25A-170 (4) NORTHAMPTON SEWER DEPARTMENT
125 LOCUST STREET
NORTHAMPTON, MA. 01060
586-6950 EXT . 277
Subject : Municipal Sewer Availability
Location: DAMON ROAD REAR HOUSE NEAR BRIDGE
Inquiry Made By: H & H CONSTRUCTION
Date of Inquiry: JUNE 15 , 1993
Municipal Sewer Main in Front of Location : YES NO X
Size/Material/Age of Sewer Main: N/A
Size of Service Connection Required :_ N/A
Comments : HOUSE IS ON SEPTIC TANK.
A corresponding "sewer entrance fee" shall be paid prior to making
an-r connection to the municipal sewer system . Arrangements of such
installation shall be made with the Northampton. Sewer Department
with a minimum of 5 working days notification . All work shall
conform to Northampton Sewer Department specifications .
/ames M. Dostal
rintendent of Wastewater
Treatment & Collection.
CC : Samuel B . Brindis , Director , DPW
Peter McNulty, Jr . Assistant City Engineer
George Andrikidis , Assistant City Engineer
Frank Sienkiewicz , Building Inspector
C:WP51\Entrafee .
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.'f Alterations
1 NORTHAMPTON, MASS. 1 g Additions
g _ i
APPLICATION FOR PERMIT TO ALTER Repair
a
Garage
1. Location Lot No.
2. Owner's name�� �,.�e-a� ���'..^ �� 'C� ddressa
3. Builder's name L&-- k (^�� �'.o Address
Mass.Construction Supervisor's License No. q'(o C7 Expiration Date CS
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? GS
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating 1�
11. Distance to lot lines
12. Type of roof G, Ifa
13. Siding house - \\
14. Estimated cost:-
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The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
�� • Signature o responsible appicant
Remarks
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001 `' : , a � -7o�
Date Filed r �
.� File No.
ONING PERMIT APPLICATION (§10 . 2 )
1 . Name of Applicant: \34 r „, 54, LOOK ,NIC\
Address : '3 r \o5�. Telephone : C',- ®fig{
2 . Owner of Property: c �U.��,,,��, �1c\
Address : C�� a� Q.C°�. Telephone :
3 . Status of Applicant: Owner /Contract Purchaser
Lessee Other (explain : )
4 . Parcel Identification: Zoning Map Sheet# Parcel# 170 ,
Zoning District (s) (include, 4v_er1 )
Street Address (iU r
Required
5 , Existina Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage
Floor Area Ratio-
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project : (Use additional sheets
if necessary)
7 . Attached Plans : Sketch Plan Site Plan
8 . Certification : I hereby certify that the information contained herein
is true and accurate to the best of my knowledge . ol
Date : Applicant' s Signature :
- - - - - - - - - - - - - - - 1�. - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
_ZApproved as presented/based on information presented
Denied as`presented--Reason :
S ecial' Permit and/or Site Plan Required :
i in qu ' red., _ Variance Required
SIgnat,01,e of Build1n or at
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, Departrnonl of Publir.Works and other applicable pormit granting authorities.
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