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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
a Northampton,Mass. . . . . . . .4217 . . . . . . . . . . 19 %5 .
Telephone No. . . . . . . .5,A7.".4/0 A?. . . . . . . . . . . .
7b the Supt.of Buildings:
Application for a permit to build is hereby made according to the following:-
1. Location, Street and No. . . . . . . . . . . . . . . . . . . . . . . . Lot No. . . . . . . .
2. Nearest cross street i!�N ?!" o�. . jr�i?�. ';� . Size of lot . . . . . . . . . . . . . .
3. Owner's name . . . . G�,�. . . . . . . . .
4. Architect's name . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . Address . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .
5. Builder's name . . . NQti rtTW. . '. �ry�j i n. . . . . . . . . Address . . . .
Mass.Construction Supervisor's License No. . . . . 1��-F-9 9.70. . . . . . . . Expiration Date
6. Use of Building:One-family . .S► ir.' !i^� . . .yTwo-family . . . . . . . . . . . . . . . . . . . . Other . . . .. . . . . . . . . . . . . . . .
7. Number of rooms in each family unit: .yy. . . . .��.:/r.*. . . . . . . . . Number of Bathrooms . . . fff1-4 . . . . . . . . . . .
8. Is there a garage attached? . . . . . . . . .f. . . . . n ���+`l . . . . lv. . . I . . . . . . .
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9. Size of building . . . . . . . G61. . . . . . . . . . . . . . . Square footage . . . . . Y .. lit/
10. Number of stories . . . . . . . . ..:;* /P . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11. Distance from finished grade to high point o roof . . . . . . . . . . . . . . . . . . . ...
12. Type of construction . . . . . . . . .
13. Distance from building to street line in feet . . . . . . . . . . . . . . 1��j. . yak'. . . . . . . . . . . . . . . . . . . . . . . . . . . .
14. Distance from building to side lot lines in feet:Left . . . . . . . . . . . . Right . . . . . . . . . . . . . . . . . . .
15. Distance from building to rear lot line in feet . . . . . . . . . . . .
�f� ,f���'- . . . . . . . . . . . . : . . . . . . . . . . . . . . . .
16. Is a plot plan being filed with this application? . . . . . . . . . . Phi
. . .1,-D •/hapl-M� . . . . . . . . . . . . . . . . . . . . . . . -
17. Species of framing lumber:DF . . . . . . . . . . . . . . . .. . . . Spruce . . . . . . . . S:f?,t. . . . Other . . . . . . . . . . . . . . . . . . . .
18. Are all structural conditions noted on drawings? . . . . . . .. . . . . . . . . . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19. Nature of land upon which the structure will be erected:Natural . . /l��o��'j: Filled . . . . . . . . . . . . . . . . . . .
20. Depth of basement or cellar floor below finished grade . . . . . . . . .<,,z2'". . .�A?�.
� v . . . . . . . . . . .
21. Material of foundation walls . . . . . . . . . . . t�C. 7. . . . . Thickness in inches . . .ZSr..
. . . . . . . . . . . .
22. Type of roof: Flat . . . . . . . . . . . . . . . . ....... . . . . . . . . . . . . . . . . . . . Pitched . . . .rr ,B'e.�. .1 ? . . ..... . . . . . . . . .
23. Material or roof covering . . . . . . . . At 0e;4',f !!-'/?' � y -?�'�lg'' _ . • •. .
24. Method of heating . . . . . . . . . . . .01 . . . ., -7 .`4 . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .
25. Will the building conform to the Building and Zoning Ordinances? . . . . . . . ./1�� . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26. Septic Tank? . . . . . . . �. . . . .1�� !E .�. . . . . . . . City Sewer? . . . . . . .lh:: '. . . . . . . . . . . . . . . . . . . . . . . . . . .
27. Construction within 100 ft.of wetlands? . . . . . . . . . . . . . . . !��. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
28. Construction within 100 year flood plain? . . . . . . . . . . . . sw. . . . . . . . . . . . . . . . . .
29. Estimated cost:Total $ . . . . . . . .110/Xo .!7 . . . . • . . . . . .
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 ab ve statements are true to the best of his knowledge and belief.
. .�i . . .-.�. . . . . . . . .
,gnature of C ractor Sign responsi e applicant
RITTEN DESCRIPTION OF WORK TO BE DONE \ "
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. . . . . . . . . . . . . .1 1. . .Z. .... . . ... . .. . ... . . . . . .�?' r'. . . . . . . . .. . . .. .`. .
. . . . . . . . . . . . .��? ��� RIB .. . . '� �. . . . . .�����. .. . . . . . . . . . . . . . . . . . . . . . .%1 �
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ASSUMED DATUM
LOT 6
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1 SITE PLAN
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CITY OF NORTHAMPTON, MASSACHUSETTS:,
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
T.
E31
A "Dr. v ewe.-T Permit" is required in all cases wIllere- a new
curb cut or an alteratl.0n to an curb cut is
proposed a cit-1, P.ut.1J__! c way.
er,- 3 J3sued by the Board c.' PlYblic 1,,7�r -s (BPW)
Drivmway -� ai�, _L J_ Z I
shall be attached to and become p.a.—I, Off -t-h- i 1 d i ng-
Permit" issued by tlfae Building
3- Prior to the issuance of a Eu i I Id i n _7 rm e -.-7n
any lot to be ser-vied by a new drive,.a-,- s to the 11 Apply U
B.P.W. for a "Dri,,reway Permit" by the Pert-inant
por •ions of the permit ( see atta c In e d e c c a"_J_-_n o1;
fibs driveway i3 approved by the BIPW, a b-u-:__d_n.:r --:,ermit may
be issued.
4 . The Buildin.z Inspector shall issue no Occupancy m
- Perit-
uniess the dri-1 l:ewa to the lot has been approved: ,ty the E7";.
By the -issuance of a driveway permit for he t;z t ed
locatio~, neither the 1-7-it-Y of ticrrhampton nor the
of -PablIc `"forks iilr l t' at no Jlra-ina.-e problems will re-sul",
th- o I., P r
S,t,al 1 ea In 'he
natia.-al (_Jj-raina.-_ -,:Till be s-;bje4Dt to wat---r. Probleirns. The-ze
may _-"..-cla(. water sire e-"I_in.�, ar_rc3s rcatd",,-.ays
to the driveDway. L 1 C-1-ty and the DP`4 aa=_U;ae= n.o
re=-_cnsibility an su3h dr.aIn-age -roblems . The of
property �_s for and inaLntai in,
t 1 11'a dri-,eway .,71 acieq,i;ate provision for natural water
ri-,no-ifff SituatiDfla_
Sa-inuel B Brindis, P.E.I�r
Director- of Public Wo.-kls
WP9 1 11"C'"NINf". r1_,T11 17' 7=1.
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 any 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.
?etitio Glenn Associates
NOTE: The Public Works Department reco -nnends that you provide a
plan snowing 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 Y OF N O R T A M P T O N, M A S S.
December 7, 1993
THE BOARD OF PUBLIC 1;ORK5
The undersigned respectfully petiitior. your honorable body for
Permits on to iasta?l driveway at Lot 6 119 Turkey Hill Road
Fifteen (15) foot maximu= width at the street li^.e. 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 drivewav exceeds 37- or more.
By: J /
GiL,fln As§ociates
Proposed Location
Inspected by:
Gravel Base Grade
Inspected by:
Final Aonroval:
THE BOARD OF PUBLIC WOR:tiS
Voted that petition be granted.
$25.00 Fee Paid
Samuel B. Brindis, P.L. , Director of Public Works
(SUBJECT TO ATTACHED CO?v7DT770N 1 & _)
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►;tAA TURICE'Y HILL ROAD Lot f6 Wt&APIU 3.40 S53V000.
Northmpton
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vattn Private toroo,Ariiv Leven/SlaninQ
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1AVOM u Chi-11 Mil. rlioNt 5867Z6 3 t»ttrkN.Nickerson ►,fawt 584-8703
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IPA*to sir � � t Miii at�t c►�eawt� �"o K ri w � mviw$if:li eEwro MrWool, �' xt iPVo i4 AIi% � ir�t nt�k6 �ttarNt
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Date Filed UO26561 File No.
ZONING PERMIT APPLICATION (510 . 2 )
I. Name of Applicant: USruis2v) E- GiGewYi
Address : 14s /4�12) ;r. a7rj-,,.., Telephone:
2 . Owner of Property:_ ���,�✓6�F 13CG Uit 1 iyx'. iJ�
Address : 11 As1;IC,,, (;i" L��"ST7,IC,m11 11 Telephone:
3 . Status of Applicant: /Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet#_aL Parcel# 0.4 ,
Zoning District(s) (JAIclude verlayl i� Alk
Street Address JJq 4�
Required
5. Existing Proposed -by Zoning
Use of Structure/Property ;,e; "
(if project is only interior work, skip to #6)
Building height
.B1dg. Coverage (Footprint)
Setbacks - front `mod
- side L: R: L: y0 R:
- rear yam'--
Frontage "� yOd 3 �r
( 5
lkzz
6. )sed Work/Project: (Use additional sheets
7 • Plan /—Site Plan
8 . fy that the information containe herein
ast of my knowledge.
Date: 10(7 �� �_ Applicant' s Signature:
ZApproved THIS SECTION FOR OFFICIAL USE ONLY as presented/based on information presented
Denied as presented--Reason:
Special' Permit and/or Site Plan Required :
in ng Re it d: variance Required:
J7/ 17�
gnat e o Buildi p or Mte
NOTE: Issuance of a zoning permit does not r eve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Hoard of Health,Conservation commission, Department of Public Works and other applicable permit granting authorities.
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