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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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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
e Northampton,Mass. . . . . .TIM. . . . . . �?. . . . 19
e Telephone No.
7b the Supt. of Buildings:
Application for a permit to build is hereby made according to the following:-
1. Location, Street and Norrtt . . . . . . . . . . . . .S yt►vim S T�.h K o t1`b. . . . . . . . . . . . . . . . . . . . . . . . . Lot No. . . . . . . . . .
2. Nearest cross street I?�°r2f 5 Pir (ZD. . . . �,// �r i
. . . . . . . . . . . . . . . . Size of lot . . . . . . . . . . . ./.9CR . .S . -- . . . . . . . . . . . . .
3. Owner's name-To VVt , 1E . . . Address
4. Architect's name.P ri4 Ifotpp pF. . . . . . . . . . . . . . . . . . . . . . Address . . . .. . . . . . . . . . . . . . . . .
5. Builder's name . 'NNc/f�f�J!!COX . .F:y°m `"->. Address .6.5. .Coc?,V7 y N Q.S, .(�.D_ , , iW
Mass.Construction Supervisor's License N, . ��O* ,S�?��y�. . .. Expiration Date . . .. . . . . .
6. Use of Building:One-family . . . . .X . . . . . . . . . . . . . family . . . . . . . . . . . . . . . . . . .. Other . . . . . . . . . . . . . . . . . . . .
7. Number of rooms in each family unit: . . . . . .I. . . . . . . . . . . . . . . . Number of Bathrooms . . . «.S . . . . . . . . . . . . . . .
8. Is there a garage attached? . . . . E.S. ...C...�. .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .
9. Size of building . . . . . . . . . . . . . Square footage . .yiay.S.Q.#. . .. . . . . . . . . . . . . . . . .
10. Number of stories . . . . . .R. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .
11. Distance from finished grade to high point of roof . . . . .35 . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Type of construction . . . . . .W.00 . . . . . . . . . . . . .
13. Distance from building to street line in feet . . . . �. . . . . . . . . . .. . . . . . . . . .. . . . . . .
s v
14. Distance from building to side lot lines in feet:Left . .'4° . . . . . . . . . . . . . . . . . . Right . . . ..0. . . . . . . . . . . .. . . . . . .
i
15. Distance from building to rear lot line in feet
. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . .
16. Is a plot plan being filed with this application? .X11;5. . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17. Species of framing lumber:DF . . . .X. . . . . . . . . . . . . . Spruce . . . .X. . . . . . . . .. . . . . . Other . . .. . . . . . . . . .. . . . . . .
18. Are all structural conditions noted on drawings? . .r4$. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .
19. Nature of land upon which the structure will be erected:Natural . . . .5(. . . . . . . . . . . . . Filled . .. . . . . . . . . . . . . . . . .
20. Depth of basement or cellar floor below finished grade . . .S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .
21. Material of foundation walls . .Po.i.',0,6 rC . . . . . . . . . . . . . . . . .
.fGJ�c °,E�� Thickness in inches . . .�°. . . . . . . . . . . . . . . .
22. Type of roof: Flat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pitched . . . . .){.�`�$13,c�F�. . . . . . . . . . . . . . .. . . . . . .
23. Material or roof covering . .I d4eC;4rtIf��E!!��i. . S . . . . . . . . . . . . . . . . . .. . . . . . .
24. Method of heating . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .
25. Will the building conform to the Building and Zoning Ordinances? . . . . ..X95'.. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .
26. Septic Tank? . . . . . ./%4 s. . . . . . . . . . . . . . . . . . . . . . . . . . . City Sewer? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
27. Construction within 100 ft.of wetlands? . . . ./lfU. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
28. Construction within 100 year flood plain? . . ./✓U . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . M
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.
Signature of Contractor Signature of responsiNe applicant
WRITTEN DESCRIPTION OF WORK TO BE DONE
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . . . . . . . .. . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
IV
s
Filios Enterprises, Inc.
fig Pelham Rd.
Amherst, MA 01002
(413) 256-8008
2 .December, 1992
Peter McEriain
Board or Health
City Hall
Northampton, MA 01060
re: Bessette subsurface sewage disposal system fill requirements, Sylvester Rd.
The estimated fill required for the referenced system covers an area averaging 140' by 90' by 2.5'
in depth for a total requirement of 1167 cubic yards. However, the cellar hole will require an
excavation of approximately 482 cubic yards, and grading uphill of the house for the garage and
lawn will yield an additional 200 cubic vards of excavation. This excavated material can be used
as part of the fill below the subsurface sewage disposal system to prevent breakout and meet slope
requirements. Thus the total requirement for fill for the site will be slightly less than 500 cubic
yards.
Sincerely,
Frederick A. Filios
President
, ° yILtY
r111rrlrrlrrrir.
7 ,
OF
R E ;Cx
Deep Soil Logs _ R.S. N:
Filics Enterprises, Inc. -.
69 Peih= Rd.. Amherst MA 01002. (413) 256-80' '8'�"'
Owner: Joan he Fg-, 55 eHe Date: Z
Location: Lof "r-3 H. Pzfar �acerl
B. of H.
&5 "-er ed -S el
CNo7�P �ee
,
6 J
o -6" icPsoi/
i
!o ! ' "Pae l coarse s,znc�
sc"e co-4L sfohes
Ground Water hone Ground Water
I
I
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Ground Water Ground Water
Pereoiaticn Rate at: feu
min./Inch.
1
_OBSERVATION PITS JOBS 250-154
REQUEETrm By: 'ERR - BESSETTE DATc= 5-21-92
-LOCATION: SYLVESTER RD, NnRTHaMPrnN PEIFORMED By• RPB
OBSERVED BY: P. MACERLAIN
.1L 1f
_T 4 77 5 T- T
TOP SOIL TOP SOIL
3" 311
SILT SILT
27" 7„
10' GREY COMPACT GREY COMPACT
TILL 9'
TILL
78 78"
BROWN COMPACT BROWN
TILL COMPACT TILL
9'0,f_,
Oxides alt NONE Oxides at NONE Oxides at Oxides at
—t3.W-at NONE G.W. at NONE (3.W. at G.W. at:
�;e tiµ, •;
-Perk Perk Perk Perk
..Rate- 14.D min/tn Rate: min/In Rate: min/In Rate: min/in
.-Oxides at Oxides at._.--. Oxides at Oxides at
G.W, at G.W. at - — G.W. at G.W. at
_Peric Peril Perk Perk
._?ate:�,min/in Rats: min/In Rate: min/In Rate: min/In
a
ALMER HUNTLEY, JR. & ASSOCIATES, INC. ALMER HUNTLEY,JR., PE.,PLS
SURVEYORS-ENGINEERS- LANDSCAPE ARCHITECTS DOUGLAS W.THOMPSON, PIS
30 INDUSTRIAL DRIVE EAST/ P.O.Box 568/NORTHAMPTON,MASS.01061 WILLIAM R. GARRITY, LA
J4131584-7444 FAX (413)586.9159 STEPHEN J. DEMSKI, PE
PAUL R. LUSSIER, PLS
June 16, 1992 #250-154
JoAnne Bessette
560 Burtspit Road
Northampton, MA 01060
RE: Lot off of Sylvester Road
Northampton, MA
Dear Ms. Bessette:
On May 21 , 1992, a representative of our office performed deephole and percolation
tests on the aforementioned property in conformance with Title V of the State
Sanitary Code. We have attached a copy of those tests. FINAL APPROVAL OF TEST
RESULTS AND ISSURANCE OF PERMITS RESTS WITH THE LOCAL BOARD OF HEALTH.
The percolation test and the deephole, in our opinion, meet the requirements
set forth in Title V.
A. Comments:
X One or more of the tests were marginal.
A. Percolation rate was minutes per inch.
B. Groundwater was at a high level.
C. Impervious formations were encountered.
D. X Slope and other site restrictions may preclude a subsurface sewage dis-
posal permit from being issued.
E. X Comments: The site may require fill to meet slope break out distance
The tests did not pass.
A. Percolation rate over acceptable limits.
B. High groundwater and/or impervious formations.
C. Site restrictions; i.e. , distance to slopes, wells, water courses, or
wetlands.
D.
Our office has the expertise to design subsurface disposal systems based on perco-
lation tests conducted by this office which meet Title 5 requirements. If you wish
us to provide this service, please call our office.
a
Certain communities have a time limit on the validity of the tests. Please contact
the Board of Health for further information.
Thank you for your confidence in this firm for allowing us to perform these ser-
vices. If you have any questions, please call this office.
Very truly yours,
ALMER HUNTLEY, JR. & ASSOCIATES, INC.
s n� /00.
Richard P. Braz u
Senior Designer
RPB:mf
f' cc: Northampton Board of Health
1
i
THE COMMONWEALTH OF MASSACHUSETTS
f
BOARD OF HEALTH ��y'
------C_ . . .............0F...... Cj.!�.: f #1 a.�1................_.....
F D.
Appfiratiun for Uiiplaiittl Murkii (nun#rn.efinn Fainit U
Application is hereby made for a Permit to Construct ()() or Repair ( ) an Individual S,;w ,Q"
System at: -,,,t`tuu
........... .�..111aG7 .er _ - ----- --•--------------- a --------•--•----... ....................
Location Address / /J
- u•..c.r.aG1_�!!�.. -��G�.. � ---------------------- (P......... ..---. .N__�rT
Owner Address J
W
Installer Address /
UType of Building Size Lot-_,�!l.'y,e-IS�___...Sq. feet
Dwelling—No. of Bedrooms.................I/, Attic ( ) Garbage Grinder (ds)
Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures ............................... . .
�_.__..__.__gallons per person per da Total daily flow... y�?_...4K--a
W Design Flow.................. ga P P P Y �! f bllons.
cd Septic Tank—Liquid capacit .:! C1 allons Length._/.0,.b---_ Width..5.,.�--.. Diameter................ Depth..440
xDisposal Trench—No. ........ -------- Width....2.L?.^___ Total Length..3._2.0.r. Total leaching area.... ._Y sq. ft. -71PL5
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area.6...f. <-...sq. ft.Aol�001
Z Other Distribution box ( ) Dosi.n tank
Percolation Test Results Performed by. ............. Date...!1.._._M _l _ .
Test Pit No. _ .....Py__minutes per inch Depth of Test Pit........�r!....... Depth to ground water--__-�1C- tA...--_-_.
..............minutes per inch Depth of Test Pit-._....... ..... Depth to ground water... q.,...,.....
Test Pit No. Y.....
.Depth
i.C3 ... x .��5._ r� Qr t )------------------IG4.S 4R
----------------...--------------------------•All--tk .....
Description of Soil........................•••. ...--... -•---............ -----------------------------------------------•--------------------------------------
....
U ..............•----- .- 14-------••-......-----....-••-•-•--•-•--------•-••••••--...•-------------•---•-••••-••---........----••••.....---•-•--•----•--•-•---•--•--
w .....................................................---•----•--•••-•--•--•--------------•-•-----••-----------•-----•----------------•--•••-•--••-••-•••--•••----............_.._........--...•••......
VNature of Repairs or Alterations—Answer when applicable...............................................................................................
....----•--•------------------------------------•-•-------------------------------..............--•• •••-•--•--••-----.....---------...--------••-••••--•-•--•--•-•••••--••-•-........--•---............
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued by the board of health.
Signed ......................... ............ . ..... ........................ .............................
D
ApplicationApproved By .......... ............................... ................................... ......... ....... ...................... ....... ..... . ......
u
Application Disapproved for the following reasons: ............. ............ ... ....... ............. ................. .........................
................................ ........................... ........ ................................. ......................................... ........................ ..... .......................................
L).,,
PermitNo. ......... ....._... .__.._................_............... Issued .............. .................. ......................
u«.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
a f
Cfer#ifiratr of Taittyltunrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (✓ ) or Repaired ( )
by ................ ......................... ........ .. .__...... ...... -------------------.............
... __..........
at - --------................._._..............................._
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ................. dated ..............................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE .. . _... _ _ _..__....... .... Inspector . --------------------------------..._--------------------------------- -
Amherst Water Laboratory
180 Pine Street, Amherst, MA 01002
(413) 549-0009 MA#139
Town Northampton Sanple Date 12/16/92
Source Off Sylvester Road Date received 12/16/92
Collector: Lynde Date analyzed 12/16/92
import# 721-165
Parameters) Conc(mg/1) Counts/100 ml Limit
Coliform bacteria 0 0/100 ml
Color 1 0-15
Odor nd 0-3
Sediment nPd neg or pos
Turbidity 3 .0 0-5 NTU
pH 7.9 6.5-8.5
Alkalinity(CaCO3) 67 none
Chloride(Cl) 18.5 250
Hardness(CaCO3) 50.9 none
Sulfate(SO4) 110 250
Conductivity(umhos/cm) 145 none
Dissolved solids 97 0-500
Calcium(Ca) 17.3 none
Nggnesium(Mg) 1.8 none
Sodium(Na) 10.6 20.0
Potassium(K) 1.3 none
Iron(Fe) 0. 1 0.3
Mnganese(Mn) 0.02 0.05
Copper(Cu) nd xkx0 1.3
Nitrate-N(NO3-N) 0.6 10.0
Nitrite(NO2-N) 0.2 1.0
Amwnia-N(NH-1-N) 1.2 none
Lead nt 04a 0.015
nd = Not detected
nt = Not tested
Analyst
a �
++7 Department of Environmental Management/Division of Water Resources
WAAR WELL COMPLETION REPORT
lWELL LOCATION GEOGRAPHIC DESCRIPTION
Address From Chesterf i el ti Rd, take `�� N S E W of
Sylvester Rd, 1 .6 on right in rl /circle!
City/Town Northampton,Ma s,;_
Wellowner Ms Jo Ann BessettP / p (road)
Address 560 Rllrts Pitts Road N S W of
Northampton,Mass. 01060 i.intenths' circle, ,c /
Board of Health permit: yes ® no ❑ intersect. w/ �>r �' 1a4!: /
(road)
WELL USE WELL DATA
Domestic [2g Public❑ Industrial ❑ Total well depth 455 1 ft.
Monitoring❑ Other Depth to bedrock 251 ft.
Method drilled Air hammer Water-bear g r k/tlnconsolidated material:
Date drilled 12115/q2 Description
CASING
Water-bearing zo,, S�' ,� '
To
Type 17 lb steel 1) From�
Length 401 ft. Dia(I.D.) 6" in. 2) From To
Length into bedrock 1 5 1 ft. 3) From To
Gravel pack well: dia.
Protective well seal:
Screen: dia.
Grout-El Other seal Slot ar length from_to
STATIC WATER LEVEL
Static water level below land surface /Y ft. Date
WELL TEST
Drewdowj )) ft. after pumping hr. min,at 1 12�awn
How measured Alr llftRecoveryft. after hr.�4- -min.
0
LOG of FORMATIONS COMMENTS
e
Materials From To c
Hardpan 0
1 �
1 I Driller KPnnet� I vndp
Mass. Registration# 4Bfl
FirmLynde WPl 1 Ni 11 lncj, Tnc,
Address RnX 799 RFD 94
city/Tawr$ratt.l Phnrn,Vt_ 05301
9rorafflkof 51 ervi/ re ' ered well driller
Please print firmly j 11, V
DRILLER COPY
r t �
k.
CITY OF NORTHAMPTON, MASSACHUSETTS
DEPARTMENT OF PUBLIC WORKS
125 Locust Street
Northampton, MA 01060
Samuel B. Brindis, P.E. 413-582-1570
Director, QW Fivir ew
Peter J.McNulty, Sr.
Assiatmt Daeor of Public Works
BOARD OF PUBLIC WOP.KS
DRIVEWA ' PERP-IIT
GENERAL I2dST_Q=_IONS LAND RF(ITJILA'T'IONS
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. t.ne 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 I^ablic Works imply that no drainage problems will result
wit'-., the dri-vrewF-y when constructed. Properties situated or
driveways installed 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 d. i-reway with adequate provision for natural water
runof-f situations.
Samuel B Brindis,
Director of Public Works
f• 1 .s1 'L i. 1 � ri1.
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47
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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.
PetjItioner, Jo-Anne Bessette
Norman Perr
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 0 F NORTHAMPTON, MASS.
December 8, 1992
THE BOARD OF PUBLIC WORKS
The undersigned respectfully petiition your honorable body for
Permission to install driveway at Lot 3 Sylvester Road
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.
*Pre-approved common driveway.
By:( yG
7o-Anne Bessette 584-5284
Norman Perr
Proposed Location
Inspected by: C_y-S
Gravel Base Grade
Inspected by:
Final Approval:
THE BOARD OF PUBLIC WORKS
Voted that petition be granted.
$25.00 Fee Paid Waived
Samuel B. Brindis, P.E. , Director of Public Works
(SUBJECT TO ATTACHED CONDITION 1 & 2)
• °'s'Nr� y
000JJ .i
Date Filed�a�� �{� File No.
ZONING PERMIT APPLICATION (510 . 2)
1. Name of Applicant: k2�7_rF77_6-
Address:�""&o Plr ofoW 62�� Telephone:
2 . Owner of Property: J6�?-AIN QrSS_cl Nd.rlvl
Address: 5-6v R�r47, ,0r.7-s e,6 Telephone:
3 . Status of Applicant:_owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# --P o Parcel#�,
Zoning District(s) (inclu overlays) _
Street Address 0 L
Required
5 . Existin Proposed b Zonin
Use of Structure/Property 5'iur;�e Fftn�,i 4 S1,0Z C
(if project is only interior work, skip to #6)
Building height 3 ,
%B1dg.Coverage (Footprint) zESS Tir#,; / QC,
Setbacks - front _*600, r
- side L• R: wfL:
- rear ,sv �'
Lot size «. •N�s,
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking) 4a�r
Parking Spaces
Loading
Signs
Fill (volume & location) va bs
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) Con1,57;r,/S/-/-b A-1 -hr- SiA�', c,F- /A,(/ T'..
7 . Attached Plans: sCTS Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge. M'
RUA
�L6�� : 4\
Dater 4„� /993 Applicant's Signatur - -
THIS SECTION FOR OFFICIAL US ONLY:
I �p 1 2 E
/Ap roved as presented/based on information presented � j iAN
Denied as presented--Reason:
Special Permit and/or Site Plan Required: DEPT OFBUiM14GINSPE'TIGNS
Finding Required: 4 Variance Required: 0I060
Signature of B i ing 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 permits
from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities.
i c"T a-
PERMIT APPLICATION CHECK LIST
PAGE PLOT ZONE L° C" V- 3 YES NO DATE
1 . ZONIN 0 APPLICATION yl ��nr �
L-- l - ice- 73
2 . PERMIT LIC TIO v
3 . OWNER OOCUPANT STATEMENT LIC IF NO C--
3 SETS OF S JPLOT PL c,�z cF Pic,') 1- �cSZ I i G--
5 . NEW CONSTRUCTION k--
6 . CURB CUT-
7 .
WATER I 0 S
8 . REMODELING I IO
9 . ADDITION
10 . ACCESSORY STRUCTURE
11 . SIGN AWNING
C?
2 . PERMIT FEE - CHECK ONLY - MONEY ORDER C C'• C 1---
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127-- - CMR 780
15 . FORM A
16 FILL
COMMENTS : _.
�fYIGfE' FcZ,ynity RcLY )CZ r
PERMIT APPLICATION CHECK LIST
PAGE PLOT ZONE L A 1 YES NO DATE
1 . ZONING FORM APPLICATION y
2 . PERMIT APPLICATION
3 . OWNER OCCUPANT E E LIC A IF NOT-
4 .
3 Se TS OF S -- /PLOT PLAN i
5 . NEW CONSTRUCTION ZNI
6 . CURB CU
7 . WATER VAI AB IT 0 S
8 . REMODELING INTERIOR
9 . ADDITIO
0 . ACCESSORY STRUCTURE
11 , SIGN NING
12 , PERMIT FEE - CHECK ONLY - MONEY-ORDER
13 . SPECI ERMIT REQUIRED WITH ED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM A
16 . FILL
COMMENTS :
of 'Wart4amptan
9 Office of the )lnovertor of 'Anilbinjis
212 Main Street •Municipal Building -'
Northampton. Mass. 01060 _ r
y
#23
CERTIFICATE OF OCCUPANCY
January 28, 1994
Page No. 28 Plot 67
Building (Name) Single family dwelling/attached garage Address 228 Sylvester Road
Owner JoAnne Besette & Norman Perr Address 560 Burts Pit Road
Applicant Bonneau/Wilcox Dev. Co. Address 65 Country Corner, Amherst
Use: 1st Residential Occupancy
2nd Residential Occupancy _
3rd Occupancy
4th Occupancy
Zone District RR
Required Inspections:
New Building Existing Building
Elevator Electrical
Plumbing Fire
Building �a4 Other
sped r,018ulldings
G: 66
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