29-535 (5) a
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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.
Zone
APPLICANT NOT TO FILL IN SPACES ABOVE THIS LINE
Application for a Dwelling Permit
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Northampton,Mass. JJ. . . . . . 19
e Telephone No. . . .��. . .�rQ. ...�.���. . . . . . . . . . . . . . . . .
7b the Supt. of Buildings:
Application for a permit to build is hereby made according to the following:-
1. Location, Street and No. .14. Indian. Hill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lot No. . .l. . . . . . .
2. Nearest cross street Florence Road 10 623 Sq.Ft.
. . . . . . . . . . . . . . . . . Size of lot . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
David I. Dulong/Paul A. LabbeeAddress .285 North King Street, Northampton MA
3. Owner's name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. Architect's name . . . .Customized. ,Structures. . . . . . . . Address P,0.. .Box.
Gerald R. Archambault, Inc. 177 West Street, Hatfield, MA 01088
5. Builder's name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .
Mass. Construction Supervisor's License No. . . .010788 . . . . . Expiration Date . 11-5-95
L . . . .
6. Use of Building:One-family . . . . X . . . . . . . . . . . . .. Two-family . . . . . . . . . . . . . . . . . . . . Other . . . . . . . . . . . . . . . . . . . .
7. Number of rooms in each family unit: . . .4. . . . . . . . . . . . . . . . . . . Number of Bathrooms . . . . . .1. . . . . . . . . . . . . . . .
8. Is there a garage attached? . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .i,. . . . .
9. Size of building . . . .28 .X. .36. . . . . . . . . . . . . . . . . . . . . . . Square footage . . . 1.Q0 8. . . . . . . . . . . . . . . . . . . . . . .',. . . . .
10. Number of stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .I'I
11. Distance from finished grade to high point of roof . . . . . .24
12. Type of construction . . . .2.X .O.wQed. .fpame. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .I,. . . . .
13. Distance from building to street line in feet . . . . . 20. f.eet. .(set.hack. .for. .cl.uster. zoni.ng). . .. • • .
14. Distance from building to side lot lines in feet: Left . . . .200 .±. . . . . . . . . . . . . . . Right . . 22. feet
15. Distance from building to rear lot line in feet . . . . . . . . .20. .feet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16. Is a plot plan being filed with this application? . . . . . . . . . . . .Yes
. . . . . . .YeS . . . . .. . . . . . . . . . . . . . . . . . . .. .I. . . . .
17. Species of framing lumber:DF . . . . . . . . . . . . . . . . . . . . Spruce . . .... . . . . . . . . . . . . . . . Other . . . . . . . . . . . . . . . . . . .
18. Are all structural conditions noted on drawings? . . . . . .Yes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'I. . . . .
19. Nature of land upon which the structure will be erected:Natural . . . . . . . . . . . . . . . . . . . Filled . . . . . . . . . . . . . , . . . . .
p g . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20. Depth of basement or cellar floor below finished grade . . . . 6 feet
21. Material of foundation walls . . . .Concre.t,e. . . . . . . . . . . . . . . . . . . . . . . . . Thickness in inches . . . . . .8'.'. . . .. . . . .
22. Type of roof: Flat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pitched . . . . . . . . .?. . . . . . . . .12/12. . . . . . . . . . . . .
3. Material or roof covering . . . . .Fiberglass shingle. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. Method of heating . . . . . . . . . . .Gas., .fQrced.hot. water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .I. . . . .
25. Will the building conform to the Building and Zoning Ordinances? . . . . .. . . .Yes
. . . .Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26. Septic Tank? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . City Sewer? . . . . . . . . . . . .
27. Construction within 100 ft.of wetlands? . . . . No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . .
,'i
28. Construction within 100 year flood plain? . . . No
29. Estimated cost:Total $ 82.,.00.0.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 be is knowledge and belief.
' Signature of Contractor Sign of re s sible ap ant
WRITTEN DESCRIPTION OF WORK TO BE DONE
I . . . . .
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PERMIT APPLICATION CHECK LIST
ES NO DATE
2 4 �
3 . PWNER OCCUPANI STATEMENT NOT
Malloy
5. �
7
8 . REMODELING
9 . ADDITION
10 , ACCESSORY STRUCTURE
11 . SIGN AWNING
12 , PERMIT E ONLY - MONEY 0 RDEJ WE j
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - C R 780
15 . FORM
16 , FILL
COMMENTS :
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Water Entry Application
DATE: SIGNED:
( 1 jdarjt) Dave DuLon
285 North King Street
(Address of Applicant)
200.00 entry fee paid. ek'1,4 3
Application approved and permit issued:
DATE: `e�`f�� 3 SIGNED
(Director of Public Works)
Water Meter $150.00 3/4" Meter 3
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 14 Indian Hill Lot 1 does
(Number) (Street)
hereby request a permit to install and connect a 3/411 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 Thayer Associates
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.
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R. C . B . S . A.
4 . The City shall not be 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 : ZA4 SIGNED :
App I hc ant D 4,ve ulon
285 North King Street
Address of Applicant
S 500.00 inspection fee paid. C-Z #'-63s'
Appiication approved and permit issued :
DATE : S��( j�j S I GNED :
Super i ntender,':
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
ALI
ORM 79- 1 �3
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 14 Indian Hill Lot 1 , does
Number Street
hereby request a permit to install and connect a building sewer
to serve the Residence at said location .
Residente , Commercial Bldg . , etc .
1 . The applicant and/or owner shall furnish tj.pon request of the
Superintendent the estimated quantity and characteristics of
waste to be discharged to the public sewer. c"
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
r 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 .
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PTa� CITY OF NORTHAMPTON, MASSACHUSETTS
�y DEPARTMENT OF PUBLIC WORKS
$ 125 Locust Street
` Northampton, MA 01060
Samuel B. Brindis, P.E. 413-582-1570
Director, City Engineer
Peter J. McNulty, Sr.
Assistant Director of Public Works
BOARD OF PUBLIC WORKS
DRIVEWAY PERMIT
QRNtR L INSTRUCTIONS AND REGULATIONS
1. A "Driveway Permit" is required in all cases where a new
curb cut or an alteration to an existing curb cut is
proposed on a city public way.
2. Driveway permits issued by 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 of
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.
5. By the issuance of a driveway permit for the stated
location, neither the City of Northampton nor the Department
of Public Works imply that no drainage problems will result
with' the driveway when constructed. Properties situated or
drivewa., instal-led in low lying areas in the path of the
natural drainage will be subject to water problems. These
problems may include water sheeting across roadways adjacent
to the driveway. The City and the DPW assume no
responsibility for any such drainage problems. The owner of
the property is responsible for constructing and maintaining
the driveway with adequate provision for natural water
runoff situations.
S-:Lel B Brindis, P.E.*0_6
Director of Public Works
WP,1\SA!T\DP.VWAY.PER
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:
Pe ion :' Dave DuLong
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.
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C I T Y OF NOR T HAMPTON, M A S S.
August 4 19 93
THE BOARD OF PUBLIC 17ORKS
The undersigned respectfully petiition your honorable body for
Permission to install driveway at Lot 1 14 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.
By:
Dave DuLong
.Spy-3 33
Proposed Location
Inspected by: n�-•�.d �
Gravel Base Grade
Inspected by:
Final Approval:
THE BOARD OF PUBLIC WORKS
Voted that petition be granted.
$25.00 Fee Paid ��33
Samuel B. Brindis, P.E. , Director of Public Works
(SUBJECT TO ATTACHED CONDITION 1 & 2)
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Date Filed File No.
ZONING PE IT APPLICATION (510 . 2)
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I . Name of Applicant: , (J-10
Address : Z:71 60-e Telephone:
2 . Owner of Property: �-
Address : 4gt7 Tele one :
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain : )
4 . Parcel Identification: Zoning Map Sheet#2 a- arcel# �
Zoning District (s), n lu e ove 1 s Lta- Los
Street Address—
Required
j
Required
5 • Existing Pro Dosed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height '
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L: 2,0,0 R: Vj
- rear
Lot size
Frontage
Floor Area Ratio
oOpen Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6. Narrative Description of Proposed Work/Project : (Use additional sheets
if necessary)
7 . Attached Plans : _Sketch Plan Site Plan
8 . Certification : I hereby certify that the information contained herein
is true and accurate to the best of my knowledge .
Date : - ----�z �pplicantIssignature :
THIS SECTION FOR OFFICIAL USE ONLY:
y Approved as presented/based on information presented '
Denied as presented--Reason :
Special' Permit and/or Site Plan Required :
F ' ndi g R qu r variance Required :
S gnat o Bui�:h ing In Dat
NOTE: Issuance of a zoning �d . relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health, Conservation Commission, Departmont of Public Works and other applicable permit granting authorities.
ors o (-ifp of X001114111Pton
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6 Offire of tot )Inspertor of Iguilbings
21:2 Main.Street •Municipal Building
Northampton, Mass. 01060
#806
CERTIFICATE OF OCCUPANCY
Page No. 29 Plot 535
Building (Name)- Single family dwelling/*First Floor Only Address 14 Indian Hill
Owner David Dulong & Paul Labbee Address 285 North King Street
Applicant Gerald Archambault, Inc. Address 177 West Street, Hatfield
Use: 1st Residential Occupancy
2nd unfinished Occupancy —
3rd Occupancy
4th Occupancy
URA
Zone District
Required Inspections:
New Building X Existing Building
Elevator Electrical
Fire
Plumbing r —
Building Other
Inspector of uildings _
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