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36-207 (4) 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. 1 By: Petitioner 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. • CITY OF NORTHAMPTON, MASS. June 25, 19 86 THE BOARD OF PUBLIC WORKS The undersigned respectfully petiition your honorable body for Permission to install driveway at lot 8, 5 Birch Lane 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: Bill Childs for Tibbets Haydenville Road Proposed Location Inspected by: 4-7Y, Richard Stone Gravel Base Grade Inspected by: Final Approval: THE BOARD OF PUBLIC WORKS Voted that petition be granted. Paul 0. Hadsel , Director of Public Works/ City Engineer (Sl-fB,J-r_-CT TO ATTACHED CONDITIO-N 1 & 2) GriN of Xorthantptou Offire of tht �nqptrtor of jAuilbinps 212 Main Street•Municipal Building Northampton, Mass. 01060 #398 CERTIFICATE OF OCCUPANCY Page No. 36 — Plot 77-8 Building (Name) New Single Family Dwelling/Garage Address Lot #5 Birch Lane -- Owner Larry G. Stone Address P.O. Box 304, West Springfi( Applicant G.W. Tibbetts Address 21 Middle Street Use: 1st Residential Occupancy 2nd Occupancy 3rd Occupancy 4th Occupancy Zone District SR Required Inspections: New Building X Existing Building Elevator Electrical, Plumbing S.D. Fire Building GAS: Other Inspector of Buildings ZONING • DISTRICT FRONT YARD SIDE YARD SIDE YARD REAR YARD IX. SITE OR PLOT Applicant ... :i::iii°i�ie'iG:::i:i:ii:::=iiiii::::iai::Lii:iii:.iatti" !• ■■• ■ • ur e•:i::\•�::•�:ii::i:::•::� •:. mosses: M•S:S::a::::�5 eased :::::::::::::::::S:�:i:�:: ■ •i. uu■N•N•NNN !■a • •S .f •i����■ N! 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NaN1N.N■Nxua: :• •:$ saeng.. ::r•• �• $ ::: •••••_•••••••• 2U9M11111U1111M 1H M22 ! ! is:i:! es$a!a :ens ::::HHE $su$;$s$= $:j ::'sssassn:sn:ss::::::, � i:isa1 :lil /:wile nounSS i 1.. . Mann NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. 1. Owner or Lessee l Builder's C V i License 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 oc 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date 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 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 FOR DEPARTMENT USE ONLY Permit number Building f Permit issued 6 Iq 0, Use Group Building / ^' Fire Grading $ Permit Fee L/U z 1(�C'9 l/// Live Loading Certificate of Occupancy $ Occupancy Load Ap v Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS rage ` clot Z APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. C) I. �� ��� - ` ZONING AT (LOCATION) DISTRICT LOCATION ("O.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N 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 New building Re 'd ntial Nonresidential 2 Addition([/ residential, enter number 12NOne family 18 ❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13 Two or more family — Enter 19❑ Church, other religious number of units— — — — —> 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 Transient hotel, motel, ❑ 21 Parking garage 4 ❑ Repair, replacement or dormitory — Enter number Of units —— � 22 �� Service station, repair garage ————— — - 5 ❑ Wrecking (1l multi/amity residential, �j, � enter number of units in building in 15 1 Garage /'j�f�j 23 �� Hospital, institutional Part D, 13) 24❑ Office, bank, professional 16 Carport e 6 ❑ Moving (relocation) 25❑ Public utility 17 ❑ Other — Speci/y 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, mercantile 8 ❑ Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29❑ Other — Speci/y 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................ 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 ..................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT 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 48. Number of stories............... 30 ❑ Masonry (wall bearing) 40 [1] Public or private company 31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior jxj1 32 ❑ Structural steel dimensions ..................... r 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY Public or private company 50. Total land ores, sq. ft. ........... 42 34 ❑ Other — Speci/y ❑ p 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ....................... F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 35 Gas Will there be central air 52. Outdoors........................ 36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 Yes 45 No ❑ 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — Specify Will there be an elevator? m Full.......... — 54. Number of bathrooms 46 ❑ Yes 47 ❑ No Partial........ a 6ri'APT.I. F BUILDING INSPECTIONS BUILDING 7/ + ! 212 Main Street Oa <2 fL Northampton, MA 01060 PERMIT 36 - 77-8 VALIDATION DATE July 18, 19 86 PERMIT NO. 398 G W Tibbetts iddle S� on i e APPLICANT G.W. ADDRESS _ (N0.) (STREET) (CONT R'S LICENSE) NUMB PERMIT TO New Building (_) STORY One Family Dwelling DWELLRNG UNITS +1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 5 Birch Lane ZONING SR AT (LOCATION) 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) permit for the constrtication of a new single family dwelling with attached garage REMARKS: AREA OR 3400 sq. ft ESTIMATED COST .$ 200!000.00 PERMIT $ 1094.60 VOLUME (CUBIC/SQUARE FEET) //�� OWNER Larry G. Stone ��,,,,�� /i 4 /p Q ADDRESS P.O. Box 304, West Springfield, Mass. eyl � (�� J%�•• WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pR P mmoommow