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36-153 (2)
z � v � D m 3 O Zm --1 p "!� i p C> > n3 y Z s > y0 0 O �° Zoning tiscellaneous Additions,Repairs,Alterations,etc. Tel.No. 5`6S 9©3 3 Alterations / NORTHAMPTON, MASS. 14-11 19 q7 Additions V APPLICATION FOR PERMIT TO ALTER Repair Garage Location { _6 t/co o y.c k d' Lot No. Owner's name pe e r -- E.1a;,p 6 c e {�C-A e"- Address / F L-Ia d r Xd• Builder's name Address 9314✓a�n, '7r � Mass.Construction Supervisor's License No. 060 Y03 Expiration Date q- Z 9- 98 Addition 7 U n e v 0 Yki Alteration New Porch Is existing building to be demolished? w j< 6t-- L y-i(A"A . 06 yx''s r i`'V ,t on o r✓b�_. Repair after the fire //O Garage No.of cars Size Method of heating 0 Distance to lot lines NO Type of roof A fl s Siding house Estimated cost- Z-2J 2"1 O D The undersigned certifies t t above statements are true to the best of his, her knowle a and belief. ignarwc oJrcsponsiblc appticani narks o�-�ttAMp�O �Z� itJl� �QZ��j�i111�1�DIT � 6 � � �asaacllttsctta :319 i DEPARTMENT OF BUILDrNG INSPECTIONS 212 Main Street ' Municipal Building a Northampton, Mass. 01060 ,~ WORKER'S COMPENSATION INSURANCE AI'FIDAVTr — YLf (licensee/permittee} with a principal place o bilsine esideuce at: T, C�: 1W (street/city/stateJa p) do hereby certify, under the pains and penalties of perjury, that: (\� I am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (F�pirarion Date) ( ) I am a sole proprietor, 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 Comparny/Poticy Number) (Expiratioa Date) (Name of Contractor) (Insurancc Compauy/Policy Number) (Expiration Date) (Name of Contractor) (Insuranc-c Comp-Loy/Policy Number) (Expiration Date) (Name of Contractor) JMSZlrance Company/Policy Number) (Expiration Date) (attach additional shoot ifnccctsary to mchsde udbrmstioa pertaining to all ooatr'd rs) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing alI the work myself. NOTE:please be aware that wt ido homcovax-"who employ per acw to do ma inicni nce suction or rcPair work on n dwelling of not more than throe units fm wfnch the homoowocr raids or on the grounds appurtenard thereto arc not gcaeaky ooasidered to be employers under tho vmd 's ocmpcasation Act(GL152,ss 1(5)),appLication by a homeowner for a license oc permit may evidence the legal etatna of an employee under tho Workeet Compematioa Ad. I understand thea a oopy of this r utemcut may be forwarded to the Depnr�of Indus ,l Acadta&Offioe of lnvm nco for the coverage verification and tha failure to soot=covcngo under soetion 25A of MGL 152 can lead to the imposition of criminal penalties oomisiiug of a fine of up to S 1,500.00 andlor irprisour>x of up to one Year and civil pcnaltics in the form of a stop work Order and a find 0(5100.00 1 day against me- S" ed this ! 'ay of 1991 For departIIxvt'1 wo onlY Permit Number ti acre of L errimit t o & ' SYSTEM 4 MODULAR STRAIGHT EAN • • (ADJUSTABLE ROOF PITCH) ENGINEERING INFORMATION s MODEL ALLOWABLE ROOF LIVE LOADS (PSF)*-A NUMBER & GLAZING BAR BASED ON RMPD** BASED ON *� (SPAN) O.C. SPACING DEFLECTION L/175 MATERIAL STRESS SAM-11 DH 2'-6 5/8" 182 Ibs/sq ft 142 Ibs/sq (10'-10 1/2") 3'-0 5/8" 150 118 SAM-12DH 2'-6 5/8" 141 118 (11'-10 7/8") 3'-0 5/8" 118 98 2'-6 5/8" 113 100 SAM-13DH (12 -10 7/8") 3'-0 5/8" 95 83 2'-6 5/8" 101 75 SAM-15DH (14'-10 1/16") 3'-0 5/8" 85 62 2'-6 5/8" 83 65 SAM-16DH (15'-10 7/16") 3'-0 5/8" 70 54 2'-6 5/8" 68 57 SAM-17DH (16'-10 7/16") 3'-0 5/8" 58 47 2'-6 5/8" 57 50 SAM-18DH (17'-10 13/16") 3'-0 5/8" 48 41 2'-6 5/8" 54 44 SAM-19DH (18'-11 1/8") 3'-0 5/8" 45 36 ** IN ALL CASES, THE LOWER PSF MUST GOVERN. 5" GLAZING BAR (SYSTEM 5) USED ON ALL MODELS RMPD DEFLECTION BASED ON U175 FOR SPAN OF LARGEST GLASS PANEL. MATERIAL STRESS BASED ON ALUMINUM ALLOY 6005-T5, 19,000 P.S.I. ALLOWABLE BEAM TENSION STRESS, FILE: ROOFENG7.CDR DATE 7-17-9f 92 STANDARD GLASS SIZES CODE THICKNESS SIZE 28 7/8" 28 7/8" x 30" 28M 7/8" 28 7/8" x 36" NO V 34 7/8" 34 318" x 30" 34M 7/8" 34 3/8" x 36" 41 7/8" 41 1/4" x 30" 36L 7/8" 41 1/4" x 36" 46 7/8" 46 3/4" x 30" NUMBERS OUTSIDE Op 46M 7/8" 46 3/4" x 36" PARENTHESIS - 30" PANELS NUMBERS INSIDE PARENTHESIS - 36" PANELS GLAZED TRANSOMS WILL NOT FIT ABOVE \ �J Aspa �s6yJ 6�J WINDOWS WHEN BUILT �J >6 TO LOWEST PITCH 1/2' IN 12" (2.386') �J �A6A6. / 5 FT AND 2'-6" WINDOWS \ USED IN FRONT - FOR 30" BAYS. 6 FT AND 2'-10" WINDOWS -SEE PRICING SHEETS USED IN FRONT - FOR 36" BAYS. FOR GABLE WINDOW LAYOUTS GLAZED KICKPANELS STANDARD SYSTEM 4 MODULAR STRAIGHT EAVE (ADJUSTABLE PITCH) ROOF GLAZING PATTERNS GLAZED TRANSOMS ARE STANDARD ABOVE WINDOWS KICKPANELS WILL NOT FIT ABOVE WINDOWS WHEN BUILT TO THE / LOWEST PITCH 1/2" IN 12" (2.386') APPROXIMATELY 1 1" HIGH SOLID KICKPANELS z ALTERNATE DESIGN WITH 11" SOLID KICKPANEL AND GLAZED TRANSOM ADD APPROXIMATELY 3-4% TO PRICES SHOWN ON PRICE SHEET o FOUR SEASONS [TITLE SYSTEM 4 MODULAR owc. N0. Q-001 PAGE ® SUNROOMS DATE: 7/16/96 OF 93 ,.` CT) I IXI � y v I 0� S l Sketch No. A member of the TI Group Date THIS PLAT NOT FOR RECORDING PURPOSES NOV I t 1 gar pQ SA g v1;"10�r h t � r w Plan Book 152 �� ----� Page 28 Lot #22-A 0a `q 18 y° � m � ri it V K D /oA.OY 1 J J� Woods Road To: The .Source One Mortgage Services Corp. & The First American Title Insurance Co. I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES,AND BASED ON EXISTING MONUMENTATION,ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES.I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED IN A FLOOD PRONE AREA AS SHOWN ON FEDERAL INSURANCE MAPS FOR COMMUNITY NUMBER 250167# DATED: Auqust 2, 1994 NOTE P THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES SURVEYOR: NOT CONSTITUTE A PROPERTY SURVEY. MORTGAGE LOAN INSPECTION PLAT E 'A OF Northampton, Massachusetts RICHMAD Prepared For J. F. Peter & Elaine G. Boettcher fc3 LASARGc SR 134US Scale: 1 "=1 00 ' dry, S`~ti+�4p� Richard J.LaBarge,Sr.,Registered Professional Land Surveyor 110 Kng Street,Northampton, Massachusetts 01060 I/t 30VC1 SCtSS65C It"QI NO.LdWF/HjSoN SoxNIm:wosa 0tlbt LG-tt-11014 10 Do any signs exist on the property? YES NO V__ IF YES,describe size,type and location: Are there any proposed changes to or additions of signs intended for the property?YES Y_ NO Y IF YES,describe size,type and location: 11 . ALL INFORMATION MOST BE COMPLETED, or PERMIT CAN BE DENIED DOE TO LACK OF INFORMATION. This column to be filled in by the building Department Required Existing Proposed By Zoning I Lot size �G� Z 47� 42at� 7A0 Frontage O-L �y , �02- , Setbacks y 0 - side L: S' R: >.S L:3 6' R: 5 5 - rear , Building height j Bldg Square footage -2 tits d ,'92 C' 1 %Open Space: j a (Lot area minus ,bldg q U� &paved parkingj # of Parking Spaces 2 # of Loading Docks Fill. -(volume--& location) 13 . Certification: I hereby certify that the informati4n/c5ontained herein �{ is true and accurate to the best of my kn /'ledge. 1 f DATE: ' 1 '-a - APPLICANT's SIGNATURE ,.,4� NOTE: lasuanoe of a zoning permit does not relieve sf applioa s burden to oomply with +111 zoning requirements and obtain all required permits ram the Board of Health. Conservation Commisslon. Department of Publio Works and other applloable permit granting authorities. FILE # NOV 1 31gg ' File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: I 1 �- c j n c,e:1 G n r, Address: `7-5, fly ��, ��T �� A)A• 0l i .5j Telephone: q s - _S 13 – LAS 13 2. OwnerofProperty: PeTerf t Address: I & 'I, oc)dS r 110:r�Q ,4 ton 1414 Telephone: 9033 3. Status of Applicant: Owner V/-Contract Purchaser Lessee Other(explain): / p/� ✓' /� 4. Job Location: 1 � Wood Ed lc rba,t4 A-A'id* Cl o (;'z Parcel Id: Zoning Map# V(' Parcel# District(s): (TO BE BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property — Iglu — 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 7. Attached Plans: V 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. S. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO V 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 DON'T KNOW YES 1✓/ 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) FILE # Nov 1 3 199 ¢ APPLICANTICONTACT PERSON: ADDRESS/PHO ME PROPERTY LOCATION: MAP PARCEL: ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM EH,1 RD OUT Fee Plid Ruildin2 Permit Eilled nut Type, of Ccin-tinirtinn* Additinn to Existing ArressoryStrurtiire 3 Sets of?Q /,P4rG:P1nn IZ C� �c d d� THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: x Approved as presentedfbased 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 Wel]Water Potability-"�B�d Health er 't from Conse a ' C on /�E��J Wit/ ��Y\ �4�,J��/h/tif1/�'L"'t� Signature of Building e for Date NOTE:Issuanoe of a zoning permit does not relieve an applionnt'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 applionbie permit granting authorities. ! ` > o � v � D m a Z m ao Lon Z y O Z m 7�C I Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. '%-'J Alterations / NORTHAMPTON, MASS.- -it 1911 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location '00 r kd Lot No. 2. Owner'sname ptsev Address / F 1„t1,j .y4 3. Builder's name hr r A r C,n n o+?, Ch r. Address Mass.Construction Supervisor's License No. O l O L10 3 Expiration Date z- 4. Addition 15u�Iwaykvi 5. Alteration 6. New Porch 7. Is existing building to be demolished? /I/0 VV f, l b h l c�. on ax is r,`4 .s&A e ry b e_ 8. Repair after the fire /1/0 9. Garage No.of cars Size 10. Method of heating 0,1 11. Distance to lot lines qO r 12. Type of roof 10-1-C 13. Siding house V 14. Estimated cost- The undersigned certifies th�)it116 above statements are we to the best of his, her knowle a and belief. /Signature of responsible app,icant Remarks • ��ttAMp�, 0 a Crz#�r of 'Nart4alliptarl z � j+�lassrtcfirtsctts rn DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building ' i�,y SJ,yi Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT 1 TC.ttr.i5 �cz✓{F�r��; t� � re! 1 r cc'+) rr'� C- 11 T _ (licenserJpel-lnittee) with a principal place o busine esidence at: OF 1 �3 am a n T A 0 l a' S 1 _(phone#) -3 , (Str�,U6ty"'St,ateJz p) do hereby certify, under the pains and penalties of perjury, that: (\� 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 am a sole proprietor, 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 Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Compauy/Pohcy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach aaditioml sheet ifnecen&ry to iaohsdo infatn,rion pextaining to all coc rnctoo) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please ter aware feud viWlo homeowners who anplay pcsom to do maintenance,mnslrviceion or repair work on a dwelling of not more than throe units m which the homeowner re4dcs or ou the grounds appurtenant thereto are not gen=a ooatidcrcd to be employes under the worker's oompemation Art(GL152 ss 1(5))�application by a homeowner for a Gran or permit may cvidcaco the legal status of an employer under the Wostcoes Compamation AcL I undavAnd that a copy of this r atement may be forwarded to tho Department of In z al A=dea&Offioc of Irrnuance for the coverage verification and that failure to&earn coverago under section 25A of MOL 152 can lead to the imposition of crimmnl pcaa cs oonsisiirtg of a fine of up to S1 500.00 and/or imprison of up to one year and anti penattia in the form of a Stop Work Order and a firm of S 100.00 a day agninA tno. S' ed this gay of o V, 199,7 For dgmtmmw use only Permit Number Map#_ Lot# iPature of L ermittee o % SYSTEM 4 MODULAR STRAIGHT EAR • • (ADJUSTABLE ROOF PITCH) ENGINEERING INFORMATION MODEL ALLOWABLE ROOF LIVE LOADS (PSF)*-A NUMBER & GLAZING BAR BASED ON RMPD** BASED ON *A (SPAN) O.C. SPACING DEFLECTION L/175 MATERIAL STRESS SAM-11 DH 2'-6 5/8" 182 Ibs/sq ft 142 Ibs/sq (10'-10 1/2") 3'-0 5/8" 150 118 SAM-12DH 2'-6 5/8" 141 118 (11'-10 7/8") 3'-0 5/8" 118 98 SAM-13DH 2'-6 5/8" 113 100 (12'-10 7/8") 3'-0 5/8" 95 83 2'-6 5/8" 101 75 SAM-15DH (14'-10 1116") 3'-0 5/8" 85 62 2'-6 5/8" 83 65 SAM-16DH (15'-10 7/16") 3'-0 5/8" 70 54 2'-6 5/8" 68 57 SAM-17DH (16-10 7/16") 3'-0 5/8" 58 47 SAM-18DH 2'-6 5/8" 57 50 (17'-10 13/16") 3'-0 5/8" 48 41 2'-6 5/8" 54 44 SAM-19DH (18'-11 1/8") 3'-0 5/8" 45 36 ** IN ALL CASES, THE LOWER PSF MUST GOVERN. 5" GLAZING BAR (SYSTEM 5) USED ON ALL MODELS RMPD DEFLECTION BASED ON 1-1175 FOR SPAN OF LARGEST GLASS PANEL. MATERIAL STRESS BASED ON ALUMINUM ALLOY 6005-T5, 19,000 P.S.I. ALLOWABLE BEAM TENSION STRESS. FILE: ROOFENG7.CDR DATE 7-17-9E 92 5jjjj&ARD G SS SIZES CODE TH, NESS SIZE 28 7/8" 28 7/8" x 30" 28M 7/8" 28 7/8" x 36" 34 7/8" 34 3/8" x 30" 34M 7/8" 34 3/8" x 36" 41 1 7/8" 41 1/4" x 30" 36L 7/8" 41 1/4" x 36" 46 7/8" 46 3/4" x 30" NUMBERS OUTSIDE O�� 46M 7/8" 46 3/4" x 36" PARENTHESIS - 30" PANELS NUMBERS INSIDE PARENTHESIS - 36" PANELS <1 Aer GLAZED TRANSOMS WILL NOT FIT ABOVE WINDOWS WHEN BUILT TO LOWEST PITCH 1/2" IN 12" (2.386') �T6 6 / 5 FT AND 2'-6" WINDOWS \ USED IN FRONT - FOR 30" BAYS. 6 rT AND 2'-10" WINDOWS -SEE PRICING SHEETS USED IN FRONT - FOR 36" BAYS. FOR GABLE WINDOW LAYOUTS GLAZED KICKPANELS STANDARD SYSTEM 4 MODULAR STRAIGHT EAVE (ADJUSTABLE PITCH ROOF GLAZING PATTERNS GLAZED TRANSOMS ARE STANDARD ABOVE WINDOWS KICKPANELS WILL NOT FIT ABOVE WINDOWS WHEN BUILT TO THE / LOWEST PITCH \ 1/2" IN 12" (2.386') APPROXIMATELY 11" k HIGH SOLID KICKPANELS ALTERNATE DESIGN WITH 11" SOLID KICKPANEL AND GLAZED TRANSOM ADD APPROXIMATELY 3-4% TO PRICES SHOWN ON PRICE SHEET o FOUR SEASONS TITLE SYSTEM 4 MODULAR DWD. NO. Q-001 PACE SUNROOMS DATE: 7/16/96 OF 93 will Tw�- 1, -. r— f I•. i t., a = V Li� cil Sketch No. ® A member of the TI Group Date THIS PLAT NOT FOR RECORDING PURPOSES NOV1 c 1 ,ell 'AO SA 14.. t � r u Plan Book 152�� Page 28 Lot #22-A� 0a �3�"ryas V n , � h K V K Q f` It Woods Road To: The Source One Mortgage Services Corp. & The First American Title Insurance Co. I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES,AND BASED ON EXISTING MONUMENTATION,ALL EASEMEN?S, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES.I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED IN A FLOOD PRONE AREA AS SHOWN ON FEDERAL INSURANCE MAPS FOR COMMUNITY NUMBER 250167# DATED: August 2 1994 NOTE THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES SURVEYOR: NOT CONSTITUTE A PROPERTY SURVEY. MORTGAGE LOAN INSPECTION PLAT Ey�it+�F Northampton, Massachusetts RICHAR D Prepared For J. F. Peter & Elaine G. Boettcher +�3 LABARc&SR i3a6os Scale: 1"=1 00 ' S U'A Richard J. LaBarge,Sr.,Registered Professional Land Surveyor 110 1(Ing Street,Northampton, Massachusetts 01060 t/t RE)Vd 5£1S565£1b°DI N01dII4VH1N0N SONNIN:WONd Ot : bt 46-tt-AON 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 Y IF YES,describe size,type and location: 11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This column to be filled in by the Building Department (Required Existing Proposed By Zoning Lot size 1 � ,'{ s� yz, 1 4 7� 4'2 6ti4r r�0) CT�i Frontage l '02 lD2 , y Setbacks - �' i d y ` - side L: 3,'S R: 3S I L:3 V R: 5 S' J - rear 130 Building height Bldg Square footage y !92 � 60 C21 �j %Open Space: / D (Lot area minus bldg ' &paged parking) q I / 00�p 49d� # �f `Parking Spaces Z V f of Loading Docks Fill: (vol-ume -& location) 13 . Certification: ,I ,hereby ,certify that the i formats ontained herein is true and accurate to the best of my kn ledge. DATE: � t--I�- �� APPLICANT's SIGNATURE NOTE: Issuanoa of a zoning g permit does not relieve apptioa s burden to comply witty .ati zoning requirements and obtain all required perms rom the Board of Haalth, C'onservtstion commisslon, Department of Publio Works and oth applionbie permit granting authorities. FILE # NOV 1 3 19w File No. 9 Q :'ZON°s NG PERMIT APPLICATION 010 . 2 PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: ,S�tia,�n(S `{- Cov1110es, Ch;, Address: q3 /14 0�, ,S i -f j), .1114. 0 f -SI Telephone: N/3 - 5'-/3- 0913 2. Owner of Property: Pe T t r -f- 61a.ne e tr?+r-r.h pr Address:--LL L W(yev 1< rN -1110:t�a w,d 'rod 14)A Telephone: E&5 S+ 9033 3. Status of Applicant: Owner V Contract Purchaser Lessee Other(explain): ��// i MM 4. Job Location: Wong R /+ �� T�u�t�p;yi✓ 1W Q/ 062- Parcel Id: Zoning Map# �(v Parcel# � District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 1 r Qwe t I rvt� 6. Description of Proposed Use/ Work/Project/Occupation: (Use additional sheets if necessary): C0nL7✓uct"en Jv{�S-trVCTVr e- 7. Attached Plans: V 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. S. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNO::r 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 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) x _ n AftLE NOV I ,3199 i APPLICANT/CONTACT PERSON: (V ADDRESS/PHONE: PROPERTY LOCATION: MAP C PARCEL: ZONE THIS SECTION FOR-OFFICIAL, USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 7.ONfNG FORM FELET) OUT Fee pnid Rnilffing Permit MUM mit Fee Pnid NP.v Cnnstrnr_ti n _ %J2� AcIflitinn to Existing an THE 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 Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval-Bd of Health Well Water Potability-Bd Health er' 't from Conse a ' C on �s Signature of Building irloctor Date NOTE: issuanoa of a zoning permit does not relieve an applloant's burden to oompty 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. 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. ❑ 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 your.request 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. *Work shall take place as described in the narrative attached to the Request for Determination dated December 2, 1997. 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 Northampton Conservation Commission Signature(s) LU r This Determination must be signed by a majority of the Conservation Commission. On this a� day of L A2 , A'n 6A 19 �� ,before me personally appeared C f l o 5M ��o r on(-N ,to me known to be the person described in,and who executed, the fore oing 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 Fee 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. 4/1/94 310 CMR- 402 402 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECT J 10.99: continued DFr 2 3 1997 � rr or u k DEP File No. 246 - s i (To be provided by DEP) Form 2 City/Town: Northampton Applicant Steven C Connors Commonwealth 12/04/97 of Massachusetts Date Request Filed 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: Steven C. Connors Elaine and Peter Boettcher (Name of person making request) (Name of property owner) 93 Main Street, Indian Orchard, MA 01151 18 Woods Road, Florence MA 01062 Address Address This determination is issued and delivered as follows: ❑ by hand delivery to person making request on (date) ® by certified mail,return receipt requested on December 23, 19 9 7 (date) Pursuant to the authority of G.L. c. 131, §40,the Northampton Conservation Commission has considered your request for a Determination of Applicability and its supporting documentation,and has made the following determinatiea{shaslE whichever is applicable): Location: Street Address 113. 1sIpos;. ,liosd Lot/Map and Parcel Id Nuw Parcel 153 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/l/94 310 CMR - 401 401 FILE # ~I JM 5119% APPLICANT/CONTACT PERSON: � � � � i PROPERTY LOCATION: �1 MAP PARCEL: ZONE�(�( THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE Fee PAid 'Buildin2 Permit Filled Alit / — I/ r D Q THE ALLOWING ACTION HAS BEEN TAKEN ON THIS APF LICATION' 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 '�'' # APpra# B�lxtT1 '�aI Well Water Potability-Bd Health V-fermit from Conservati Commission /�/�3�7 y� Signature o m g for Date NOTE:Issuanoa of a zoning permit does not relieve an applioant's burden to oompty with all _ zoning requirements and obtain ail required permits from the Board of Health, Conservation Commission, Department of Pubiio Works and other applioabie permit granting authortties. 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