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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
a Northampton,Mass. . . . . . . . . . . . . . . . . . . . . . . . 19 . . . . .
Telephone No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7b the Supt. of Buildings:
Application for a permit to build is hereby made according to the following:-
1. Location,Street and No. . v S. . ./ /T . �C G�. • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lot No. .OZ
2. Nearest cross street ./C� '!�?L!`. � ... . . . . . . • . . • • • • • • Size of lot . . . . � j y . . . . . . . . . . . . . . . . . . . . .
3. Owner's name . /!F. Alt-Arf,n . Address
4. Architect's name. . 4-,,ri�h . .! SSA 4!b7 ?. . . .. . . . . . . . . . Address . .�.F nc�!Y� i�l/1 5.S. . . . .. . . . .. . . . . . . . . . .
5. Builder's name . . ! •l- �F��li%. . c,�,� '!<,� Address T.ST
Mass. Construction Supervisor's License No. DG y 77. . . . . . . . • • • • • . Expiration Date . . �'3°�r��. . . . . . . .
6. Use of Building:One-family . . . . . .X. . . . . . . . . . . . Two-family . . . . . . . . . . . . . . . . . . . . Other . . . .. . . . . . . . . . . . . . . .
7. Number of rooms in each family unit: . . . . . . . . . .. . . . . . . . . . .. . Number of Bathrooms . . . .2. . . . . . . . . . . . . . . .
8. Is there a garage attached? . . . . .y �>. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .
/1.16G Sf/.lta�9. Size of building . . . . . . . . . . . . . . . . . . . . . . . . . . . . Square footage . . . . . . . . . . . . . . . . . .. . . > /GAS � �tcg
10. Number of stories . . . . . °Z. . . . . . . . . . . . . . . . . .. . . . . . . .rr.``. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .
11. Distance from finished grade to high point of roof . . . . �7.15l. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Type of construction . . . . . . . . . . .4.'��'�. . R��`c�
. . . . . . . . . . . . .
13. Distance from building to street line in feet . . . . . . . . . . .y .r . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .
14. Distance from building to side lot lines in feet: Left . . . . . . . . . . . . . . . . . . . . . . Right . . . . ./�.5�. �. . . . . . . • • _ .
15. Distance from building to rear lot line in feet . . . . . . . . .j7o- %.
16. Is a plot plan being filed with this application? . . . . .1! .S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17. Species of framing lumber:DF . . . . . . . . . . . . . . . . . . . . Spruce . . . . . X . . . . . . . . . . . . Other . . . . . . . . . . . . . . . . . . . .
18. Are all structural conditions noted on drawings? . . . . .Ye.S . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19. Nature of land upon which the structure will be erected:Natural . . . . .\/. . . . . . . . . . . . Filled . . . . . . . . . . . . . . . . . . .
20. Depth of basement or cellar floor below finished grade . . . .S. f T. .(�r�. . . . . . . . .. . . . . . . . . . . . . . . ... . . . . . . . . . .
21. Material of foundation walls . . . . . . . . . . . . . . . Thickness in inches
22. Type of roof:Flat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pitched . . . . . . . . . . .4 /.Z. . . . . . . . . . . . . . . . . . .
23. Material or roof covering . . . . .F/./34F2 SASS. . . 1-.0 . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . .
24. Method of heating . . . . . . A f.6�- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
25. Will the building conform to the Building and Zoning Ordinances? . . . (.S. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .
26. Septic Tank? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . City Sewer? . ."/(S. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .
27. Construction within 100 ft.of wetlands? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
28. Construction within 100 year flood plain? . . .�fG. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . • • . . . . . • . • . • • • •
29. Estimated cost:Total$ . . . . . .6.3,OC6. . . . . . . . . . . . . . . . . . . . . . . . . .
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 and rsciigned certifies that the above statements are true to the best kgpwled a nd belief. {
✓�� -%Y � �� � 'd�
r . . .
Signature of Contractgn re of responsible applicant
WRITTEN DESCRIPTION OF WORK TO BE DONE
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . .
PERMIT APPLICATION CHECK LIST
Lac" tl "-j_.
PAGE PLOT ZONE i)_ ) YES N •DAT,E_
1 . ZONING FORM APPLICATION
2 . PERMIT APPLICATION
3 . OWNER OCCUPANT E NOT-
4 . c �--
3 SETS OF A N5 - /PLOT PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 . WATER AVAILABILITY 0 S
8 . REMODELING INTERIOR
9 . ADDITION
10 . ACCESSORY STRUCTURE
11 SIGN / AWNING —tr
2 , PERMIT FEE - CHECK ONLY - MONEY ORDER f," '/Y J L2 L
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127-- - C R 780
15 . FORM
16 FILL
COMMENTS :
�� r' r? IN �ty�:7 + ► �j lu° � l1 + � a tiClti ? CLY r Gry�.
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Planning Board - Decision City of Northampton
Hearing No.: PLN-2006-0010 Date: October 12, 2005
MINUTES OF MEETING:
Available in the Office of Planning&Development.
1, Carolyn Misch, as agent to the Planning Board, certify that this is a true and accurate decision made by the Planning Board and certify
that a copy of this and all plans have been filed with the Board and the City Clerk on October 12, 2005.
1 certify that a copy of this decision has been mailed to the Owner and Applicant.
Notice of Appeal
An appeal from the decision of the Planning Board may be made by any person aggrieved pursuant to MGL Chapt.40A, Section 17 as
amended within twenty(20)days after the date of the filing of the notice of the decision with the City Clerk. The date is listed above.
Such appeal may be made to the Hampshire Superior Court with a certified copy of the appeal sent to the City Clerk of the City of
Northampton.
GeOTMS®2005 Des Lauriers Municipal Solutions, Inc.
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1
• 4
Manning Board - Decision City of Northampton
Hearing No.: PLN-2006-0010 Date: October 12, 2005
In granting the amendment, the Board approved a waiver to allow existing vegetation to remain within a portion of the right of way that
falls within the wetland buffer from station 32+00 to 35+00. Existing cover shall count toward the tree planting requirement so long as
they are not setback further than 10'from the right-of-way and are shade trees of at least 2.5"caliper. The tree belt may also be reduced
from 7'to 4.
The Board found that the request to alter the cluster and subdivision would meet the criteria as originally shown in the approved special
permit and would not alter any other infrastructure requirements. The changes in the road alignment from station 29+00 to 35+00 will
result in moving the subdivision road further from an existing residential structure in the abutting neighborhood, enhancing the quality,
reducing the impacts of the subdivision on the neighborhood. The changes required a land swap that alter the boundaries of the project
property and enabled the addition of two flag lots.
The Planning Board found:
A. The requested use protects adjoining premises against seriously detrimental uses. Sound and sight buffers and views,light, and air
will be protected by proposed screens.
B. The requested use will improve the convenience and safety of vehicular and pedestrian movement within the site and on adjacent
streets. A bicycle/pedestrian connection will be granted from the street to the property boundary behind the new flag lots.
The applicant does not propose any alterations to the traffic study originally submitted nor the mitigation offered in the original permit.
C. The requested use will promote a harmonious relationship of structures and open spaces to the natural landscape,existing buildings
and other community assets in the area. A greater buffer will be created between the new road and the existing neighborhood with the
changes approved.
D. The requested use will not overload, the City's resources including the effect on the City's water supply and distribution system,
sanitary and storm sewage collection and treatment systems, fire protection,streets and schools. Stormwater management will be
handled on site as designed in the original cluster subdivision permit. The total number of units,has been reduced by 5.
E. The requested conforms to the requirements in Sections 5.2 for�common driveways and 6.3(3)for reduction in lot size to dedicate
open space for the public. The area will be set aside for future potential public bike path connection to abutting properties and will have
a permanent easment placed on it for this purpose.
F. The requested use bears a positive relationship to the public convenience or welfare. The use will not unduly impair the integrity of
the character of the district or adjoining zones,nor be detrimental to the health,morals, or general welfare. This project is designed to fit
into the existing surroundings of large lots at the abutting residential subdivision.
G. The requested use will promote City planning objectives to the extent possible and will not adversely effect those objectives,as
defined in City master or study plans which support new pedestrian connections to streets and neighborhoods. The amendment to the
cluster does not change the character of the subdivision approved and will provide affordable units as approved previously.
H. Compliance with the following technical performance standards:
1. Curb cuts onto streets have been minimized through creation of a common driveway to access the new flag lots.
2.Pedestrian,bicycle and vehicular traffic movement on site have been separated to the extent practicable. An easement granting
pedestrian and bicycle access for the public has been granted through the site.
COULD NOT DEROGATE BECAUSE:
FILING DEADLINE: MAILING DATE: HEARING CONTINUED DATE: DECISION DRAFT BY: APPEAL DATE:
91812005 912212005 1011312005
REFERRALS IN DATE: HEARING DEADLINE DATE: HEARING CLOSE DATE: FINAL SIGNING BY: APPEAL DEADLINE:
911512005 111312005 912912005 1011312005 111112005
FIRST ADVERTISING DATE: HEARING DATE: VOTING DATE: DECISION DATE:
911512005 912912005 912912005 1011212005
SECOND ADVERTISING DATE: HEARING TIME: VOTING DEADLINE: DECISION DEADLINE:
912212005 7:15 PM 12/28/2005 1212812005
MEMBERS PRESENT: VOTE:
Paul Voss votes to Grant
Francis Johnson votes to Grant
George Kohout votes to Grant
Keith Wilson votes to Grant
Kenneth Jodrie votes to Grant
David Wilensky votes to Grant
MOTION MADE BY: SECONDED BY: VOTE COUNT: DECISION:
Francis Johnson I Kenneth Jodrie 6 Approved with Conditions
GeoTMS®2005 Des Lauriers Municipal Solutions, Inc.
"
� Planning Board Decision
�-------'
Hearing No.: PLN-2006-0010 Date: October 12, 2005
SUBMISSION DATE:
APPLICATION TYPE:
PB Special Permit with Major Site P1 1 813012005 OCT 1 4 2005
Applicant's Name: Owner's Name: Na�
Doug Kohl Doug Kohl
ADDRESS: ADDRESS; ADDRESS:
31 Campus Plaza Rd 31 Campus Plaza Rd
TOWN: STATE: ZIP COD TOWN: STATE: ZIP CODE: TOWN: IP CODE:
HADLEY MA 01035 HADLEY MA 01035
PHONE NO.: FAX NO.: PHONE NO.: FAX NO.: PHONE 70.: FAX NO.:
(413) 256-0321 (413)256-0321
EMAIL ADDRESS: EMAIL ADDRESS: EMAIL ADDRESS:
Site Information:
STREET NO.: SITE ZONING:
BURTS PIT RD SR
TOWN: SECTION OF BYLAW:
NORTHAMPTON MA 01060 Section 10.1:Building Commissioner
MAP: BLOCK: I LOT: MAP DATE: ACTION TAKEN:
36 1 068 001 Approved With Conditions
Book: Page:
1 0954 1355
NATURE op PROPOSED WORK:
Amendment to cluster special permit, for Oaks subdivision, addition of two flag lots and common driveway and request for reduction in
flag lot size under section aa for dedication or open space.
Hxnmsmp.
CONDITION orAPPROVAL:
1.xx amended plans and permits shall be recorded prior m alteration of roadway alignment This
`
includes signatures and recording vr subdivision plans.
2. Signs mmcauvo "permanent easomentlpvuenua/paved future bmepedoax^with final language
approved by the Office of Planning and Development shall»e posted prior uv the first lot sale o,
issuance or the first building permit. These permanent signs shall bo maintained permanently by the
homoowmms'xssociauvn. The»omeowners'xssumaunn documents shall oo revised and recorded m
include this requirement The trail alignment shag be blazed across the driveway.
3. Easements for the public to pass and repass in the designated open space and along the future trail
access shall be granted and recorded prior¢,issuance orfirst building permit.
4.Prior to issuance of the first building permit, the location of the school bus shelter shall be
confirmed on a revised plan submitted to the Office of Planning and Development The location shall
only change if the Northampton School Department finds that the relocation is appropriate.
5.Prior to sale of any lots or issuance of any building permits, the CR language for the open space
shall beapproved by the city and recorded at the nogisbp
a All other conditions apply from original permit.
Though not discussed as a permit condition,all requirements under Section 5.2 of the Zoning
Ordinance for Common Driveways relating on recording oreasement documents shall bpperformed
prior to issuance of building permits for the flag lots associated with this common driveway.
This decision amends plans and the decision granted Vau12oox. The original permit called for a cluster subdivision or*4 units ona4
lots. The modifications herein adjust mtxnesand total number ur units and lots resulting muo units onsslots. The decision is based
vn the following plans:
1. "The Oaks Subdivision'''prepared»y The Berkshire Design Group,Inc. Dated February 6, zon3, Revised 4w3, uma. oma' 1zm4 6105,
Resubmitted 8122105. Sheets 1-7, L1,L2.1-6,Lz/'z
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NORTHAMPTON WATER DEPARTMENT
237 PROSPECT STREET
NORTHAMPTON, MA 01060
586-6950 Ext. 300
Subject: Municipal Water Availability
Location: 640 Burts Pit Rd.
Inquiry Made By: John DeMont
Date of Inquiry: 11-16-92
Municipal Water Main in Front of Location: YES NO
Size/Material/Age of Water Main: 12" DI pipe 1978
Approximate Street Pressure: 35 PSI
Size of Service Connection: ',
Comments: The street elevation for this service is approx. 320' . The Water
Dept. cannot presently guarantee adequate water pressure during peak
demand times at the proposed house elevation level.
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.
v
Charles Borowski
Superintendent of Water
Enclosure; Letter to Frank Sienkiewicz from Sam Brindis, dated
June 14, 1991.
cc: Samuel B. Brindis, Director, DPW
Peter McNulty, Jr. , Assistant Director, DPW
George Andrikidis, Assistant City Engineer
Frank Sienkiewicz, Building Inspector
IV\Water4\CityH2O
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CITY OF NORTHAMPTON, MASSACHUSETTS
DEPARTMENT OF PUBLIC WORKS
125 Locust Street
e Northampton, MA 01060 DEG
I992
Samuel B. Brindis, P.E. 413-582-1570
Director, City FiVn er
Peter J.McNulty, Sr.
Assistant Di eew of Public Works
BOARD OF PT?BLIC WORKS
DRIVEWAY PE&MIT
CENFFaL II,:= G'�ZONS AND RECTJT•s"'?^"IS
1. A "Driveway Permit" is required in all cases where a new
curb out 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
B.P.W. for a "Driveway Permit" by completirLg 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 issue no "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.
Samuel B Brindis, P.E-*a. 6
Director of Public Works
WP-5 SAM\DRVWA 1.PER
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#28
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:
P itioner
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.
#28
C I TY OF NORTHAMPTON, MASS.
November 17, 19 92
THE BOARD OF PUBLIC WORKS
The undersigned respectfully petiition your honorable body for
Permission to install driveway at 640 Burts Pit Road
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 37 or more.
By:
DeMont Company Inc. 786-8155
90 Albert Street, Agawam 01001
Proposed Location
Inspected by: C.�,l s Q` �a�9�t)
Gravel Base Grade
Inspected by:
Final Approval:
THE BOARD OF PUBLIC WORKS
Voted that petition be granted.
$25.00 Fee Paid 2606
Samuel B. Brindis, P.E. , Director of Public Works
(SUBJECT TO ATTACHED CONDITION 1 & 2)
Page 2
R. C. B . S . A .
4 . The City shall not be held liable for any open plumbing fixtures
below street level .
5 . The applicant and/or owner hereby agrees to pay to the City any
sewer use assessments or charges as may be established under
city ordinance.
Iwo
DATE : /J , Z SIGNED :I— -=P�
// plicant
'Le4 �/� . /Voss O/001,
Address of Applicant )
inspect ion fee paid . LT.{L 4"764 D
Application approved and permit issued :
DATE : � ?iJZ ( qZ SIGNED :
Superintender, _
Attachments :
Code of Ordinances , Section 22-41 through 22-46 .
Tie-in to sanitary main $200.00
Tie-in to sanitary service at street line $500.00 _
Tie-in to storm drain $100.00
FORM 79- 1 DEL 1 /
RESIDENTIAL OR COMMERCIAL BUILDING SEWER APPLICATION
To the City of NORTHAMPTON , MASSACHUSETTS :
The undersigned , being the Owner of the
Owner , Owner ' s Agent
property located at 640 Burts Pit Road , does
Number Street
hereby request a permit to install and connect a building sewer
to serve the residence at said location .
Residence , Commercial Bldg . , etc .
1 . The applicant and/or owner shall furnish upon request of the
Superintendent the estimated quantity and characteristics of
waste to be discharged to the public sewer .
2. "Owner" shall mean the person holding title to the property
served or to be served by the building sewer .
3 . The name and address of person or firm who will perform the
proposed work is Bradway Const. , Ludlow 583-6533
4 . Plans and specifications for the proposed building sewer are
attached hereunto as Exhibit "A" .
In Consideration of the granting of this permit , the under-
signed agrees :
1 . To accept and abide by all provisions of the Code of Ordinances ,
City of Northampton , Massachusetts , Sections 22-41 through 22-46 ,
and all other pertinant ordinances or regulations that may be
adopted in the future .
2 . To maintain the building sewer at no expense to the city .
3 . To notify the Superintendent when the building sewer is ready
for inspection and connection to the public sewer , but before
any portion of the work is covered .
423
Water Entry Application
DATE:
November 17, 1992 SIGNED:
(Appl!" ant)2DeMont Co r pany Inc. 786-815'
90 Albert Street, Agawam 01001
(Address of Applicant)
3
$ 200.00 entry fee paid. Ck #2607
Application approved and permit issued:
DATE• ASIGNED
(Director of Public Works)
$100.00 Water Meter CK 2661
. #23
1992
RESIDENTIAL OR COMMERCIAL BUILDING WATER APPLICATION
To the City of NORTHAMPTON, MASSACHUSETTS:
The undersigned, being the owner of the
Owner, Owner's Agent
property located at 640 Burts Pit Road does
(Number) (Street)
hereby request a permit to install and connect a Water
(Size)
Service to the residence at said location.
(Residence, Commercial Bldg. , etc. )
1. "Owner shall mean the person holding title to the property
served or to be served by the water service.
2. The name and address of person or firm who will perform the
proposed work is
Bradway Construction, Ludlow
3. Plan/Sketch and specification for the proposed water service
shall be attached to permit.
In consideration of the granting of this permit, the undersigned
agrees:
1. The Water Department shall make all taps to the water main.
2. WATER ENTRY PERMIT fee is $200.00.
3. Additional work performed by City forces from the water main
to streetline shall be paid at the prevailing labor rates and
cost of material.
Water Meters 5/8" $100.00
3/4" $150.00
1" $200.00
Water Meters 1 1/2" and above shall be purchased by the owners -
using city specs.
4. The Water Superintendent shall be notifed for water line
inspection prior to backfill of trench.
j.
Date Filed I/- 19- � •� 0000 File No.
ZONING PERMIT APPLICCATION (510.2)
1. Name of Applicant: %1i= f�_
Address: �& .��� •�� Ste. fF1c,Atti /'��sS. Gam'/ 'Telephone:�y, ,
2 . Owner of Property:
Address: z4,,,A /1/A 35 Telephone: yr3
3 . Status of Applicant: L-cfwner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# (o Parcel# &'(Q,
Zoning District(s) (include overlays) S>�
Street Address Loz Ar - C 14-a Rr, ,-i- s P-_ RJ
Required
5 . Existincr Pro nosed by zoning
Use of Structure/Property "
(if project is only interior work, skip to #6)
Building height4' i
%Bldg.Coverage (Footprint) ,rye
Setbacks - front ^�
- side R L -r R
- rear £T
Lot size 9y 3f=
Frontage
Floor Area Ratio 1A
%Open Space (Lot area minus
building and parking)
Parking Spaces (2
Loading
Signs mA
Fill (volume & location) Acac
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) &Hs-7,CC'e I IO olf S 1,111LY
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 knowledg1e.
Date: Applicant's Signature: -
THIS SECTION FOR OFFICIAL USE O Y:
- - - - - - - - -
my 18
V_-Approved as presented/based on information presented
�
Denied as presented
R as for en i 1:
gnatu o Buildi ector D to
NOTE: Issuance of a zo ' g 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,Department of Public Works and other applicable permit granting authorities.
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#19
CERTIFICATE OF OCCUPANCY
April 27 , 1993 ,r _
r..
Page No. 36 Plot .__
Single family home/2 floors/attache� u Road ,
640 Brts Pit Rd
Building (Name) _ argue. ddress ____ ____
Owner The DeMout Company, Inc . Address 90 Albert St . , Agawam
Applicant Same Address Same
Use: 1st Residential Occupancy
2nd Occupancy
3rd Occupancy
4th Occupancy .
Zone District SR
Required Inspections:
New Building Existing Building -
Elevator Electrical —_
Plumbing Fire / r
Building --� .. pad Other 7. {
Inspec of Ildings
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