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35-223 (5) Ficz THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY NORTHAMPTON tion is hereby made for a Permit to Construct (X ) or Ikepair an Individual Sewage Disposal LADYSLIPPER LANE LOT NO. 16 LAWRENCE A LbtTyeld,ess 65 WHITELOAF or Lot No. Owner Address Installer Address 1 .342 AC Z Other Distribution box Dosin tank ( Percolation Test Results Performed 4 h __ _ �WANSON, P. E,,./j-hR... Dateb�7.1=�4157�22:n�4 ... ........-minutes per inch Depth of Test Pit------ Depth to ground water.VNE........... ~~ �w -- —Y��.. ............................................................ �� Drscz�u�nofSo�--.--�.��[������—'�=---��������-_���������—��—..[�������_��..��������.-�����__.. ...'--........-----' ....................... ------------------......... '------'''--'—'—'------'--'---'--'--''-----------'— :� ------------------___--------._--'_—''.--.-------- --.'--'---.—_.— U Nature of Repairs or Alterations--Answer when applicable.......................................... ............. .......................................... ..........................................................'-------.............................................................. Agreement: The undersigned install the afocedescribed Individual Sewage Disposal System in accordance with the provisions of'Al TL, 5 of the State Sanitary Code — TheomieroignodfurtheragreesootmplaccHe system in operation until a Certificate of Compliance has been issued by the board ofhealth. Signed...................................................................................... ................................ Date ApplicationApproved By.................................................................................................. .......... ................... ......... Date Application Disapproved for the following reasons:............................................................................ ------- ........................... .........................................................................................................................................................'--------..................... Date PermitNo Issued....................................................... Date THE COMMONWEALTH orMASSACHUSETTS BOARD OF HEALTH CITY ���T�A�PT�� --------------��F---------------------------' � ����8��« ��� �� � � Q�� attre THIS IS T0 CE}Z],{FY' That the Individual SnvuQc Disposal System constructed (X ) or Repaired ( ) bv-----------------'-----'----------'------'---------'----------------------------------------' ' LOT NO~ 16v L/\DYSLTpPER'"L-A1qE uL--.—.—.--'--'-'-----------''--------------------------------------'-----'-------'---'----- has been installed in accordance with the provisions of TITLE 5 o The State Sanitary Code as described in the application for Disposal Works Construction Permit No------------------- dated L- ------_---.............. THE ISSUANCE OF THUS CERTIFICATE SHALL NOT BE CONSTRUED AS AGUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................................................... Inspector.............................. THE COMMONWEALTH or mAssAcHussrrs BOARD OF HEALTH CITY NORTHAMPTON _______-------��F---------------------------- l�u-'----._.- FEE........................ Im ,� ������� ��or�� Ton��ud00n :�kruK ----n- i��d����� �UD�TT� ° Permission is hereby granted--.--------.--.-------..---.------.---_------.-----__...____ to Construct (X ) or System atNo..................LOT...ME.—.]-61........LA[}Y.S1~I22ER---L8NE-- ----------........................................................................ Street uo shown oo the application for Disposal Works Construction Permit No-----------------.... Dated.......................................... --'---'----' .........................—........................................... - Board of Health DATE.......... --_'—_ --------------------------------- .............. FORM 1255 HOBBS & WARREN. INC., PUBLISHERS ZONING • FRONT DISTRICT , SIDE YARD SIDE YARD REAR YARD IX. 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a •.!a IN .• a$$$ .p $ $a$a.�f:.• af. ■ ..... f eaeperal i/.•ai•a eSeMSeS:.+SatS• ... ���� N!a• . .. ....................r'Gii' si _me i g•ill•". 5�$1'simm_a_e_liCpi $=�a$•�rlreait•Ma=•aai:saaa_S:M12.1 ssa r$ss seas sa p ;; gg •!• . ..• Mf. . $$$s$s$$$$$s'$$ p as ipa �.. as a a.sss$eassslse$ $ .. ee.ee.°'.s eeeeeee .ss$iasesesa.. • $$ ..s..e.s.as ......... � ::;�$a �s + ��iry 1: I W- 1 ail�scil:II1-4 11=:so li:0291.8 nsn:::ana::ni NOTES and Data — (For department use) C I T Y O F N O R T If A "4 P T O N, P" A S S, June 19, 19 85 THE BOARD OF PU?1 ��0°.KS The unfit-�rsiined respectfully petition your honorable body for hf a permission to install a driveway at lot 4116 Ladyslipper Lane in f ` — "Tinkham Woods", off of Westhampton Road. Twenty-four , �f maximum width at the Street line. Gutter drainage not to be disturbed. Driveway surface to be paved if the grade of the proposed driveway exceeds 3% or more. By: nce u e 65 White Loaf Road Sautbanipton 527-7766 Inspected By: Tian. BOARD Voted th-zt neti t ion h)e ranter? . rect Pu- zc Acting Norks IV, IDENTIFICATION — To be completed by all applicants Name Mailing address - Number, street, city, anti State ZIP code Tel. No. Owner or /J/ A Lessee v��!3 2. License Nso. i Contractor 3. Architect or '��� Engineer I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Signature of applicant -� Address f Appli atio date A/ 00 NOT IN RITE4J' BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re uired Check Plan Review Date Plans B Date Plans B Notes 9 Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date D Permit or Approval Check Obta nod Number By Permit or Approval Check Obtaf ed Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER II. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number _ Building � r ) use Group Permit issued � 1 9 Building --} Fire Grading Permit Fee Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ a k r Plan Review Fee $ TITLE CITY OF NORTHAMPTON 9• MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS ,�t . Page Plot ^ , APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O ` �I• � � ' �?r���� 1 L ' Ul'. SRC AT (LOCATION) ZONING _ . LOCATION (NO.) (STREET) �— OF BETWEEN �i rr l is AND BUILDING (CROSS STREET) (CROSS STREET) Lo SUBDIVISION LOT' �- �- LOT BLOCK SIZE to Ii. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m m 1 S New building Residential Nonresidential 2❑ Addition(If residential, enter number 12 `❑� One family 18 ❑ Amusement, recreational of new bousing units added, if any, l�J� in Part D. 13) 13 Two or more family — Enter 19 ❑ Church, other religious 3 Alteration (See 2 above) number of units— — — — ••� 20❑ Industrial ❑ 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (If multifamily residential, of units ——————— — -- 22 ❑ Service station, repair garage enter number of units in building in 15 � Garage 23 ❑ Hospital, institutional Part D, 13) 16 Carport 24❑ Office, bank, professional 6 ❑ Moving (relocation) 7 ❑ Foundation only 17 F-1 Other — Speci/y 25 E] Public utility 26 ❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, mercantile 8 Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution,etc.) 29 ❑ Other — Specify 9 ❑ Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, r)fIlj school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical..................... b. Plumbing ....................... 0 c. Heating, air conditioning......... d. Other(elevator, etc.)............ 1 11. TOTAL COST OF IMPROVEMENT $ �`�• Li �1� III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑Masonry (wall bearing) 40 Public or private company 48• Number of stories............... v 31 [N Wood frame 41 r Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior r�� 32❑ Structural steel dimensions ..................... 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 ❑ Other — Specify 42 ® Public or private company 50. Total land area, sq. ft. ........... r Q__5 43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 ❑ Gas Will there be central air 52. Outdoors........................ ? conditioning 36 � Oil L. RESIDENTIAL BUILDINGS ONLY 37 C) Electricity 44 ❑ Y 45 es o � N 53. Number of bedrooms.............. 33 ❑ Coal 39 ❑ Other — Specify Will there be an elevator? Full.......... — 54. Number of 46 [—] Yes 47 k No bathrooms /d Partial........ q _DEPT. OF BUILDING INSPECTIONS BUILDING s° n 212 Main Street O`I IL Northampton, MA 01060 PERMIT 35 - 223-X& 16 VALIDATION DATE January 22, , 86 MIT NO. 33 APPLICANT L.P. Audette, Inc. ADDRESS 5 i e oaf V : , Souk (N0.) (STREET) (CQNTR'S LICENSE) NUMBE OF PERMIT TO New Building (_) STORY One Family Dwelling DWELLING UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) Lot #16 Lad sli er Lane ZONING AT (LOCATION) Y pp DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: permit for the construction of a new single family dwelling with 2 floors and an attached garage AREA OR 129,000-00 PERMIT t. 746.00 VOLUME 2296 so f 1' ESTIMATED COST .� FEE 9 ICUBIC/SQUARE FEET) OWNER BUILDIN Same as Applicant Same AS rr ica S � DY ADDRESS WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pJNY P : x Lu 7 ! f i ( La . � � ■ \ i . 2 { tA 7 } A | ° z ! \ % | S _j 0 § LU $ « 0- ¥ : : � ' ■ / . f ? (LLJ 0 \ 3. < : . J : z / ° L �( %6-4 5 u O } 7 :CL § ` z U. ƒ !� } / / 2 O cr ,4Z \ / Q . & ( © � U! :,o ` U A ® le ± rte . ! / 2 � 0 � /, \ � � ~ : e : \ Z U. \ � � \ 9 L \ { ƒ - \ w : . d cd t� � ! �/ . � ! 2 � Ln a C)l ! g , o \ m CL'I \� } Z LL -r ! @ ' ) d Z:i � ! @ ! \ \ l / o Q O ! S U v _ , Q [ e ' G ( § . } o d &`cd § e 0 _ ! m j ! § �! / \ / 7 ƒ 0 # @ r 2