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36-195 (3)�--� No........... •. Fmc.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH U AL'+.ER \�\ City .....oF..... .NortY�am t Qj . - .. - s n _.. M. �, __ HUN TLEY, J+� � i c No "yr plication is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal y"' Sstem at: Lot No, 12 Burts _Pit Road Location-Address or Lot No. Th_�odg --. �wx1e---------------------------------•-- --.Park .Hill..Road_.--NorthamP...gn ...1`.'A_...._ Owner Address W a Installer Address Q Type of Building Size Lot31 443+- _ Sq. feet U Dwelling—No. of Bedrooms...................3_----------------------Expansion Attic ( ) Garbage Grinder (X ) p,, Other—Type of Building -----_____________________ No. of persons.----._________--__._____._ Showers ( ) — Cafeteria ( ) P4Other fixtures --------•---•-•---------•----------•---------------•-•----------------------------•---- ---------------------------................................. d W Design Flow........ per person per day. Total daily flow_._______.330------__--____-----__-----gallons. a' Septic Tank—I iquid capacity-.15.9-�allons Length________________ Width........_--____- Diameter---------------- Depth------------- .-. Disposal �r �i -No. ------1._..___.___ Width----- Q._____._Total Length--_____30_._.... Total leaching area_-.__-__600...sq. ft. Seepage Pit No..................... Diameter-------.------------ Depth below inlet.................... Total leaching area-__-______...__.--sq. ft. Z Other Distribution box ( X) Dosing tank ( ) '-' Percolation Test Results Performed by..D_JT----..-HUn-U,E;y...__.. Date_5.-2$.-8.Q................... Test Pit No. L t_6.6_-____-minutes per inch Depth of Test Pit_4_'_Q---------- Depth to ground water-----NOrI-e...... . (i Test Pit No. 2...._..........minutes per inch Depth of Test Pit._9.'_-6_'_'_._..... Depth to ground water......9_'±_......... -------------------- -------------•------•----•--....--------•-•--------•--•---••-•-•--•---...-•••--•-•.....•-----•••-----••-----••-•--•-••-••...._••--_••-- D Description of Soil....$.••___QTI S-.•-••-- ."-_•MAD,_-FINE_•-SAND---•-__-6-"_-COARSE--SAND•__- U ---------------------- ----------------•------ ------------------------...------------------------------------------------------------------------------------------------------------------- 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 T 5 of the State Sanitary 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...................................................................................... ................................ Date Application Approved B -------------------Da---°•-•----- PP PP Y--•----__...•---•--_.._..•-----------••°--•--•---°-----°--•-------•____________________________ Date Application Disapproved for the following reasons:----•---•--------•----•-----•---------------•-----------------••---------- •--------•--•-•-......._.... •---•------•------------•--------••----•--•-------•.----•----•--•--•-------------•---••••-----------------•--------------------------------------------------------- -----------------------....... Date PermitNo-------------------------------------------------•------ Issued_.............----------------------------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF_.....__............... ................................................... Tatifiratr of Tomptiaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Installer at----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TIT L 5 of The State Sanitary 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----------------------------------------------------------------•--•------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................................OF_................................................... ....................... FEE........................ Elhiposat Works Tung#ru#ion ami# Permissionis hereby granted----------------------------------•-----•-----------------------------------------------------------------------------•--------••------••---- to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No. ----------------•-•--------•-------...---------------------------------••----- --------•---__----•-_-- Street as shown on the application for Disposal Works Construction Permit No_____________________ Dated------------------------------------------ -•-••----•----••--•-----•--•------------- -----------------•-•---•-• ............................. Board of Health DATE-----------------------------------------------------------------------------•-- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS Gr t4 of Wort4autpton �` `$ �lassachttsetts - Offirt of tilt )nsptrtor of jAuilbings Z ` 212 Main Street•Municipal Building = �< Northampton, Mass. 01060 ��.• a December 17, 1980 CERTIFICATE OF OCCUPANCY Page No. 36 Plot 19.5_ Building (Name) Tat 02 Address $l,rta nit ROAA Owner Thandors Tnwnp Address 66 WIhi tt:;er Strppt Applicant game as abo Address Same An abome ' Use: 1st S+.:..a;.lfamily dwelling Occupancy 2nd Occupancy 3rd Occupancy 4th Occupancy Zone District sit- Required Inspections: New Building x Existing Building ,-� Elevator Electrical ' " i' �� Fire Plumbing ` ' Building Other -� L- hippector of Bundin s n�gr�ltlR«rYrt.sS ZONING • FRONT YARD SIDE YARD SIDE YARD REAR YARD IX. 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MAILING ADDRESS: PARK HILL ROADL_NORTHAMPTON, MA. DATE: 5-28-80 OBSERVER: DJT #1 #2 OTS 8" OTS 6" SILT 110" SILT 116" 916" MEDIUM - MEDIUM - FINE SAND COARSE SAND 210" 714" MEDIUM - FINE SAND 416" COARSE SAND 6" Groundwater 9 '+ Groundwater 810" Pere Rate _(i6 min in Perc Rate Groundwater Groundwater Perc Rate Perc Rate * Overnight Test ALMER HUNTLEY, JR., & ASS(.)C;IATES, INC. SURVEYORS ENGINEERS - PLANNLRS 1(7, T J ' Hf f A"- MUIED ON 181"IF-F, MIN- tllumf�)ER (OF 0u L IT L)l 51-w 1 ff)(ii lom f5ox TO EV-1 NOKJ -Pr---PF0RATE-:D WD LEVEL FOR AT o,C. 7.5 WI DTI ( INOMBEF- OF V4R/=5 Wrrw WI nil) PLAN VIEW 6P'141'�,L 197 EXi5rlNr- GROUU0 -Tr LKCI ! Tr 77777,7-- 779w z s ) DE VIEW INOTE5' LOAM ALL WORY TO 136 DONE IN ACCORDANCE 71FIl WITH STATE SANITARY C0DE- -rlTtr= :SZ- c(o)VUR Y8 WASIAM 5TC)NE 8/4"TO Ph 4'r�EPF p1pral X- ,SECTION A � L, X9211 AZZY0 �J= a PE,E'C E o y RFSERY _ GJl?EA� 1;ry O1STk'i23ur1191V N 16-00 cl gzzoly I SEpr/C 7NNA' �a t � I � PR�PDSEG� �✓DUSE a I ciry w4rER ' /nrE sD B BL/RTS PT FORD PLAN n /'AnPIJvp -..,L �JYsTP L O T N-v 12, BUR TS R/T Fc'O/f 7', i Vc'?p T/7'Ai /P,70N i t N%')E: AhMER HUNT LEY,JR. 8fi ASSOCIATES, INC. ,� ��►�. WORK TO BE AVER REG!r)TEREn LANI) SURVEYORS 8 Ci\/IL ENGINEERS ALL 125 PLEASANT STREET DONE IN ACCORr�- MmUcv, JR. �, ANCE WITH THE r� NORTHAMPTON , MASS. ENVIkONMENTAL _.....--,.: c. A'rJ N. D,�T SCALE: CLUE - TITLE 5 IV. IDENTIFICATION — To be completed by all applicants Name Mailing address - Ntimber, .ctrcci, ii%, unri 1jaj, ZI"P code Tel. No. 1. I d106b �j/r/D9 Owner or � Tw �► `•V �t.� ��- Lessee i. 2. /I Li E3ui1der's cense No. 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 Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Plans Fee Started Y Approved BY Notes BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number B Permit or Approval Check Date Number B Obtained Y pp N b Obtained Y 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 VII. VALIDATION Building Permit number yg� Building Permit issued _ �� 190_ Building Permit Fee $ 9�Od Certificate of Occupancy Approv b Drain Tile Plan Review Fee _ TITLE $ � �Ixssachnsetts Offirt of the �Insjttrtor of 'Puil;iings APPLICATION FOR Plot ZONING PERMIT AND Page BUILDING PERMIT IMPORTANT — Applicant to''complete all items in sections: 1, 11, 111, IV, and IX. p ZONING • AT (LOCATION) �,ur-rs t A DISTRICT - LOCATION (N0.) (STREET) OF BETWEEN Ca(e t:?c C, AND If t4al BUILDING (CROSS STREET) (CROSS STREET) / LOT -3i INSPECTION RECORD DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR D8 BD PARTM T OF WILDING INSPWrIONS FIELD COPY 212 MAIJI,STRIM BUILDING INAT11 M, Ma. 41464 PERMIT 36 - ei DATE Sept, 150 19 80 PERMIT NO. 4U APPLICANT Thda re Tmme ADDRESS 66 Whittier St.0, 1I1 tm. (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO BesiiVenlCT LZ___? STORY �1 dwellIn DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) Bartz pit Seed ZONING DfSTRfCT SR (NO.) (STREET) rn BETWEEN F3,©=imk&a Rd. AND Ryan Rd. (CROSS STREET) (CROSS STREET) 11 IL SUBDIVISION LOT 2 BLOCK S10 E 3/4 acre, II a Garage 14 24 O BUILDING IS TO BE 7yQ FT. WIDE BY .fit O Lei FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION C3 p Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION It 2 (TYPE) 0! III 0 I+- REMARKS; CanstmAct omenfmily residence - disposal and water supply (public), 3 bedrooms, 1 full and 1 partial bath. i 9n AREA OR 3L044.�'f ESTIMATED COST $ 340444 FEE pn.� VOLUME siJT 7V (CUBIC/SQUARE FEET) -' 'l ) J OWNER ` � ! ADDRESS 66 Whittier St., tfln.8 . 01060 BY ILD G D T �E Y e y RI, r ter ~ A s rr a 1 � � v t, 3 �� .r•y �;,� t"t",� ��'��''�x�.t,�' t^#: �z.*�i.. .y �, ,. ti, i,:� , � w� ;„3'' -�' r�..,.�( � i. a I hereby certify that the proposed work is authorized by the owner of record' and 1 have been authorized by the owner to make this application,, his authorized agent. SIGNATURE OF `AGENT' �. ADDRESS (NUMBER) (STREET) (CITY) APPROVED EN TITLE DATE 19 _ — DEPT. FILE COPY DEPARTMENT OF BUILDING INSPECTIONS p` ' n° 212 MAIN BU STREET ILDING 20- -1 fp - NORTHAVTON, MA. 01060 PERMIT VALIDATION 36 -'`6cf DATE Split- 15- 19 80 PERMIT NO. 488 APPLICANT ThdadnrP TnwnA ADDRESS 66 Whittier St.a N'ton_ (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO Nm�, Rmai Amnrm ( 2_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PR ie SED USE) ZONING AT (LOCATION) DISTRICT SR (N0.) ( TREET) a BETWEEN F 1 orenc D n (CROSS STR T} (CROSS STREET) a all LOT 3 4 acre. m SUBDIVISION L T BL SIZE Garage 14 2 p BUILDING IS TO BE FT, 1 $,L� T. LONG FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION ■ Z TO TYPE USE OUP BA NT LLS OR FOUNDATION g (TYPE) IL REMARKS: ` disposal and water supply (public)$ 3 bedrooms, 1 full and 1 partial bath. PERMIT VOLUME 31,44� - ESTIMATED COST $ {jrOOO FEE 90.00 (CUBIC/SQUARE FEET) OWNER Theodo�rP TOxr'nta -- BUILD G D T ADDRESS 66 Whi ttier St #tap. Ma. 010 0 BY (Affidavit on reverse side of application to be completed by authorized agent of owner)