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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.
Zone
APPLICANT NOT TO FILL IN SPACES ABOVE THIS LINE
Application for a Dwelling Permit
Northampton,MassleIY . f. . . . . . . . . • • • . . 19 77>f'�_.
s e
Telephone No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7b the Supt.of Buildings:
Application for a permit to build is hereby made according to the following:-
°,,�c's Al
1. Location,Street and No. . • • • • • • • • • �.' /. • . • . . . . • • • . • • • • . . . . . . . . .. . . . . . . . . Lot No.
. �.. . . . .
2. Nearest cross street Size of lot . .3 �' •
. . . . . Address ..���. . . . . . .a. . . . . . . . . . .
� .
3. Owner's name .,3's4.�'?./` - . . . . .0
4. Architect's name . .ff'/k'... . . . . � //S. . . . . . . . . . . . . Address
5. Builder's name,S . . '`5 . . . . /�. . Address .4 Gf'. •I . . . . . . . . . .
in r
Mass.Construction Supervisor's License No. . . . . . . . . .. . . .. . . . . . . . . . . . Expiration Date . . . . . . . . .. . . . . . . . . . . . . . . .
6. Use of Building:One-family f . . . . . . . . . . . Two-family . . . . . . . . . . . . . . . . . . . . Other . .
7. Number of rooms in each family unit: . .,.5. . . . . . . . . . . . . . . . . . Number of Bathrooms
8. Is there a garage attached? . . . ✓ . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . __ . . . . . . . . . . . . . . . . . . . . . . . . .
:Z-4.
9. Size of building . . . .. . . . . . . . . . . . . . . . . . . . . Square footage f.y�. . . . . . . . . . . . . .. . . . . . . . . . . . . . . .
10. Number of stories -2. . . . . . . . . . . . . . . . . . . . . . . . . .4�ZL. . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .
11. Distance from finished grade to high point of roof . . -. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Type of construction . . . . .lam t_- + a . . . / . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13. Distance from building to street line in feet . ./. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •
14. Distance from building to side lot lines in feet:Left . . . . . . . . . . • • . . . Right . . . . . . .. . . . . . . • • • . • • • .
15. Distance from building to rear lot line in feet . .y. . . . . . . •
16. Is a plot plan being filed with this application?�! . . . • . • • • .
17. Species of framing lumber:DF . . . . . . . . . . . . . . . . . . . . Spruce . . . . . . . . . . . . . . . . . . .. 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 . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . .
21. Material of foundation walls !!^"� �/� ` • • . . • • Thickness in inches . . . . . .. . . . . . .
22. Type of roof: Flat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .., Pitched. . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . .
23. Material or roof covering s � �%°J 4A . . . . • •
24. Method of heating . . . . . �. . . .'L.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . .
25. Will the building conform to the Building and Zoning Ordinances? . . . .,,��. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .
26. Septic Tank? City Sewer? ..". . . . .
27. Construction within 100 ft.of wetlands? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .
28. Construction within 100 year flood plain? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .
29. Estimated cost:Total $ . . . . . ./r%.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 undersigne certifies that the above sta ments are true to the est f his knowledge and belief.
. . . . . . . . . .
nat re of Contractor ignature of re sihle applicant
WAIT DESCRIPTION OF 0� K TO BE DON
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .
. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PERMIT APPLICATION CHECK LIST
PAGE p a eO ZONE ES NO E
1 . ZONING FORM APPLICATION --
`' -
zf
2 . PERMIT IC TIO
3 . OWN U IF NOT
n
PLAN
x..
5
8 , REMODELING
9 . ADDITION
10 . ACCESSORY STRUCTURE
11 SIGN / AWNING
12 , PERMIT F EE ONLY — MONEY 0
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 UNDER SECTION 127 - CMR 780
15 . FORM
16 . FILL
COMMENTS :
NORTHAMPTON WATER DEPARTMENT AUG �
237 PROSPECT STREET
NORTHAMPTOF, MA 01060
586-6950 Ext. 300
Subject: Municipal Water Availability
Location. T,
411AL-A,2'512outhy -ew Acres Subdivision )
Inquiry Made By: y� g�ga .i '
Date of Inquiry: 8-4-93
Municipal Water Main in Front of Location: * YES x NO
Size/Material/Age of Water Main: 8" DI 1990
Approximate Street Pressure: 45 PSI
Size of Service Connection: 1 " copper
Comments:
A corresponding `--„.ter entrance fez” shall be paid prior to making
any --=rsction to municipal eater system. arrangements of such
installation r''°_1_ r^ r-?d 2 with the Northampton Water Depsrtnent
with a minimum of 5 -orkirg days notification. All work shall
conform to For'.aaTM-':c- 'Water Depe r.tmert 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: \Forms\CityH2O
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zo oy CITY OF NORTHAMPTON, MASSACHUSETTS
a DEPARTMENT OF PUBLIC WORKS
125 Locust Street
Northampton, MA 01060
Samuel B. Brindis, P.E.
413-582-1570
Director, City Engineer
Peter J. McNulty, Sr.
Assistant Director of Public Works
BOARD OF PUBLIC WORKS
DRIVEWAY PERMIT
rmji� AT INSTRUCTIONS AND REGULATICTNS
1 . A "Driveway Permit" is required in all cases where a new
curb cut or an alteration to an existing curb cut is
proposed on a city public way.
2. Driveway permits issued by the Board of Public Works (BPW)
shall be attached to and become part of the "Building
Permit" issued by the Building Inspector.
3. Prior to the issuance of a "Building 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 completing the pertinent
portions of the permit (see attached) . Once the 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 i3orhs imply that no drainage problems will result
with' the drivewav 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 respon-sible for constructing and maintaining
the driveway with adequate provision for natural water
runoff situations.
Samuel B Brindis, P.E.c�
Director of Public t•3orks
\1,P.VY7AY.PER
Conditions: Driveway Permit
In lieu of plan approved by City Engineer
I agree to the folloj:•ina 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:
Petit r • Jim Boyle
1
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.
I
CITY OF NORTHAMPTON, MASS.
August 2, 19 93
THE BOARD OF PUBLIC WORKS
The undersigned respectfully petiition your honorable body for
Permission to install driveway at Lot 25 /S' Woods Road
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 32 or more.
By: -F6VIL
J Boyle
Proposed Location
Inspected by: {
Gravel Base Grade
Inspected by:
Final Approval:
THE BOARD OF PUBLIC WORKS
Voted that petition be granted.
p
$25.00 Fee Paid i, NV.4?1j, 50--P,0 re R
C1 C�%K PLC Samuel B. Brindis, P.E. , Director of Public Works
1i.
(SUBJECT TO ATTACHED CONDITION 1 & 2)
Date Filed File No.
ZONING PERMIT APPLICATION (§10 . 2)
1 . Name of Applicant: o3S J� �' iL
Address :�1� l� � �„ Telephone:
2 . Owner of Property: ~. b Z-
Address : eC LPL 115 Telephone : r s
3 . Status of Applicant: owner Contract Purchaser
Lessee Other (explain : )
4 . Parcel Identification: Zoning Map Sheet# Parcel# o
t-St'� Zoning District (s) (include overlays)
Street Address p �,
Required
5. Existing Pro nosed b Zonin
Use of Structure/Property . , .-5/A,e G�
(if project is only interior work, skip to #6) J `A
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L: eg R: 2v
- rear
Lot size ,. , l .)4'-,
Frontage
Floor Area Ratio 5f3
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Pro osed Work/Project : {Use a ition 1 sh is
if necessary)
7 . Attached Plans : Sketch Plan Site Plan
8 . Certification : I hereby certify that the information cent ined herein
is true and accurate to the best of my knowle e .
Date :�l 1- � Applicant's Signature:
/ THIS SECTION FOR OFFICIAL Cs -E ONLY: 7- - - - - - -
V Approved as presented/based on information presented
Denied as presented--Reason :
S cial' P mit and/or Site Plan Required:
i ing ed: Variance RequW S gna e of spector
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to c piy with all zoning requirements and obtain all required permits
from the Board of Health, Conservation Cqmmis lopupaj)Trent of P s and other applicable permit Urdnting authorities.
•�o� oy �It of X00414111}ltali
Office of t e
6 h )Inspector of 'Anilbintls _.
212 Main Street •Municipal Building --
Northampton, Mass. 01060 =-
#826
CERTIFICATE OF OCCUPANCY
Page No. 36 Plot 280
Building (Name) Single family dwelling/attached garage Address 15 Woods Road
Owner James P. Boyle Address 266 West Farms Road
Applicant Same Address Same
Use: 1st Residential Occupancy
2nd Occupancy —
3rd Occupancy
4th Occupancy
Zone District URB
Required Inspections:
New Building X Existing Building I
Elevator Electrical
Plumbin t Fire
Building Other
nspector ca Mulldingis—�--�
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