,THE DATA CALLED FOR BELOW MUST BE SO SET FORTH
THAT WE CAN DETERMINE FROM T XPPLICATION AND THE ACCOMPANYING PLANS WHAT THE EXISTING CONDI-
TIONS ARE AND WHAT THE FUTU CONDITIONS WILL BE.
Pop and Plans,must be file h this application before a permit be granted.
w 49
Zone
APPLICANT NOT TO FILL IN SPACES ABOVE THIS LINE
Application for a Dwelling Permit
a >tie Northampton,Mass. . .lr ''. . . . . . . . . . 19 .
Telephone No. . .X86-3��3. . . . . . . . . . . . . . . . . . . . . .
7b the Supt. of Buildings:
Application for a permit to build is hereby made according to the following:-
1. Location,Street and No. . . .36. Indian. Hill . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . Lot No. ..4 . . . . . . .
2. Nearest cross street Florence. Road 18 222
. . . . .. . . . . . . . . . . . . . . . . . . . . . . . Size of lot . . . . . .'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Owner's name Dave Dulong & Paul Labbee . . . . . . . Address 2$5 N, King St,., Northampton.,, .MA
4. Architect's name Customized. ,Strt�ettl eS. .TAG.. . . . . Address P.O... .Box. 8.84,. .Claremont. .N.H. . .
Gerald R. Archambault 177 West St. Hatfield, MA 01038
5. Builder's name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mass. Construction Supervisor's License No. . . . 010788 Expiration Date . . 6-30-93. . . . . .. . . . . . .
6. Use of Building:One-family . . . . . . XX. . . . . . . . . . . Two-family . . . . . . . . . . . . . . . . . .. . Other . .. . . . . . . . . . . . . . . . . .
7. Number of rooms in each family unit: . . . . . . . . . . . . . . . . . . . . . . . Number of Bathrooms . . . . l. . . . . . . . . . . . . . . . . .
8. Is there a garage attached? . .. . . . . . . . . . . .No
. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . .
9. Size of building . . . . . . . 26_x.44. . . . . . . . . . . . . . . . . . Square footage . . .. . .1144 .. . . . . . . . . . . . . . . . . . . . . . . . .
10. Number of stories . . . . .. 1.5
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11. Distance from finished grade to high point of roof . . . . . . .17 f t.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Wood frame
12. Type of construction . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .
13. Distance from building to street line in feet . . . .. . . . . . . . .65. . . . .ft. ... . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14. Distance from building to side lot lines in feet:Left . . . . . .1$. f .. . . . . . . . . . . . Right . . .34 .f t._ . . . . . . . . . . . . . .
15. Distance from building to rear lot line in feet . . . . . . . . . . .85 ft.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .
16. Is a plot plan being filed with this application? . . . . . . . . . .Yes
. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .
17. Species of framing lumber:DF . . . . . . . . .. . . . . . . . . . . Spruce . .,,� . . . . . . . . . . . . . . . Other . . .. . . . . . . . . . . . . . . . .
18. Are all structural conditions noted on drawings? . . . . . . . .YeS . . ..:. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .
19. Nature of land upon which the structure will be erected:Natural . . . .W . . .. . . . . . . . Filled . . . . . . . . . . . . . . . . . . .
20. Depth of basement or cellar floor below finished grade . . . . . . . . . . . . .5-.1/.2. .ft.. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21. Material of foundation walls . . . . . Concrete • . • . . • • • . • • . • • . • • . . • . . Thickness in inches . . . .8!i. . . . . . . . . . . . .
J
22. Type of roof:Flat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pitched . . . . . . . . . .51.12. . . . . . .. . . . . . . . . . . . . . . . .
23. Material or roof covering . . . . . . . . . .Fiberglass. roofing. .shingles. . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . .
24. Method of heating . . . . . . . . Electric Baseboard
. . . . . . . . .ase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
25. Will the building conform to the Building and Zoning Ordinances? . . . .Yep . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .
XX
26. Septic Tank? . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . City Sewer? . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
27. Construction within 100 ft.of wetlands? . . . . . . . . No
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
No
♦ 1028. Construction within 100 year flood plain? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .
29. Estimated cost:Total $ 69,000.. . . . . . . . . . .
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.
/ � n
. . . . . . . . . . . . . 6. ; � . . . . . . . .
Signature of Contractor Signature of responsibl 11wt
WRITTEN DESCRIPTION OF WORK TO BE DONE
. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . .
. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .
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Water Entry Application
DATE• / / SIGNED:
pp can Dave long
285 North King Street Northampton
(Address of Applicant)
$ 200.00 entry fee paid. Ck #108
Application approved and permit issued: ,75je b
DATE: 9�Z-9 19 ti SIGNED
(Director o Pub is Works)
$100.00 Water Meter 5/8" Ck # 108
RESIDENTIAL OR COMMERCIAL BUILDING WATER APPLICATION
To the City of NORTHAMPTON, MASSACHUSETTS:
The undersigned, being the Owner of the
Owner, Owner's Agent
property located at Lot 4 36 Indian Hill does
(Number) (Street)
hereby request a permit to install and connect a 5/811 Water
(Size)
Service to the Residence at said location.
(Residence, Commercial Bldg. , etc. )
1. "Owner shall mean the person holding title to the property
served or to be served by the water service.
2. The name and address of person or firm who will perform the
proposed work is Walter Thayer
3. Plan/Sketch and specification for the proposed water service
shall be attached to permit.
In consideration of the granting of this permit, the undersigned
agrees:
1. The Water Department shall make all taps to the water main.
2. WATER ENTRY PERMIT fee is $200.00.
3. Additional work performed by City forces from the water main
to streetline shall be paid at the prevailing labor rates and
cost of material.
Water Meters 5/8" $100.00
., 3/4"
$150.00
1" $200.00
Water Meters 1 1/2" and above shall be purchased by the owners -
using city specs.
4. The Water Superintendent shall be notifed for water line
inspection prior to backfill of trench.
Page 2
R. C . S . S . A.
4 . The City shall not be held liable for any open plumbing fixtures
below street level .
5 . The applicant and/or owner hereby agrees to pay to the City any
sewer use assessments or charges as may be established under
city ordinance.
DATE : ' � �, S I G N E D : ,
Applic t Da Dulong
285 North King Street Northampton
Address of Applicant )
Ck #1 r_,
S 500.00 inspection fee paid.
Application approved and permit issued :
DATE : 1191q2, SIGNED :
uper i ntenden-
Attachments :
Code of Ordinances , Section 22-41 through 22-46 .
Tie-in to sanitary main $200.00
Tie-in to sanitary service at street line $500.00 �_
Tie-in to storm drain $100.00
FORM 79- 1
RESIDENTIAL OR COMMERCIAL BUILDING SEWER APPLICATION
To the City of NORTHAMPTON , MASSACHUSETTS :
The undersigned , being the Owner of the
Owner , Owner ' s Agent
property located at Lot 4 36 Indian Hill , does
Number Street
hereby request a permit to install and connect a building sewer
to serve the Residence at said location .
Residence , Commercial Bldg . , etc .
1 . The applicant and/or owner shall furnish upon request of the
Superintendent the estimated quantity and characteristics of
waste to be discharged to the public sewer .
2. "Owner" shall mean the person holding title to the property
served or to be served by the building sewer .
3 . The name and address of person or firm who will perform the
proposed work is Walter Thayer
4 . Plans and specifications for the proposed building sewer are
attached hereunto as Exhibit "A" .
In Consideration of the granting of this permit , the under-
signed agrees :
1 . To accept and abide by all provisions of the Code of Ordinances ,
City of Northampton , Massachusetts , Sections 22-41 through 22-46 ,
and all other pertinant ordinances or regulations that may be
adopted in the future .
2 . To maintain the building sewer at no expense to the city .
3 . To notify the Superintendent when the building sewer is ready
for inspection and connection to the public sewer , but before
any portion of the work is covered .
�. y 0003 + .'
Date Filed September 17, 1992 File No. 9
ZONING PERMIT APPLICATION (§10 . 2) Inq r
1 . Name of Applicant: David I. Dulong
Address : 285 N. King St. Northampton. MA 0)1060 Telephone: ^r,86-3333
2 . Owner of Property: David I. Dulong and Paul A. Labbee
Address : 285 N. King St. Northampton, MA 01060 Telephone: 586-3333
3 . Status of Applicant: XX Owner Contract Purchaser
Lessee Other (explain: )
4, Parcel Identification: zoning Map Sheet#Q_ Parcel#5 3 ,
Zoning District (s) (include overlays) U RA / IA/SE
Street Address 36 Indian Hill, Northampton MA
Required
5 . Existing Proposed by Zoning
Use of Structure/Property ing e ami y
(if project is only interior work, skip to #6) 9lg? ski /°S
Building height 17 ft. 1,!21
%Bldg. Coverage (Footprint) 1144 ft.
Setbacks - front 65
- side L 18 R 34
-- - rear _ 85 D
Lot size 18,222 sq.ft. 12 D
Frontage 60 ft.
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading Ad
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) Construct Single Family Ranch home on full foundation.
7 . Attached Plans : Sketch Plan XX Site Plan
8 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowled
Date: Applicant ' s Signature:
^ _ ^THIS SECTION FOR OFFICIAL USE ONLY: q
, l1 .
Approved as presented/based on information presented ` ' ' 9
Denied as presented
Reason for Denial:
Signature of Building Inspector Date
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required pormha
from tf-to Board of Health, Conservation Commission, Npartment of Public Works and other applicable permit granting authorities.
7/92 FXAS E10
CITY OF NORTHAMPTON,MASSACHUSETTS
ti
r g DEPARTMENT OF PUBLIC WORKS
125 Locust Street
Northampton, MA 01060
Samuel B. Brindis, P.E. 413-582-1570
Dmmr, City Engineer
Peter J.McNulty,Sr.
Assistant Dmctor of Public Works
BOARD OF PUBLIC WORKS
DRIVEWA�7 PERMIT
GEN .-RAT• I 1S'TRUCTIONS7 AND RRGTJT.ATTONS
1. "Driveway Permit" is required in all cases where anew
curb cut or an alteration to an el.isting curb cut is
proposed on a city public way.
2. Driveway permits issued b�- the Board of Public Works (BPW)
shall be attached to and become part of the "Building
Permit" issued by the Building Inspector.
3. Prior to the issuance of a "Building Permit" the owner of
any lot to be serviced by a new driveway shall apply to the
B.P.W. for a "Driveway Permit" by completing the pertinent
portions of the permit (see attached) . Once the location Df
the driveway is approved by the BPW, a building permit may
be issued.
4. The Building Inspector shall issue no "Occupancy Permit"
unless the driveway to the lot has been approved by the BPW.
By the issuance of a driveway permit for the stated
location, neither the City of Northampton nor the Department
X T: :_ ic. Works that no drainage problems will result
wit= -•.!F drIvew- when constr z:fled. Properties situated or
cr veways ins�•a_lec in ion ?y ink areae in the p2tt: of the
nat-ura: drainage wil_ be s,,tiect to water problems. These
prc:�ieme ma:. zrncivae water sheetinE acrosc roadwayc adjacent
tc ME driveway. Tne Ci t: and the DPW assume no
responsibi_itt for anY suo-h araanage problems. The owner of
the property iE responsible for conrtructing and maintaining
the dr17*ewa-, wi t'. aoequatE provil zior. for natural water
ru cf+ situation::.
Sanue- 1 I; Brindis. F'.E.` &#.
Director of 1-jb].ic Works
V711::1'.5F:^: ,DRITWA .PEI;
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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.
'7
By:
Pet' iongr Dave Dul
g
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.
sl
� 4
AL
q s,
k
CITY OF NORTHAMPTON, MASS.
September 17, 1992
THE BOARD OF PUBLIC WORKS
The undersigned respectfully petiition your honorable body for
Permission to install driveway at Lot 4 36 Indian Hill
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.
Bv:
Dave Dulong ,��� -3 3 -1-3
Proposed Location Cr n
Inspected by: .; ^�'�
Gravel Base Grade
Inspected by:
Final Approval:
THE BOARD OF PUBLIC WORKS
Voted that petition be granted.
$25.00 Fee Paid '$I-- LLB /D
Samuel B. Brindis, P.E. , Director of Public Works
(SUBJECT TO ATTACHED CONDITION 1 & 2)
of 'No r#17alupfait _
� 48
yl�seeNClluaefle
b
DEPARTMENT OF BUILDING INSPBC'I'IONS
INSPECTOR 212 &Irvin Street ' Municipal Building
Northampton, Mass. 01000
HOMEOWNER LICENSE EXEMPTION
DATE: � ( Please Print)
JOB LOCATION:
(Map) (Parcel) (Subdivision)
HOMEOWNER: /�,l Z12 ?
�l/ (Na^me & Addre s ) q �
(Home Phone) (Work Phone )
The current exemption for "homeoWnpr,s" .Vas extended to include
Owner-occupied Dwellings of one ( 1 ) or two (2) families and to allow such
homeowner to engage an individual for hire who doeG not possess a _ -
license, provided that the owner acts as supervisor.' CMR780 Section 109. 1 .1
DEFINITION OF HOMEOWNER: Persons ) who own a parcel of land on
which he/she resided 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 (Workers '
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 Building Code, City of Northampton
Ordinances , State and Local Zoning Laws , and State of Massachusetts
General Laws Annotate
t6OWNER SIGNATURE
BUILDING PERMIT #
PERMIT APPLICATION CHECK LIST
PAGE Z9 PLOT .S,99 ZONE uhf\( �"� � � YES NO DATE
1 . ZONING FORM APPLICATION
2 . PERMIT APPLICATIO
3 . OWNER OCCUPANT STATEMENT LIC . #-- IF NOT
4 . 3 SETS OF PLANS LOT PL '3 C-�e-�Cs Pla:Y) 5 (aL Plan
5 . NEW CONSTRUCTION
6 . CURB CUT v
7 . WATER AVAILABILITY FORMS
B . REMODELING INTERIOR
9 . ADDITIO
10 . ACCESSORY -STRUCTURE
11 . SIGN W I G
1 2 . PERMIT FEE - CHECK ONLY - MONEY ORDER )F _S '7 Q. 0 0 L'
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 , UNDER SECTION 127 - CMR 780
15 . FORM A
16 . FILL
COMMENTS :
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