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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.
81997
Zone
APPLICANT NOT TO FILL IN SPACES ABOVE THIS LINE
a Dwelling Permit
Application for
S i
a "•� Northampton,Mass. . II'Ve'. • //. . . . . . . 19 . . . . .
Telephone No. . .�/. 7' S
7b the Supt.of Buildings:
Application for a permit to build is hereby made according to tthhe' following:-
1. Location,Street and No.
�OT.���. `;/1�5 �1,-� C�/ •. . . . . . . . . . . . . . . . . . . . . . . . . . . Lot No. 2 o. . .
/Q . . . . . . . . . . . . . . . . . Size of lot . . ...3J. . ���. . .:. . . . . . .
. . . . . ../ .. . .
2. Nearest cross streets` !��• . • . • . � i
3. Owner's name la/ Z. . . G. . . . . . . . . . Address . ./. �.°�!�. . . . . .
/� G �
,l Address
. . .
4. Architect's name C '�S
J7 �f��
Address . lG� . :. . . . . . . . . . . . . . . . . .
5. Builder's name . l��`!1•' `� '�
�/�/Iris �,���'•,199'�
• • . . . . . . .. . . . Expiration Date . . .
Mass.Construction Supervisor's License No. -• • �� � • � • • •�• • . •
-. . . . . . . . Two-family . . . . . . . . . . . . . . . . . . Other . . . . . . . . . . . . . . . .
6. Use of Building:One-family .. . .�. . . . y
7. Number of rooms in each family unit: . . . . .
. . . . •. • . . . . . . . . . Number of Bathrooms . . . . . .
�. .. . . . . . . . . .. . . . .C?.%o?.�/. . . . . .
. . . .. S . . . . . . .. . . .
8. Is there a garage attached. • � • � -�
' Square footage .. . .cr . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. Size of building . . " " '
10. Number of stories . . . . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
� . . . . . . . . . . . . . . . . . . . . . . . .
11. Distance from finished grade to high point of roof .. . . .. . . • • • • • . • . •
12. Type of construction . . .L✓�'��1�• �� � . .//. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .
13. Distance from building to street line in feet • . • . • • • • • • . . . . . . . . . . . . . . . . . . .
14. Distance from building to side lot lines in feet:Left . . . .3.�� 1 • . • . • . • • . . . Right . ../• •. • • • • • • • . . • .
15. Distance from building to rear lot line in feet . . . . lea
16. Is a plot plan being filed with this application? . . . . . . . . . . . .
17. Species of framing lumber:DF . . . .�• • . • • • • . . Spruce . . . . I�. . . • • • • • • • Other . . . . .. . . . . . . . . . . . . . .
18. Are all structural conditions noted on drawings? . . . .
. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .
19. Nature of land upon which the structure will be erected:Natural . . . . . . . . .
. . . . . . . . .. Filled . . . . . . . . . . . . . . . . . . .
20. Depth of basement or cellar floor below finished grade
. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
�// . . . . . . . . . .
�<-D 3 C,B 'U'C/'.*hickness in inches . . . I . . . . . . . . . . . . . . .
21. Material of
foundation wal . . . . •i•
of roof:Flat . . .�.,/� Pitched . . . . .
22. Type 9`
23. Material or roof covering .,
24. Method of heating . . .
. . . . . . . . . . . . . .
25. Will the building conform to the Building and Zoning Ordinances. / t
. . City Sewer? . . .�. .�. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26. Septic Tank? . . .��� • � • � � • � • � • • • �
27. Construction within 100 ft.of wetlands? . . . . . . .
28. Construction within 100 year flood lain? . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
29. Estimated cost:Total$ . . . . -a C . • . . •
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.
8 . . .
Si nature of esponsibl pplicant
Si na ure Contractor
WRITTEN DESCRIPTION OF WORK TO BE DONE
ifJiG . . . . �� — . . . 2�/12..'��. . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
C� . . .f'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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&IN 181S9T
'
NORTHAMPTON WATER DEPARTMENT
237 PROSPECT STREET
NORTHAMPTON, MA 01060
586-6950 Ext. 300
Subject: Municipal Water Availability
Location: 25 Woodland Drive lot 28
Inquiry Made By: Thomas Boyle
Date of Inquiry: June 10, 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:
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 II rowski
Superintendent of Water
Enclosure: Letter to Frank Sienkiewicz from Sam Brindis, dated
June 14 , 1991.
cc: Samuel B. IIrindis, Director, DPW
Peter McNulty, Jr. , Assistant Director, DPW
George Andrikidis, Assistant City Engineer
i`rsfr}F-S�.�r��:�w-rez;--Dtrr�.cNtrrg--i-t�pezt.-or
Anthony Patillo, Building Inspector
C: \Forms\Availabl.1120
o�t+nt�rpTO CITY OF NORTHAMPTON, MASSACHUSETTS
DEPARTMENT OF PUBLIC WORKS
125 Locust Street
` Northampton, MA 01060
413-582-1570
Samuel B. Brindis, P.E.
Director, City Engineer
Peter J. McNulty, Sr.
Assistant Director of Public Works
BOARD OF PTIBLIC WOFKS
DRIVEWAY PERMIT
GENERAL ItISTRUCTIONS AND -F AMT- O
1 . A "Driveway Permit" is required in all cases where a new
curb out or an alteration to an existing curb cut is
proposed on a city public way.
2. Driveway permits issued by the Board of Public Worhs (BPW)
shall be attached to and become part of the "Building
Permit" issued by the Building Inspector.
3. Prior to the issuance of a "Buildin 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 completin.,g the pertinent
portions of the permit (see attached) . Onc.f t1he 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
�4 , '� with"thei' driveway 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 driveway with adequate provision for natural water
runoff situations.
Samuel B Brindis, P.E.`
Director of Public Works
WP51\SAM\DRVWAY.PER
SP
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
Petitione
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.
#25-97
C I T Y O F N 0 R T A M P T 0i.,N, M A S S.
June 10, 19 97
THE BOARD OF PUBLIC-WORKS
The undersigned respectfully petiition your honorable body for
Permission to install driveway at Lot #28, 25 Woodland Drive
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: igollj&—
Thom E
Ms n 01627 BOX 628
Pion,
Proposed Location
Inspected by: —/,3 ° I
Gravel Base Grade
Inspected by:
Final Approval:
THE BOARD OF PUBLIC WORKS
Voted that petition be granted.
$25.00 Fee Paid 6/10/97 Check #1729
Samuel B. Brindis, P.E. , Director of Public Works
(SUBJECT TO ATTACHED CONDITION 1 & 2)
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:
11. ALL INFORMATION MAST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This Col— to be filled is
by the Sanding Department
Required
Existing Proposed By Zoning
Lot size 3,
Frontage � 3 -�7 /0
Setbacks (�2
- side L• R: L: L R: :3 a� G
- rear
C
Building height A
Bldg Square footage --
%Open Space:
(Lot area minus bldg / rr
' &paved parking) l j
#, .pf Parking Spaces
# of Loading Docks
Fill:
4vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
_ r� is true and accurate to the best of my kno ledge.
DATE: � ��lCt r ��� APPLICANT's SIGNATU
NOTE. issuance of a zoning permit does not relieve an ppli , nY urden to comply with all
zoning requirements and obtain all required permits from the Bo rd of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
'.l';r FILE #
} Fi 1 e No.
^T 0 rF 0
,ZiW11 TG PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR ,P/RINT ALL INFORMATION
1. Name of Applicant:
Address: 7v/ /7/a/��f'�� �1'r/�S�` Telephone:
2. Owner of Property:_ Clt�'���
Addre Telephone:
3. Status of Applicant: �ner Contract Purchaser Lessee
Other(explain):
4. Job Location: 3,�
Parcel Id: Zoning Map# (3,5 Parcel# �� District(s):
(TO BE FILLEDDp IN BY THE BUILDING DEPARTMENT)
5. Existing�Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Site Plan 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 KNOW 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 Document#
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)
FILE #
L I 1997 ,.
APPLICANT/CONTACT PERSO
SST- ONE:
PROPERTY LOCATION:
MAP PARCEL: ZONE
THIS SECTION FOR.AFFICIAL USE ONLY:
PERNHT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM EMLEM OUT
0" , �
Rernndplin2 Interior
�.
C�/ 1
THE FOLLOWfNG ACTION I4AS BEEN TAKEN ON THIS AP ICATION: <'
Approved as presentedfbased on information presented YYiLt-If P-o/(oati, �������'
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 Conservation Commission
2 7 7-.zz ,-- -�o A 4 e..Z, 61114-511�1�
Signature of u 11 101—ra- 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.
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DEPARTMENT OF PUItDING INSPECTIONS
212 Main Street ' Municipal Building
!N$PECtQR Northampton, Maas.�0106p
CERTIFICATE of OCCUPANCY and USE
This is to certify that permission is hereby granted under 780 CMR, sixth edition of the
Massachusetts State Building Code, allowing the occupancy or use of the premises or
structure or part thereof located at
25 WOODLAND DRIVE - Lot-A28 _
as shown on the Assessors Page## 35 , Lot#_ 299 Zone SR
in the City of Northampton, as herein specified:
CONSTRUCTION TYPE(780Ci,1R 6) 5
USE GROUP CLASSIFICATION (780 CMR 3 R-4
OCCUPANT LOAD PER FLOOR (780 CMR Table 1008.12 40 PSF - 1st
30 PS1, - 2nd
LIVE LOAD PER FLOOR (780 CMR Table 1606.1)
Under the following limitations, special stipulations, and /or conditions of the
permits: NSA
Issued this 31st day of July - _ -_ 199 8 — -
Certificate of Occupancy and Use tr
Authorized Department Personnel
Electrical !� _emu ��- ',�.�, —Elevator
Fire l� "��t E't = Plumbing '` �-
� " - — - —
Building ��i���D / Gas
Building Commissioner ''
This certificate shall be posted by the owner, in a permanent manner and in a visible
location, on all floors designated as use group H, S, M, F, or B, and in every room where
practicable of use group A, I, R-1, or R-2 per requirement of 780 CMR section 120.5
Posting Structures,
Building Department
413-587-1240------fax 413-587-1272
NORTHAMPTON WATER DEPARTMENT u
237 PROSPECT STREET '11 �1 1 3
,j
NORTHAMPTON, MA 01060
586-6950 Ext. 300
Subject: municipal Water Availability
Location: 25 Woodland Drive lot 28
Inquiry Made By: Thomas Boyle
Date. of Inquiry: June 10, 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: copper
Comments:
A corresponding "water entrance feel' 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 wor],,ing days notification. All work shall
conform to Northampton Water Department specifications.
Charles Bdrowski
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
Anthony Patillo, Building Inspector
C: \Forms\Availabl.1120