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25C-263 (4)
s 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 10.99: continued 3• ❑ The work described below,which includes all/part of the work described in your request,is within the Buffer Zone as defined in the regulations,and will alter an Area Subject to Protection Under the Act. Therefore,said work requires the filing of a Notice of Intent. This Determination is negative: 1. ❑ The area described in your request is not an Area Subject to Protection Under the Act. 2. P4 The work you described in your request is within an Area Subject to Protection Under the Act,but will not remove,fill,dredge,or alter that area. Therefore,said work does not require the filing of a Notice of Intent. 3. ❑ The work you described in younrequest is within the Buffer Zone,as defined in the regulations,but will not alter an Area Subject to Protection Under the Act. Therefore,said work does not require the filing of a Notice of Intent. 4. ❑ The area you described in your request is subject to Protection Under the Act,but since the work you describe therein meets the requirements for the following exemption,as specified in the Act and the regulations,no Notice of Intent is required: Issued by Northam on Conservation Commission Signature(s) This Determination must be signed by a majority of the Conservation Commission. On this - 0, day of Wa'd, 19 9 P- ,before me personally appeared rrr tt> to me known to be the person described in,and who executed, theforigomg instrument,and acknowledged that he/she executed the same as his/her free act and deed. Notary Public My Commission Expires This Determination does not relieve the applicant from complying with all other applicable federal,state or local institutes,ordinances,by-laws or regulations. This Determination shall be valid for three years from the date of issuance. The applicant,the owner,any person aggrieved by this Determination,any owner of land abutting the land upon which the proposed work is to be done,or any ten residents of the city or town in which such land is located,are hereby notified of their right to request the Department of Environmental Protection to issue a Superseding Determination of Applicability,providing the request is made by certified mail or hand delivery to the Department,with the appropriate filing fee and Pee Transmittal Form as provided in 310 CMR 10.03(7)within ten days from the date of issuance of this Determination. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and the applicant. 4/1/94 )10 CMR - 402 4 02 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 10.99: continued ! 30 DEP File No. 246 - firs (To be provided by DEP) Form 2 .� .�..� City/Town: -Norlhamvton _ Applicant John Bobala Commonwealth of Massachusetts Date Request Filed, nn / �/9 R� 9 R Determination of Applicability Massachusetts Wetlands Protection Act, G.L. c. 131, § 40 THE CITY OF NORTHAMPTON'S WETLAND PROTECTION ORDINANCE, c.24 FROM: Northampton Conservation Commission Issuing Authority TO: John Bobala John Bobala (Name of person making request) (Name of property owner) Address 25 Old Ferry Road, Northampton Address 25 Old Ferry Road, Northampton, MA 01060 This determination is issued and delivered as follows: ❑ by hand delivery to person making request on (date) March 12, 1998 C$ by certified mail,return receipt requested on (date) Pursuant to the authority of G.L. c. 131, §40,the Northampton ampton Conservation Commission has considered your request for a Determination of Applicability and its supporting documentation,and has made the following determinatirav(e -whichever is applicable): Location: Street Address 25 Old Ferry Road Lot/Map and Parcel Id Number: Map 25C, Parcel 263 This Determination is positive. 1. ❑ The area described below,which includes all/part of the area described in your request,is an Area subject to Protection under the Act. Therefore,any removing,filing,dredging or altering of that area requires the filing of a Notice of Intent. 2. ❑ The work described below,which includes all/part of the work described in your request,is within an Area Subject to Protection Under the Act and will remove, fill, dredge or alter that area. Therefore, said work requires the filing of a Notice of Intent. 4/1/94 310 CMR - 401 401 > o < sy � � m D 3 Z C: F Z Z 9 mv � c � Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations aNORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair ` p FCC 1 Garage � 1. Location I(7 �L, C I J Lot No. JF- 2. Owner's name,,n � Address f ��Gf r�//r'►►ti 3. Builder's name TAM via �u Address �v►:l 14,11 Mass.Construction Supervisor's icee se No. ;j el Expiration Date 4. At r -Jr"a ar5 5. Alteration 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost:$1 I60 O b The undersigned certifies that the above statements are we to the best of his, her knowled a and belief. Signazure of responsible appicant Remarks 04�tLMQ44P 0 6 � �SQZ �I111�1Dtt r �:suet hnsrtts m DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 WORRER'S COMPENSATION INSURANCE AFFIDAVIT Ii AO rh ci S ( Vr.1 IG.1 with a principal place of business/residence at: v tY-1 let 1A r, �G+-I (phoney") (street/ci ty/stalrizi p) do hereby certify, under the pains and penalties of perjury, that: O I am an employer providing the following worker's compensation coverage for my employees working on this job. (Insurance Company) (Policy Number) (Expiration Date) (/ I r, general contractor or homeowner circle one and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Cornpany/Policy Number) (Expiration Date) (Flame of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insuranc;c Company/Policy Number) (Expiration Daze) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additional sheet ifnecersary to include information pertaining to all oocrtract ra) (V I ain a sole proprietor and have no one working for me. 1'G";(�) P�rk�r5�'`(� ( ) I am a home owner performing all the work myself. NOTE:please be aware that while homeowners who employ persons to do inaj*rcaan ce�musuvctioo or repair work on a dwelling of not more than throe units in which the botnoow rtsidcs or on the groun6 appurtena therrto arc not gtnemily,oomidacd to be employers under the woricc6i compensation Act(G Li 52,s 1(5)),application by a homeowner for a license or permit may evidence the legal status of an employer under tho Workers Compemation Ait I understand that a copy of this ctntcmrnt may be forwnrcW to tho Dcpertnro2 of Industrial Amd,-&Office of Insursnco for the coverage va-ification and that failure to secure covcmp under section 25A of MOL 152 can lead to the inrpositiom of criminal penalties comisting of a fine of up to 51,500.00 and/or iarprisonmcnt of up to one ytar and civil pemsltics in the form of it Stop Work Omer and a find of 5100.00 a day tpitut tnc. Signed this c9 J _day of _t 1991 For dcpsrtmrnta!—only Permit Number Map# Lot# Signature of Licenser/Permittee PL o T P�H 1v o /2 J A,i 4- J�41g6A � L 6 .:t 2 File No. � 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_K_ 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) t / S• CIOa2 ti s \� • 4b A. C 4 W `- O_. O :C 0 C ffdd" J 4 n�0q. ^ ,r FILE # (� O APPLICANT/CONTACT PERSON: ti-A ADDRESS/PHONE: 0�S PROPERTY LOCATION: euw MAP PARCEL: ©��_ ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE It 0 — t��- THE FOLLOWINCJ-,---.,,,._ AS BEEN TAKEN ON THIS APPLICATION- Approved as presented/based on information presented Denied as presented: ! Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received & Recorded at Registry of Deeds Proof Enclosed Finding Required under: § w/ZONING BOARD OF APPEALS Received & Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cott from DPW Water Availability Sewer Availability Septic Approval-Bd of Health Well Water Potability-Bd Health Permit from Conservati ommi i0w Signature of Building Ins for E NOTE: lnsuanoa of a zoning permit does not relieve an applloant's burden to oomply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioable permit granting authorities. FILE APPLICANT/CONTACT PERSON: -J'd ADDRESS/PHONjE: PROPERTY LOCATION: MAP____d PARCEL: tONE G` THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONTNG FORM FH,T,FD OUT Fee Pnid R11i] ing Permit Filled nut / 40 y HE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION- Approved as presented based on information presented Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received &Recorded at Registry of Deeds Proof Enclosed Finding Required under: w/ZONING BOARD OF APPEALS Received& Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed V Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval-Bd of Health Well Water Potability-Bd Health Permit from Conservation mission Signature of Building etor ate NOTE:Issuanoa of a zoning permit does not relieve nn applloant's burden to comply with all _ zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applicable permit granting authoritles. p�° �•�°; City of Northampton REQUIRED INSPECTIONS ' BUILDING DEPARTMENT 2. Strucntural Co po Walls in Place* ' 3. Complete Building* No. 1.423 Office of the Building Inspector Zoning Form No. 962802 Date 4/3/98 Fee $40.00 Check#p 1714 Page, 25C parcel 263 ,Zone URA/WP Section 127 ❑ Yes No BU11L'D=r1NG PERMIT *`Plumbing and Electrical Inspections required THIS CERTIFIES THAT Thomas Quinlan before Building Inspections has permission to install shed roof to barn w/windbreaker to one side Inspection on Site—Foundations situated on 19 old Ferry Road - John Bobala Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing,Wiring and Building Inspectors. Building Inspection—Finish Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES Certificate of Occupancy for n 4 t City of Northampton REQUIRED INSPECTIONS 1. Footings and Walls BUILDINGDEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 1423 Office of the Building Inspector Zoning Form No. 962802 Date 4/3/98 Fee $40.00 Check# 1714 Page, 250 Parcel 263 ,Zone URA/WP Section 127 ❑ Yes No BILJH-JDING PERM I *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Thomas Quinlan before Building Inspections has permission to install shed roof to barn w/windbreaker to one side Inspection on Situ—Foundations ear 9$` situated on 19 Old Ferry Road - John Bobala Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinaaces relating to the Construction, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the teams above r toted is an immediate revocation Inspection of Wiring—Finish of this permit.Expires six months front date of issuance,if not started. Building Inspection—Rough Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing,Wiring and Building Inspectors. Building Inspection—Finish 6 Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES v Certificav,of 1ccup L. y =W-'ZLese tor ROOF 9) / OLL 3/4wtt R04D 42S-(�'7a �'*: / ,° � ..i- - ►.rMO •!C 33 1 pc� i 0.2V DES - :' ewe wsM ✓NW A ✓ Agx�R aM r o. <SAX r OP 5 w nto u► Ir / r + w �/ ti AT / P &e y CIA 2gp MOM Roo ~ / Pg'l IVp IC�A g�e2!'C 3? N 6 N /.•,cQ - rMO o+rt x• Srnzj / 18,P !'C.B 8 �( C. Ce/CTR k C/p ? xo / ��rr C BO ',*j'tlalr(.al) ft I 6� x-rr«G - 03 fHD Ow 1* 'GO /�.• -r ✓O 7b 3•yc ACR� r ./ n � ¢ ('!; r !� w0 •\SMCKAOervKC NqT 7'0 /wnvvi sari'• r 8 + 6p 8c 8pg / / J PlyQDDyG �e• 3 E Lp ' L y pn \ J V t rz?er• ��\ � / � N F ` HAUPSHUM 7R)%FV. k HARDEN AC IC 1BJ8 P CWN GSO� PBX 103 PC 54C NIF 1 CHARLES F. KLEKOT T, 3K 1528 PG.215 \ 1 1.Y 7•a G: P_CARO aF PR6•+AL .NISI:N CC`ITRGL 'i.W .,RED. .• /..�. 10. Do any signs exist on the property? YES NO IF YES,describe size,type and location: 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 MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This comma to be fi.22ed in by the Bai2ding pep�tment Required Existing Proposed By Zoning Lot size � t •�? .5��C t_ Frontage Setbacks - frnnt - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg ' &Paved Parking) pf Parking Spaces # of Loading Docks Fill: 4 vol-ume-4 location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. _1 DATE: ' � �ot 7 APPLICANT s SIGNATURE t tam NOTE: Issuanoe of a Zoning permit does not relieve an mppiloanVit burden to comply with,,ipll zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other appliombla permit granting authorities. FILE # . 2 File No. I ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION f 1. Name of Applicant: . yM tiy �1 IG r) Address: b" 0J i )`tt r1 [ �CrCI '4 Telephone: .5sq rJ aJ'7 2. Owner of Prope Address: 14 _ CA F2:r'! i cl , _Telephone: (_-3. Status of Applicant: _Owner Contract Purchaser Lessee Other(explain): 4. Job Location: 11T 016 IFc ir? ?.CX.1_CA 3 � Parcel Id: Zoning Map# o?'�� Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property VGr M eC y"Pme' d 6. Description of Proposed ork/Project/Occupabon: (Use additional sheets if necessary): f (0<o^r) W"kx iQ j rOi'@IG� r � C 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-1-- 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__I_x_ 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)