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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 WIND TEE ACCOMPANYING PLANS WHAT THE EXISTING CONDI-
TIONS ARE AND WHAT THE FUTURE CONDITIONS
Plot Plans and Plans,must be filed with this application before a permit be granted.
Zone-_ -----
APPLICANT NOT TO FILL IN SPACES ABOVE THIS LINE
Permit
App licatlon f or a
Dlling we
a Northampton,Mass. . . . . . . . . .
Telephone No. . . . . . . . . . . . . . . . . . . . . . . .
7b the Supt.of Buildings:
Application for a permit to build is hereby made according 1 o the following: (�
-}-- �y Lot No. . . . . `'
-� �CJ� ,�. . .►. .�I. . . . . . . . . . . .�. . r
1. Location, Street and No. • tt� � •
. • . . . . . . . Size of lot . • • •• • • • • '`E'`"
2. Nearest cross street
u � I// . . Address . .��• . .f. . . .
3. Owner's name . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . rU�
4. Architect's name. . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �'1l '7r�44'. , ���). . .Qt). . . . :�._'
I � .Z. . . . . . . . . . . . . . . . . . : Address . . . . .
5. Builder's name . . • •:!'��� '1-5-0
�� .. . . . . . Expiration Date . • • • �• • • • • • • • • `' ' ' ' ' ' ' ' '
Mass.Construction Supervisor's License o. . . . • • • • • • Other . . . . . . . • .
Two-family . . . . .. . . . . . . . . .. . . . . i
6. Use of Building:One-family . • • • . . . . . . . . Number of Bathrooms
7. Number of rooms in each family u{nit: . . . . . . . .
8. Is there a garage attached? /.4'7�1. . . . . . . . . . . . .. . . . . . . . . . .
Square footage . . . . . . ... . . . . . . . . . . . . . . .
9. Size of building . . • • • .
10. Number of stories . . . . . . . . . � � • �- . . . . . • • . . . . . . • • . . . • . . . . . . . . . . .
e(I
11. Distance from finished grade to high point of roof r ' ( � r5
5.nC, . . a , . . . . . . .
�. . . . • .,
12. Type of construction . • • . . . . . . �
13. Distance from building to street line in feet . . . . . . . . . . . .Y. :i
' . . . . . . . . . . . . . Right . . . . . . . . . . . . . .
14. Distance from building to side lot lines in feet:Left. . . . . . . .
15. Distance from building to rear lot line in feet . . .; . • •. . . . • . . • . • • ` ' ' ' ' ' ' ' '
16. Is a plot plan being filed with this application? . •�e.a • • • • . • ` . .' . . ' • . • . . . . .
. . . . . . . . Spruce . . .. . . . . . . . . . . . . . . . . . .
17. Species of framing lumber:DF . . • . . . . . . . . . .. .
. . . . . . . . . . . . . . . . . .. . . . . . .
18. Are all structural conditions noted on drawings? . • . . . . . Filled . . . . . . . . . . . . . . . . . . .
19. Nature of land upon which the structure will be erected:Natural.-• • •
20. Depth of basement or cellar floor below finished grade . . • ' ' ' ' ' ' . . . . . . .
. . Thickness in inches .
`� i ,�
21. Material of foundation walls . . d . ,
. . . . Pitched . .
22. Type of roof:Flat . . . . . . . . . . . . . ,4}�,�i . . 4d -1 . . . .�.1y��,x.�. . . . . . . . . . . .
23. Material or roof covering .
. . .t�; . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .
24. Method of heating " " '
25. Will the building conform to the Building and Zoning Ordinances. . .
26. Septic Tank? . . . . . . . . . . . . . . . . . . . . . . . . . . . .p �
. . . . . .. . . .
City Sewer? . .
27. Construction within 100 ft.of wetlands? • • •
C
28. Construction within 100 year flood plain? . .
. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .
. . . . . . . . . . . . . . . . . . . .
29. Estimated cost:Total$ . . . . . . . . . . .1. . . . . . .
t,for any purpose until a certificate
No building or structure which is erected or altered,shall be used,in whole or in par
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.
`} . . .
. ' . . . . . . . . . Signature of responsible applicant
. . . . . . . . . . .
. .
Signature of Contr o
WRITTEN DESCRIPTION OF WORK TO BE DONE
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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.
By: P�
Petitioner
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.
11-97
MAR 3 1 7
C I T Y O F N R 'C'F1 A M P T O N, .M A S S.
March 24, 19 97
THE BOARD OF PUBLIC WORKS
The undersigned respectfully petiition your honorable body for
Permission to install driveway at 3, 30 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 37 or more.
By:
David Nunez, 41 B e Hill Road
Williamsburg, 010416"'
1 268-8224
Proposed Location ��zz, p ,1
Inspected by: S V � �� -3 �S'-q'//
Gravel Base Grade
Inspected by:
Final Approval:
THE BOARD OF PUBLIC WORKS
Voted that petition be granted.
$25.00 Fee Paid 1738
Samuel B. Brindis, P.E. , Director of Public Works
(SUBJECT TO ATTACHED CONDITION 1 & 2)
(rztV of Xart4anytan � z
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DEPARTMENT OF BUILDING INSPECTIONS
i
INSPECTOR
212 Main Street ' Municipal Building
y �e
Northampton, Mass. 01060
Square Footage Amount
Basement @ .10 Z v'G /6 '�. , &
lst Floor @ .40
2nd Floor @ .20 9
1/2 Floors, Attic, Garage
Deck, Porches j�-2 j L�
TOTAL
_
Voub |e h
41 Briar 8i | | rd .
WiiamsbUrg , }|a . 01090
413-269-8224
Hie . 0 100080
Construction Supervisors . 0 058950
Type of construction
Framing: 2zb vaii framing 24 inch on center , Roof trussed 5/ 1 -')
pitch manufactured by Truss Engiueriog Corp . 28 feet Long 24 im"h
on center . 5/8 roof sheathing with D clips . Floor trussed using
improved Performance T . J . [ . 16 inch deep 16 inch on center 26
feet long manufactured by Truss Joist Macmillan .
"
Double D
41 Briar hill rd .
Williamsburg , Ma . 01096
413-268-8224
H i c . ik 100080
Construction supervisors . # 058950
Work order
The labor and materials for the above mentioned house will
include :
1 ) Excavating and Foundation : All excavating including tie- in for
water , septic , and gas . Foundation concrete work including
finished concrete floors . Paved drive way . Door from cellar to
back yard.
2 ) Framing : 2x6 wall framing 24 inch on center , Roof trussed 5/12
pitch , Floor trussed'L9.25 year architectural roof , Vinyl siding,
Brirk fire place and chimney , Double hung Windows and doors .
Insulation in walls and ceilings . 12 x 16 pt . deck on back.
3 ) Interior finish : Sheetrock , prime , and paint . Pine wood trim
( ranch style ) . Hollow core birch doors . Wall. to wall pad and
carpet in all rooms except Kitchen and baths will receive
linoleum . Kitchen cabinets style determined through brochures
which are included with this package . Closet shelves and poles .
Stairs carpeted .
4 ) Electrical : all. rough electrical work detailed t1)rough coda
procedures . Finish electrical includes one recessed light in all
bedrooms . 4 recessed lights in kitchen. Bathrooms receive ceiling
mount light with fan and 1 mirror with lights allowance ( $100 . 00
per bathroom ) Cable and phone jacks in each room.
5 ) Plumbing: 2 and 1 /2 baths . All rough plumbing work detailed
through code procedures . Finish plumbing includes Kitchen sink
double bowl stainless with faucet , 3 vanities with sinks and
faucets , 3 toilets , 2 tubs with showers and faucets .
-3-
I
2
NORTHAMPTON WATER DEPARTMENT
237 PROSPECT STREET
NORTHAMPTON, MA 01060
586-6950 Ext. 300
Subject: Municipal Water Availability
Location: 1 -3-s 30 Indian Hill
Inquiry Made By: David Nunez
Date of Inquiry: 3-24-97
Municipal Water Main in Front of Location: YES X NO
Size/Material/Age of Water Main: 8" D.I. Pipe, 1986
Approximate Street Pressure: 45 PSI
Size of Service Connection: 5/8
Comments:
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.
Chal0les 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
Building Inspector
C: \Forms\Availabl.H2O
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MAR 2 8 NORTHAMPTON SEWER DEPARTMENT
125 LOCUST STREET
NORTHAMPTON, MA 01060
586-6950 Ext. 277
Subject: Municipal Sewer Availability
Location: 30 Indian Hill
Inquiry Made By:
Date of Inquiry: _March 24 , 1997
Municipal Sewer Main in Front of Location: YES X NO
Size/Material/Age of Sewer Main: 8" P .V.C. 15 years old.
Depth of Sewer Main:--6-7 FT.
Size of Service Connection Required: 6 inches
Comments: Research done by Ken Scott X500 00 ronnectinn f
A corresponding "sewer entrance fee" shall be paid prior to making
any connection to the municipal sewer system. Arrangements of such
installation shall be made with the Northampton Sewer Department
with a minimum of 5 working days notification. All work shall
conform to Northampton Sewer Department specifications.
GeorgY Brehm
Superintendent of Wastewater
Treatment & Collection
cc: Samuel B. Brindis, Director, DPW
Peter McNulty, Jr. , Assistant Director of DPW
George Andrikidis, Assistant City Engineer
Tony Patillo, Building Inspector
C: \Forms\Availabl.Sew
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t
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_jZ
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cols to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size ' ��
Frontage Co
Setbacks
- side L: � � R: 1 C L: R:
- rear r U
Building height
Bldg Square footage
%Open Space:
Lot area minus bldg
' &paved parking;
of -Parking Spaces
f rof Loading Docks
Fill:
_(vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
_1
DATE: .? o APPLICANT's SIGNATURE
?" NOTE: lanuuanoe of a zoning permit does not relieve an app Uant's burde t comply witlr,,.att
zoning requirements and obtain all required permits from the Board of Ith, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.:..
'.`';r FILE
) 5 '
File No' ^^
�
�� ��� �� � �
=���+v�� � ��=�.� �� � ���=����= « ���� . ��
PLEASE TYPE OR PRINT ALL INFORMATION
'
1. Name mfApplicant:
Addva 7 /
2. Owner Property:
Address: 12 elephone:
3. Status mfApplicant: Dwnor Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# Parcel Disthct(s
(TO BE FILLED IN BY THE BUILDING DEPARTMENT) ,
5. Existing Use ofStruoturo/P rope rty
O. Description of Proposed Use88odk/Pnoject/Oooupabon: (Use additional sheets ifnocesnary):
7. Attached Plans: Sketch Plan Site Plan ngineaned/8un/eyodP|ana
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has e Special PermiUVahanue/Finding ever been issued for/on the site?
NO DON'T KNO YES |F YES,date issued:
IF YES: Was the permit recorded at the Registry ofDeeds?
NO DON'T KNOW— YES-
IF YES: enter Book Page and/or Document
Q. Does the site contain o brook, body of water orwetlands? N DON'T KNOW `/E
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained .data issued:
'
(FORM CONTINUES ON OTHER SIDE)
FILE # t.,, .- ,.•, ����
APPLICANT/CONTACT PERSON:
ADDRESS/PHONE: e 2 d
PROPERTY LOCATION: CJ V��✓Z �` t�
MAP PARCEL: ZONE /
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM VU,T,F.D OUT
Fee Paid
13nilding Permit Eil]Cd nut
Addition ta Existing
Inn—
THE LL WING ACTIO 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 Conservati ommissi
X
Signature of Building jerector ate
NOTE:Issuance of at zoning permit does not relieve an applicant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
JAN 1 2 OB
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�i DEPARTMENT OF BUILDIXG INSPECTIONS '
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
A 3 01a
P_9F 8t C
HOMEOWNER LICENSE EXEMPTION
( Please Print)
DATE: / r3`7
JOB LOCATION:
(Map) (Parcel,) (Subdivision) '
HOMEOWNER: �'!%c/DI c iWo �f .i✓/r��l% z
(Nam6 & Address)
(Home Phone) (Work Phone )
The current exemption for "homeowners" was extended to include
Owner-occupied Dwellings of one (T )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 (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 Annotated.
HOMEOWNER SIGNATURE„ g ,,e,,, -'ate
BUILDING PERMIT # _ A
•: � ;liT�ssa���tti
D1PAJt7?lyC9W OF BUI�I ZXG INSPECTIaN$
MPF-CTC R, 212 Mein Street ' Municipal Ba lding ,r
Northarztptan, Maas. 41060
CERTIFICATE of OCCUPANCY and USE
This is to certify that permission is hereby granted under 780 CMR, sixth edition of the
Massachusetts State Building Code, allowing the occupancy or use of the premises or
structure or part thereof located at
30 Indian Hill Road
as shown on the Assessors Page# 29 , Lot# 537 Zone URA/WSP
in the City of Northampton, as herein specified:
CONSTRUCTION TYPE(780CMR 6) Type 5
USE GROUP CLASSIFICATION (780 CMR 3 R-3 - Residential
OCCUPANT LOAD PER FLOOR(780 CMR Table 1008.1.2 5
LIVE LOAD PER FLOOR(780 CMR Table 1606.1) 40 PSI
Under the following limitations, special stipulations, and/or conditions of the
permits: None
Issued this 2nd day of February 199 8
Certificate of Occupancy and Use# 262
Authorized Department Personnel
Electricald fi Elevator
Fire _ Plumbing
Building Gas
Building Commissioner ���J �
This certificate shall be posted by the owner, in a permanent manner and in a visible
location, on all floors designated as use group H, S, M, F, or B, and in every room where
practicable of use group A, I, R-1, or R-2 per requirement of 780 CMR section 120.5
Posting Structures.
Building Department
413-587-1240------fax 413-587-1272
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