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36-294 (4) a a FT. Deep IA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I Z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �� r- Z 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 06 . . . . . . . . . . . . . . . . . . . . . �fa ��. . . . . . . . . . . . . . . . . . . . . vo Z . . . . . . . . . . . . . 0 I N • Alp m l l 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. f. Zone APPLICANT NOT TO FILL IN SPACES ABOVE THIS LINE ation g for a Dwellin Permit Appli c y ' . g e Northampton,Mass. . . . . ��: .. . . . . . . . . 19 . . . . . a e _ Telephone No. . . . . . . . -.?��. . . . . . . . . . . . 7b the Supt.of Buildings: Application for a permit to build is hereby made according to the following:- 1. Location, Street and N . .Y �� r'1.r�{ .l�. . . . . . . . . . . . . . . . . . . .. . . . ... . . Lot No. .4. . . . . 2. Nearest cross streettk� b •n . . . .� �. ize of lot . . . -. 1.� .�. .,r`�t�Y.f'_` . . . . . . t' 3. Owner's name`�'�'.k'�'.��'a. �b.11..U..��+2. :. . . �?'.i.�,-. Address .��? � • • •"• . .r.�.�. . . . .� .j.�,. 1 4. Architect's name `Sd�.'�1. . � . . . . . . . . . . . . Address . l .�.I. . . . .`!u 5. Builder's name,.!.U*:+P el- f 1 . Q .J,n(. Address . �. Mass.Construction Supervisor's License No. . . 0(c.Q�.7.CC. . .. . . . .. Expiration Date . .i r R�� 6. Use of Building:One-family . .X. . . . . . . . . . . . . . .. Two-family . . . . . . . . . . . . . . . . . . . . Other . . . . . . . . . . . . . . . . . . . . 7. Number of rooms in each family unit: . . . . . . .-5. . . . . . . . . . . . . Number of Bathrooms . . . . . .1 .1/7... . . . . . . . . . . 8. Is there a garage attached? . . .�C��. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .WAI L'1 <l.v:" C 9. Size of building .6?). 3.`�. . .t,�:'�'�. .�3��. .X.�. .qquare Iootage . . . . ... . . .. . . . . . . . . . . . . . . . . . . . not �1 Cad t^. . . . u�1 _. 10. Number of stories . . . . . ..a . . . . .(.•J.�. Q. . . . . . . . . . . . .!.t�.1.��'1��. .�. . . . . . . . . . . . . i 11. Distance from finished grade to high point of roof . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . 12. Type of construction . . . . . . . . .WGC .0. . . . . .. : .Y. CIS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Distance from building to street line in feet . . . . . . . . . �. �.� . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . 1 G' of 14. Distance from building to side lot lines in feet:Left . . . . . . . . .1 . . . . . . . . . . . . . Right . . .i-d. . . . . . . . . . . . . . . . . . . e^i 15. Distance from building to rear lot line in feet . . . . . . . . .e`. . . . . . . . . .. . . • • • 16. Is a plot plan being filed with this application? . . . . . . . .�.�... . . . . . . • • . • • . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . 17. Species of framing lumber:DF . . 15 r.F. . . . . . . . . . Spruce . . . . . . . . . . . . . . . . . . .. Other . . .. . . . . . . . . . . . . . . . . 18. Are all structural conditions noted on drawings? . . . . .'T 5. . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ac 19. Nature of land upon which the structure will be erected:Natural . . . . . . . . . . . . . . Filled . .. . . . . . . . . . . . . . . . . 20. Depth of basement or cellar floor below finished grade . . . . ..l. . . . . . . . . . . . . .. . . . . . . . . .. . .fit. . . . . . . . . . . . . 21. Material of foundation walls . . y I I . . • •�, �f '•� • . . Thickness in inches . . J. . . . . . . . . . . . . . n 22. Type of roof:Flat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . Pitched . .�C? b Q ( . . . . . . . . . . . . . . . . . . .. . . . . . . 23. Material or roof covering . . . .�� C� t � ( �. . . . - • • • •i•`n" t'• . . . h•i.nG\C- . . • • • • 24. Method of heating . . . . . . . . . . / . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . 25. Will the building conform to the Building and Zoning Ordinances? . . . . 1. . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . y c 26. Septic Tank? . . . . . . . .1� . . . . . . . . . . . . . . . . . . . . . . . . . City Sewer? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27. Construction within 100 ft.of wetlands? . . . . . . . . . . . . . • • • • • . . . • • . • . • 28. Construction within 100 year flood plain? . . . . . N_j. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29. Estimated cost:Total $ . . . . . . . . . .'�.L.�. III) . . . . . . . . • • • . . . 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 Signature of responsible applicant WRITTEN DESCRIPTION OF WORK TO BE DONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . I . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Preliminary Plan Review Checklist City of Northampton Date submitted : S" Address: 6 rS0 k_" u' Map _Parcel Z Zone ' Lot size: Acker Edition of Building Code in force: Building Permit 4 �, 1` `�'�`�5' 1016 Applicant: 5-6,c-11 S Owner or Authorized Agent -----------------: -SW' 1. Use Group -----------------------------------: ,e"— 2. Building Type of Construction------------: 3. Square footage of proposed construction: 4. Height of proposed construction----------: 3 2� 5. Site plan required -------------------: __ Surveyed:V, s 6. Fire protection-----------------------Signaling Required: 5� �� DEi -%� 'e s Suppression Required--------: emu/ Alann Notification Required : 0 Exterior Wall fire resistance rating : w 7.Conservation (Wetlands) $.Change in Use--------------------------------: o• 9.AAB Requirements--------------------------: 10.Plumbing (fixture count change required) 11.Controlled Construction (116)--------------: 12. Local Zoning Ordinance restrictions-----: 13. Plans Stamped by 14. Energy Conservation: �r- Inspector: Date reviewed: b Pass Fail Hold for more information Comments: f 14.S4 . :1 U 'oRD N a�10 63 WATER LINE EASEMENT 7!).b0' 68.54 LOT ' N 88.18'48" W 94t293 Sq. Ft. ' 2._164, 7 Acres- 1 69'217,1 a � R = 2 0 / 5 L = 3.40 ' 1 w q O �1 o It lr lCb OLD LOT LINES --,' lbN K 05 rr 4 400 V 0 s � � i�11t}t41t of z , nssigCh[let He _ m DI-TARTAWN'1. OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. O1060 Square Footage Amount -� Basement: @ .]Q I tq g k y� (� `W 1st. Floor 0 .40 2nd Ploor 0 .20(1sn�Intt*1 � v 1.12 Floors, 11f:t i-( , Garage,) s.' (nT� 1 /_0 Deck, .Porches 33' TOTAL S9/, 2C) 06/01/1999 12:24 413-527-8153 TODD CELLURA PAGE 02 NOW ''•� Clizi�i had parr#l�lnt�tlaii ;j a Jga,a.rlloait. v DEPARTMENT OF BUILDING INSPECTIONS IV 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 `WORICER'S CONTENSATION INSURANCE AFTIDAVIT � with a principal plar a of business/residence at-. (phone#) (str =city/".r1zip) It 7 do hereby certify, under the pains and penalties of perjury, that: (,,� I am an employer providing the following worker's compensation coverage for my employees woridrig on this job: Ftbk Tm Mt P Oy i95-CCu -rqqcE>? 523-00 (iaauance ComPany) (Policy Number) (Expiration Date) (V� I am a sole proprieto �havee r homeowner(circle one) and have hired the contractors listed below wing worker's compens ation policies: 1h�n_m Ek —JL Arnerticczh,5ln� -r,. Gluse bad& (6.2_00 (N=e of Contractor) (tnsurancc Company/Policy Number) (Expiration Date) 1e trt 1A(J-bWebkTt* ' . - 9� (Name of Contractor) gnsuraoce Compaay/PoLicy Number) (Expiration Date)�p Clmct-- 210mbAQ "fyulm-T-l-r� -re-�494Lo (Name of Coturactor) Qnsumce Company/Policy Numbez) (Expiration Dale) l�t!'DCtn "Gr► a�rusn _ s, �� web �3$�-0o (Name of Contractor) (Insurance Compauy/Policy Number) (Expiration Date) (anaeb mkWcaal sbod ifaeecn"y to ioChi6e imfomatloa parlaiaio;to.0 mwft=tom) ( ) I am a sole proprietor and have no one working for me. ( } I am a home owner performing all the work myself. NOTE:ploaa be awaro that VAiJo bomoowocra wbo employ Prnow to do mafolcaaoor.oompv,esloo er repair work on a d-eWwt or not won than tbroe uzuu in vrihich the bomao-w rtxida or on the vwD&Wp dwak d thordo on DA Ee»a►tly aooaidwvd to be c wploy—uadct the—d=ls ompeasalm AA(GLI51.a 1(5)�9MUC1600 by a 110WWwois for%600W or Pamir—7 avid—Ole legal stance of an edptoyer uoderthe Worlexes CoaVmtioo Ad. i un&wwAadd diA a copy oMla WLworm MAY be rarwrrded M the Dopartmod dtsdNrbid itasidaael 0000 or ra>W+aes for aw .. ow-raw vgiaeestoa"tw PAUme to somas ovresapa under sedloe 23A of MOL t!3 oas lead to"bnp cu of al,00al t'—d° , onmla[iag art$ae of up to S1,500.00 utdjar iwa6eeimep4 crap to am year wd dve7'pcmdtln is Rs fam of a SWp Work tailor sad• fins o(3100.90 a day sgpiod mr- Yor dop,�nrooai tome oNy Permit Number C.1C M.P#! Lot# at Simon L crn�itLce 1 CITY OF NORTHAMPTON, MASSACHUSETTS 1 DEPARTMENT OF PUBLIC WORKS j 125 Locust Street Northampton, MA 01060 413-587-1570 Samuel B. Brindis, P.E. Fax 413-587-1576 Director, City Engineer Guilford B. Mooring, P.E. Assistant Director of Public Works BOARD OF PUBLIC WORKS DRIVEWAY PERMIT GENERAL INSTRUCTIONS AND REGULATIONS I. 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 BPW 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 not issue an "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 with the 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. z*"amuel B Brindis, P.E. Director of Public Works C:\MyFiles\Lyn\Driveway Permit General Instructions 05/25/1999 09:32 413-527-8153 TODD CELLURA PAGE 02 14.•;44• j RDS N 821 2x' - 344.63 WATER LINE EASEMENT 1.50 bolpc 68.54 LOT #4(REVI) N 88'18'48" W 94, 293 f Sq. Ft. 2. 16°47 ±Acre s � R = 280 00% / v� L - 63.41 r z-. CIO 49-51 _ Occ; K I 4 I to it -, .4 'I cb ", OLD LOT LINES I j �o A0 •1p ! to 36°34'61" 1 �a `O 6 �a a_4 1,dM N�l38,os Ul z sa - - f 35-99 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: 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. 35-99 CITY OF NORTHAMPTON, MASS. May 25, 19 99 THE BOARD OF PUBLIC WORKS The undersigned respectfully petiition your honorable body for Permission to install driveway at 63 Sovereign Way Lot #4 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: overeign builders, Inc. —8001 135 Southampton Road, Westhampton, MA 010. Proposed Location Inspected by: 7 z 7��7fr Gravel Base Grade Inspected by: Final Approval: THE BOARD OF PUBLIC WORKS Voted that petition be granted. $25.00 Fee Paid Ck No 4816 Samuel B. Brindis, P.E. , Director of Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) L� 81999 NORTHAMPTON WATER DEPARTMENT . 237 PROSPECT STREET NORTHAMPTON, MA 01060 587-1098 Subject : Municipal Water Availability Location: 63 Sovereign Way Lot #4 Inquiry Made By: Sovereign Builders, Inc. 527-8001 Date of Inquiry: May 21, 1999 � Municipal Water Main in Front of Location: YES X NO 8" D.1. 1995 Size/Material/Age of Water Main: Approximate Street Pressure : 54 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. 2� .,j, T,, Charles Borowski Superintendent of Water Enclosure: Letter to Frank Sienkiewicz from Sam Brindis, dated June 14, 1991. cc: Samuel B. Brindis, Director, DPW Guilford Mooring, Assistant Director, DPW George Andrikidis,Assistant City Engin eer Anthony Patillo, Building Inspector A:\WATER\Availabl.50S 10. Do any signs e)(i-,f on Clio I)rojmity? Yf:s-,- NO IF YES,describe size,type and 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 M11.11;77 BE COMPLETFL), or PERMIT CAN BE DENIED DUE To LACK OF INFORMATTON. This ccl-= to be filled is by the Building Department Required Existing Proposed By Zoning Lot size A. Frontage Setbacks --Jr-rAnt-------.------- - side L: \ ,D R:'5 L: (c�j i R:_5 - rear 90 Building height Bldg Square footage %Open Space: (Lot area minus b-Zdg &paved parking) 90 0 # _Of Parking spaces of Loading Docks Fill: Avol-Ltme -& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. LrATE:S'X2 95 APPLICANT'S SIGNATURE NOTE: Issuance, of a zoning permit does not relieve an appiloahts requirements burden to oomply with all zoning and obtain all required permits.from the Board of Health, Conservation Commission, Department of Publio Works and other appiloabla permit granting authorities. FILE F_i 1 e No.`.�14�W ,ZONING PERMTT APPLICATION (§10 . 2) PLEASF TYPE OR PRINT ALL INFORMATION Cl 1. Name of Applicant:_ Address: T _ Telephone: — �]__� �` 2. Owner of Property:_C::CQeCtA q n ^ Address:�.L� �SCfL ! —Telephone_� 3. Status of Applicant: _ X Owner Contract Purchaser Lessee Other(explain): 4. Job Location: _( _ - r Parcel Id: Zoning Map#_ Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Prol)erty 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 111.E �© -- � 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)