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35-291 (6) ~ r PA C FT. coup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Z IA Z . . . . . . . . . . . . . . . . . . � Z n- 0. . . . . . . . . . . C . r nor . . . . . . . . . . . 0 U IA . . . . . . . . . . . . . . . . . . . . . . M0 dZ m 0 i i i i 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,mus be fit1 is a ication before a permit be granted. APR 1 1 1997 Zone 9F P]a.. 1-. APR -10-FILL IN SPACES ABOVE THIS LINE Application for a Dwelling Permit _ a pr"°e Northampton,Mass. .s'? )122_ . 7. . . . . . . . 19 !�. 7b the Supt. of Buildings: Application for a permit to build is hereby made according to the f Mowing:- ; 1. Location, Street and No. . .11. .�I. .�&:[JG?�i1. 1. ���. Gc� . . . .. . . . . . . . . . . . . . . . . . . Lot No. 2. Nearest cross street . . . . . . . . . Size of lot . . .�3`J�.�l ! . . . . . . . . . . . 3. Owner's name 1361E . . . . . . . . . . Address��✓'� Jr !L' %r.. . . . .. 4. Architect's name r C Y°tfi'C.STeU1 . . . . . . . . . . . . . . . . . . 5. Builder's name ...t. .N 41 .. . . . . '.�. . . . . . . . . . . Address Mass.Construction Supervisor's License No. . . . . . . . . . . . . . . Expiration Date . . . . . . . . . .• . . . . . . . . . 6. Use of Building:One-family . . . . . Two-family . . . . . . . . . . . . . . . . . . . . Other . . . .. . . . . . . . . . . . . . . . �r 1 7. Number of rooms in each family unit: . . . . . .%. . . . . . . . . . . . . . . . Number of Bathrooms . . . . . . .. 8. Is there a garage attached? .. . . . ./e.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G/. . . . . . . . I . . . . . . . . . . . . . . . . . . . . . 9. Size of building . . . . . . . . . . .J . �./J . . . . . . . . . . . Square footage �, .7. . . . . . . . . . . . . . . . . . . . . . 10. Number of stories . . . . . . . . . .1_�. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Distance from finished grade to high point of roof .3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Type of construction . . . .�✓.C'� C.'/. . .% ! �V�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Distance from building to street line in feet . . . . ..G. C. • . . • • • • . • . . . . . • • • • l 14. Distance from building to side lot lines in feet: Left . . .3. . . . . . . . . . . . . . . . . . Right . . . . . . . . . . . . . . . 15. Distance from building to rear lot line in feet . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . . . . . 16. Is a plot plan being filed with this application? . . %. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . 17. Species of framing lumber:DF . . . .lam . . . . . . . . . . . Spruce . . . ^. . . . . . . . . . . . Other . . . . . . . . . . . . . . . . . . . . 18. Are all structural conditions noted on drawings? . . . .xef5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . 19. Nature of land upon which the structure will be erected:Natural . . .L: . �. . . . . . . . . . Filled . . . . . . . . . . . . . . . . . . . r 20. Depth of basement or cellar floor below finished grade . . . . . . . . . . . . . . . . . . . 21. Material of foundation walls . . . '�. �. . . �Ce C1 f'C T Thickness in inches . .u . . . . . . . . . . . . . �� 22. Type of roof: Flat . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . Pitched . .��//.��-. . .�/. . . . . . . . . . . . . . . . . . . . . . . . 23. Material or�roof covering . . �O. .1jQ: Z. . .�. K c,. xk6. P A Z..:�. . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . 24. Method of heating .� �' . kP POJ� . .(V . . . . . . . 25. Will the building conform to the Building and Zoning Ordinances? . . . -%. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26. Septic Tank? . . . . .� l. . . . . . . . . . . . . . . . . . . . . . . . . . . . City Sewer? . . ..11! C. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . /L'U 27. Construction within 100 ft.of wetlands? . . . . . . . .., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r� 28. Construction within 100 year flood plain? ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 Signat a of responsible applicant WRITTEN DESCRIPTION OF WORK TO BE DONE A C,�z�>. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 itioner 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. r APR 1 41997 ' C I T Y OF N O R T HAM P T O N, M A S S. �(p�gls �{NSPECTlONS NO RP 197 THE BOARD OF PUBLIC WORKS The undersigned respectfully petiition your honorable body for �- Permission to install driveway at 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 !/�/G' Bull &&f er- Proposed Location / 11- 97 Inspected by: St 7 Gravel Base Grade Inspected by: Final Approval: THE BOARD OF PUBLIC WORKS Voted that petition be _granted. $25.00 Fee Paid 164,5_ c Samuel B. Brindis, P.E. , Director of Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) NORTHAMPTON WATER DEPARTMENT 237 PROSPECT STREET NORTHAMPTON, MA 01060 586-6950 Ext. 300 Subject: Municipal Water Availability Location: 117 Woodland Drive Lot # 20 Inquiry Made By: Richard Boyle Date of Inquiry: February 13 ,1997 Municipal Water Main in Front of Location: YES X NO Size/Material/Age of Water Main: 8" DI 1996 Approximate Street Pressure: 42 PSI Size of Service Connection: 1" Copper Comments: The City of Northampton has not accepted responsibility for the maintenance of the water main and service connections as of this date of inquiry. 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. Charles 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 Frank Sienkiewicz, Building Inspector C: \LMB\Forms\Availabl.Wat APR 11997 .. � t• �8l6AChliSt�t4 _ 5O `BERT OF R' !19` �N DEPARTMENT OF BUILDING INSPECTIONS �. INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 Square Footage Amount Basement @ .10 /0 h 1st Floor @ .40 2nd Floor @ .20 1/2 Floors, Attic, Garage,i� Deck, Porches j D TOTAL 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 IF YES,describe size,type and location: I1. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This coin to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage LI� Z. � Setbacks C12 U - side L: R: L: 30 R: 8U - rear 61�1 Building height e Bldg Square footage ( -7/ �,,Z _>2 0 %Open Space: > L� (Lot area minus bldg l ' &p?ned parkingi / # of -Parking Spaces �! f of Loading Docks Fill: A �� Avol-ume-& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. _1 DAl"E:d APPLICANT's SIGNATURE, 1 e /� G�I/!✓� -/ e'er yrr/ ?" NOTE: nuanc of as zoning permit does not relieve an applicant's burden to mpiy witty,,. zoning requirements and obtain all required permits from the Board of Healt , Conservation Commission, Department of Publio Works and other applioable permit granting authorities:.. FILE # APR I I ►99 ?EPTOFB!..' INri °5., File No. w ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATIION�j 1. Name of Address:Zl��A41� / /1/ Telephone: Z r /f � 2. Owner of Pro perty:&4egr7 TOM. Address: V elephone: VII J;z 7-- /JT 3. Status of Applicant: Owner Contract Purchaser Lessee ���'GrN�AN� �' Other(explain): � C3 �{ a .��'�� /14 �J , T t 4. Job Location: If/z9&2 Parcel Id: Zoning Map# J-5- Parcel# � District(s): ` (TO BE FILLED IN BY THE BUILDING DEPARTMENT) / 5. Existing Use of Structure/Property 6. Descd ti n of Proposed Use/ Work/Project/Occupation: (Use additional sheets if necessary): 7. Attached Plans: L/ Sketch Plan Site Plan G� Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOIAI YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Do ument# 9. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained ,date issued: (FORM CONTINUES ON OTHER SIDE) �7 FILE # C i M7 � APPLIC T/CONTACT PERSON! j:� '7 ;A ES /PHONE: MMM OF Bt, PROPERTY LOCATION: MAPS PARCEL: a? ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERAUT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM MIND OUT Type of ConstrAl tion- Q Inter nr Additinn to Existing c HE F LbWIN(ITACT10flT 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 Conservatio mmission Signature of Building Inspector Dat NOTE:Isauanoe of a zoning permit does not relieve an appiloant's burden to oomply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commiaslon, Department of Public), Works and other applioable permit granting authorttles. o n O •y• 0 On 90 OZ M A � O F ? 4`d O 'd o o rn 0 b p� b� M R fD N E3 ; 's7 N �G DDS 0 O n.r ° o y CD Es cov co 'o rr tz a. tz � rD �. 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