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05-068 (3) PLOT PLAN SNOW ALL GU11_OINGS ON LOT EXISTING OR PROPOSED No. . . . . . . . . . . . APPLICATION FOR PERMIT TO . . . . . . . . . . . . . . . . . . . . . . BUILD A DWELLING . Location Permit Granted . . . . . . . . . . . . . . . . . . . . . .<. . . . . . 19. . . . . . . Approved . . . . . . . . Supt. of Buildings - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � o FT. FRONTAGE STREET 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,Mass. . . . . . . . . . . . . . . . . . . . . . . . 19 . . . . . Tlelephone No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7b the Supt.of Buildings: so Application for a permit to build is hereby made according to the following:- 1. Location,Street and No. .. . ./�AvlelI. . .RA .... . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .. . Lot No. . . . . . . . 2. Nearest cross street . . . .. . . . . . . . . . . . . . . . . . . . .. . .. . . . . . . . Size of lot . . . . . . . . . ./.1. . . . . . . . . . .. . . . . . 3. Owner's name _41P.e-l.i.s. . . P o. .�S.Q zn. . . . . . . . Address ��. .>315 . . .� 5. . . . .fi�o. Y.e Kc�-I A, .6 1 04 1 4. Architect's name. A� 1.n pt.. Y.( . . . . . . . . . . .. . . . . . . Address /R! . . H/6.4. . . A"w vke % i AMA.. 01 D o 2. 5. Builder's name . . . . . . . . . . . . . . . . . . . Address QP. g K..?-.N .-4!AA Lt 1!.\t.sk.I!MA 01 O o't Mass.Construction Supervisor's License No. . Q.6.Z g 1.$.. . . . . . Expiration Date . .�J.r.9. .9.7. . . . . . .. . . . . . 6. Use of Building:One-family . . . . . .�'. . . . . . . . .. Two-family . . . . . . . . . . . . . . . . . . .. Other . . . . . . . . . . . . . . . . . . . . 7. Number of rooms in each family unit: . . . . . d. . . . . . . . . . . . . . . Number of Bathrooms . A-V?.-, . . . . . . . . . . . . . . 8. Is there a garage attached? . . . . . . P S . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of building !; ?�. ... . . . . . . . . . . . . . . . . Square footage . . . . ./7 . . . . . . . . . . . . . . . . . . . . . . 10. Number of stories . . . . . .. . . .'2. . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . r 11. Distance from finished grade to high point of roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Type of construction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Distance from building to street line in feet . ! 'rO 14. Distance from building to side lot lines in feet:Left . . . . �. . . . . . . . .. . . . . . . Right . . . .�.F . . . . . . . . . . . . . . . . . . 15. Distance from building to rear lot line in feet . . .Aff ro X. . .o2O0. . .-{-. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 16. Is a plot plan being filed with this application? . . .I'e'. . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. . . . . . . . . . . . . . . . . . 17. Species of framing lumber:DF . . . . . . . . . . . . . . . . . . . . Spruce . . . . . . . . . . . . . .. . . . .. Other . . .. . . . . . . . . . . . . . . . . 18. Are all structural conditions noted on drawings? . . . . .�C 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . 19. Nature of land upon which the structure will be erected:Natural . . . . . . . . . . . . . . Filled . . . . . . . . . . . .. . . . . . . 20. Depth of basement or cellar floor below finished grade o 07 . . . .. . . . . . . 21. Material of foundation walls . . . e.'t'.e. . .. . . . . . . . . . . . . . . . . . . . . Thickness in inches . .�. . . . . . . . . . . . . . . 22. Type of roof:Flat . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . Pitched ..� . . . . . . . . . . . . . . ... . . . . . . . . .. . . . . . . 23. Material or roof covering . �}s��?4t¢. . . .5�/1.i.ti� S. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . 24. Method of heating . . .4 it. . . TD.rc-e. U-c Y . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25. Will the building conform to the Building and Zoning Ordinances? . . .� . . . . . . . . . . .. . . . .. . . . . . . . . .. . . . . . . 26. Septic Tank? . . . .91 . . . . . . . . . . . . . . . . . . . . . . . . . . . . City Sewer? .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . 27. Construction within 100 ft.of wetlands? . . . '.©��'Y. . . �.O e . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28. Construction within 100 year flood plain? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29. Estimated cost: Total $ .150) e.a o. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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. U . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . Signatur f Contractor Signature of responsible applicant WRITTEN DESCRIPTION OF WORK TO BE DONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . 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 aclu= to be tilled in by the Building Department Required Existing Proposed By Zoning Lot size 3 , g. tcv vzz Frontage Setbacks so -r- b - side L:N R:9*' L: 35- R: 9' 0' - rear , Building height aboud- veA Bldg Square footage T 1 5 F /S %Open Space: % + (Lot area minus bldgproX q 6 &paved parking) ''�o C} # of Parking spaces # of Loading Docks Fill: (volume & location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: /V Al `1�5_ APPLICANT's SIGNATURE � NOTE: lasuarioa of a zoning permit does not relieve an aWplloantm burd2an to oomph with all zoning requirements and obtain all required permits frcWn the Board of Health, Conservation Commission, Department of Publio Works and other appiloable permit granting authorities. FILE if Fite No. 94�e� x.31' _,Q OCT 10 1 ZONING PERMI T APPLICATION PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Yv1 Ca �^ Address: ec X a Oc 2— v%&. t �. Telephone: 2-5-3 5--`f 9 S' /C oloey / \ 2. Owner of Property: GA 1 s .�Sa-�- <Or�a��� SS ULz�l Address: PO $o X AP- 4 3 o 4 o k e. Telephone: L 3 36 0104 1 3. Status of Applicant: Owner Contract Purchaser Lessee ✓ Other(explain): .t,% `r 4. Street Address: _ Jlv-eas Parcel Id: Zoning Map# el�� Parcel# Z) e57' District(s): xw, (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property xJ ay- p-6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): fa w"; I ti 7. Attached Plans: ` "' Sketch Plan V Site Plan // Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Departrnent Files. 8. Has a Special PermitNadance/Finding ever been issued for/on the site? ) NO DON'T KNOW YES ✓ IF YES,date issued: 14 b1 IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book 32-04 Page I and/or Document# 6 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 le"'- ,date issued: (FORM CONTINUES ON OTHER SIDE) FILE if 3 3 0 APPLICANT/CONTACT PERSON: ADDRESS/PHONE: PROPERTY LOCATION: NIA.P PARCEL: Q(o ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERNHT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ✓ a �. a./ v d3a ✓ THE �LLOWING ACTION HAS BEEN TARN 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 Cut from DPW Water Availability Sewer Availability Septic Approval-Bd of Health Well Water Potability-Bd Health Permit from Co ervation Co ssion o`er �o z --►� Signature of Building 1ns76r Dfte NOTE:Isauanoe of a zoning permit does not relieve an appitoant'a burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. — �ts Is*(41[M Ott = _ Wffire of the )Inspector of jiguilbin4ts = _- 212 Main,Street r Municipal Building 7 Norrhumpion, Muss. 01060 — CERTIFICATE OF OCCUPANCY #916 April 11, 1996 Page No. 5 Plot 68 Building (Name) Single family house/attached garage Address 671 Kennedy Road Lot#1) Owner Louis Isaza Address PO Box 6293 Holyoke 01040 Applicant Jim Eagan Address PO Box 242 Amherst 01002 Use: 1st Residential Occupancy _ 2nd Occupancy 3rd Occupancy 4th Occupancy Zone District RR/WSP/WP Required Inspections: New Building X Existing Building c _levator Electrical Plumbing Fire 3uilding Other Inspector of 4ft' ngs I ' i' i r r i i 'aft'n'! y p,�✓ r� Z-/ vtvfy re r O i �..11y alOn REQUIRED INSPEC 'IONS $ BUILDING� DEPY-A,-OTMENT 2. Structural Components in Place* 3. Complete Building* No. 916 Office of the Building Inspectt,,- Zoning Form No. 960330 Date. 10 24 95Fee$832 Check#340 Page, 05 Parcel 068 ,Zone RR/WSP/WP Sect )n 127 Q Yes 91 No Bul DING , T , * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Jim Eagan before Building L-ispections has permission to construct single family home/attached garage Inspecti zn on Site—Foundations situated on Kennedy Road Lot#1 - "ouis Isaza InspecCbii of Plumbing-140 rt�`•"``'/� iii`'-`�P'�t provided that the person accepting th:,: permit shall in every respect Inspecti,�n of Plumbing—Finish rTi ,Eac K conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordina ices relating to the Construction, 1 Insp,ction of Wring—Rough Maintenance and Inspection of Buildis.gs in the City of i-rorthampten. Any violation of any of the terms above Noted is an immediate revocation " Ins fr ection of W-P- g—Finish � � y�f�� of this permit.Expires six months fron)elate of issuance,if not started. e Bu i'c ing In~nec uon—Rough C _ tf d9 G Note:A certificate of occupancy will be issued by this office upon return I:��:,�iation Inspection of this card signed by the Plumbing,Wring and Building Inspectors. �" P� Bu.tdi.g hispection—Fipis't Smoke Detectors(Fire Department) Other _ THIS CARD MUST BE DISPL Y.D NT_A CONSPICUOUS PI: AC W.N THE PREMISES Certificate of Occupancy -- - L Building Inspector