04-006 _ ,.� L��
Cecil I. Clark,
Vt 19S2
Frcderick
Box 121
to: Tuildlug PerAt 0313, Issued July 8, 1987
Tor Kennedy Road
Dear Mr, ostrawswi !
in Mcrence to the phove bulMug Permit, Als Wice
Ws hean LWHY by the Northamtor Roar of dealth
AfQQ that the percAntion tests an this propvrty,
Ora not in order.
Tberefore, I must, under Section 114.1 of the Mass—
nohusotts BVIIA"; Code, revoke this permit.
Wn will expect to hear from you immediately at to
your Intent.
All qw1k NOW tease an & this letr.
Cecil 1. Wart-
BUILDIA INSACTUR
CICAP
r„f n
JUL 13
DEPT.OF P„�,r
f�ncr�•,�r _.
I _.
BOARD OF HEALTH CITY OF NORTHAMPTON jyd
MASSACHUSETTS
JOHN T. JOYCE,Chairman
PETER C. KENNY, M.D.
KATHLEEN O'CONNELL, R.N. OFFICE OF THE C 0 P y 210 MAIN STREET
01060
PETER J. McERLAIN, Health Agent BOARD OF HEALTH (413) 586-6950 Ext.213
July 12, 1982
Mr. Fredrick Ostrowski
P.O. Box 123 +
Leeds, MA 01053
Re: Sewage Permit Application
588 Kennedy Road
Dear Mr. Ostrowski:
I have reviewed your application for a Sewage Disposal Works Construction Permit
for 588 Kennedy Road, Leeds, and found that the following information was lacking:
1. the name of an installer, licensed to construct
sewage systems in Northampton
2. data on the deep soil observation and percolation tests
performed on the lot , the date of the tests and the name
of Registered Professional Engineer
3. the plan should show the location of any known sources
of water within 300 ft. of the septic system and any well
which will serve the lot, also the plan should include
existing and proposed contours and the locations of sur-
face and subsurface drains, surface waters or wetlands on
the lot.
You must supply the information listed above and in addition, you must sign the ;1T)lA
cation and pay the twenty-five dollar ($25.00) fee before the permit can be issued.
Please be advised that no Building Permit will be issued until a Sewage Disposal
Works Construction Permit has been issued by the Board of Health.
If you have any questions about this matter, please contact this Board of Health
office.
Very my yours ,
#k---
Peter J. McErlain
Health Agent
PJMc:mr
cc: Cecil Clark, Northampton Building Inspector
ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
_ao'
IX. SITE • • PLOT PLAN For Applicant
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NOTES and Data — (For department use)
iv�L,
i
l
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP Ale, Tel. No.
Owner or
Lessee 41 '
Bui Ider's I�
2, 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 Applicot'on dote
D0 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started By Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date D,le
Permit or Approval Check Obtained Number By Permit or Approval Check Obtained Number By
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
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building, n Use Group
Permit issued �1y 19 2A-
Building Fire Grading
Permit Fee
` c Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
E
CITY OF NORTHAMPTON
R 'e . MASSACHUSETTS
, .
OFFICE of the INSPECTOR of BUILDINGS
Page Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: !, II, III, IV, and IX. O
i ZONING
I• AT (LOCATION) - DISTRICT
LOCATION ("O.)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT_q_—BLOCK SIZE
Vr
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 Reside tial Nonresidential
2 � Addition(11 residential, enter number 12,ZOne family 18 F-1 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— — — — B. 20 �� Industrial
3 � Alteration (.See 2 above)
14 Transient hotel, motel, 21 Parking garage
4 Repair, replacement or dormitory — Enter number
_ 22 �� Service station, repair garage
5 � Wrecking (It multifamily residential, 01 units —.1-- — -� P g g
enter number of units in building in 15�arage � a c am% 23 Hospital, institutional
Part D, 13) ,QF /X z'!r �L({�
6 Moving (relocation) 16 Carport ✓ 7 /� 24 Office, bank, professional
17 Other — Specify ��4 25 Public utility
7 Foundation only
/ 26 School, library, other educational
B. O�WNERSHIP (� / O / 27 Ll Stores, mercantile
13A Private (individual, corporation, R 1r��/1 28 Tanks, towers
// nonprofit institution, etc.) � 2 �A X 29 ❑ Other — Specify
9 D 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
30 D.Masonry (wall bearing) 40 [7 Public or private company 48. Number of stories..............
31 Wood frame 41 ® Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions .....................
33 Reinforced concrete o H. TYPE OF WATER SUPPLY
� 50. Total land area, s ft.
34� Other — Specify '' ✓ 42 [7] Public or private company q ""
43�rivate (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
3S E Gas Will th a be cen al air 52. Outdoors........................
36 Oil conditions
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 ] Yes 45 'iii No 53. Number of bedrooms..............
38 Coal
39 T ther — Specily c'f., , Will th9re be an elevator? Full..........
I 54. Number of
46 � ,[I Yes 47 Ej No bathrooms
- Partial.......
Department of Building Inspections
212 Main Street Zo
Northampton. Ma. 01060 BUILDING oa 7 y1&d
-� PERMIT <a
VALIDATION
DATE JjIl T 8� 19 R2 PERMIT NO. 313
APPLICANT F odPrick Ostrnwski ADDRESS BOX 123, Leeds 01053
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER Of 1
PERMIT TO NPW cnnctructinn ( ) STORY New dwellin�i DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) Kennedy Road DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (GROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
L shape 10 12
6j11LQINGJJ TO BE 2 FT. 10 BY�{0 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
n same ut door
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: /1.+ f 7 ;4th ntt—bed 2 car barrage: U+0d frame, brick vaneer- nil And wood heat,
private sewage disposal, private water supply, 3 bedrooms, 2 full and 1 partial bath.
AREA OR PERMIT
VOLUME ESTIMATED COST 65.920 FEE 7749.20
(CUBIC/SQUARE FEET)
OWNER Frederick Ostrowski
BUIL NG
ADDRESS BOX 123, Leeds, Ma, 01053 BY _j
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT C PINK ASSESSORS COPY
Ilk,
(Department of Buildiug lnsipections, D �,( vd 6
212 gain Street BUILDING Zo /
ortb ton, s, Ei1 PERMIT fa
4 6
VALIDATION
DATE �1 � 19 R PERMIT NO. ��3
APPLICAN ADDRESS Box 123. Leeds 01053
T'
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Meow C�f1A1�Cil�'ti hII (�) ,STORY New dwelling DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. 'x (PROPOSED USE)
ZONING
AT ILOCAT ION) DISTRICT. RR
(NO.) (STREET)
BtTWEEN AND
GROSS STREET) (CROSS STREET)
LOT "
SUBDIVISION LOT BLOCK SIZE
L shape to 12
BuILDJ G A TTO BE FT. W(Dj fY 0,40 r--FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
+, (TYPE),,
REMARKS, 'c
private savage disposal, ivate water supply, 3 bedrooms, 2 full and 1.,partial bath
�� pry�nn
PERMIT
AREA OR
VOLUME E ESTIMATED COST $ 65.920 FEE D
(CUBIC/SQUARE FEET) /
OWNER Frederick Qstrowski BOIL G Z
ADDRESS Box 123* Lewis* Ma* 0105:3 BY
WHITE - FILE COPY GREEN - FIELV COPY CANARY - APPLICANT C 1"NK' -*9SESSORS COPY
wa SFiYDER: Complete items 1,2,and 3.
o Add your address in the"RETURN TO"space on
reverse.
n_o 1. The following service is requested(check one.)
Show to ivhom and date delivered ...........60.t
C-1 Show to whom,eaia and address of delivery..._*
RESTRICTED DELIVERY
Show to whom and date delivered............—,t
❑
RESTRICTED DELIVERY.
Show to whom,date,and address of delivery.$
(CONSULT POSTMASTER FOR FEES)
2. ARTICLE AODREMED TO:
c M Frederick Ostrowski
x
z
�, a. AsaricLED c 1Pr�6;
�^ RECIS T ERED NO. CERTIFICD NO. IINSURED NO.
1212 .
C� (Always abi,in s69nzt rre of addressee d agasrat)
ui -
"! I have received the article described above.
n
SIGNATURE OAddressee I]Authorized agent
0 OF DELIVERY pl(
Z15. ADAM iCampkW catty If rsatuasted)
r
S. LNNAZLE TO DELIVER BECAUSE: K8
a ITIALS
`� ff 4�
r
*GPO:1979-28&848
UNITED STATES POSTAL SERVICE
OFFICIAL BUSINESS PEATY FOR PRIVATE
SENDER INSTRUCTIONS
USE TO AVOID PAYMENT
OF POSTAGE.f3D0 U-M L®
Print your name,address,and ZIP Code in the space below.
• Complete items 1,2,and 3 on the reverse.
• Attach to front of article if space permits,
otherwise affix to back of article.
• Endorse article"Return Receipt Requested"
adjacent to number.
RETURN
TO
no (Name of Sender)
212 M
(Street or P.O.Banc
Northam ton Ma. 01060
(City,State,and Ur Code)