36-260 (7) Date Filed 6 � File No.
ZONING PERMIT APPLICATION (510.2)
1. Name of Applicant:
Address : UJ Telephone: .2-5-3-5:Y7—S-
2 . Owner of Property:
Address:—C)- Telephone 01
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain; )
aid
4 . Parcel Identification: Zoning Map Sheet# Parcel# ,
Zoning District (s) (include ov a s)
Street Address
Required
5 . Existing Proposed bV zoning
Use of Structure/Property
(if project is only interior work, sk p to
Building height
%B1dg. Coverage (Footprint)
Setbacks - front o'
- side
- rear S5
Lot size 6 TOO
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs '
Fill (volume & location)
6 . Narrative Description of Prcposeql Work Project: (Use additional sheets
if necessary)
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 knowledge.
Date: `l Z Applicant ' s Signature: G
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented
R ,aso for D al �
Signatu � f- uildin Spector Date
NOTE: lssuan ng permit door not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Heahh, Conservation Commission, Department of Public Works and other applicable permit granting authorities.
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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.
t ione,._
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.
#8
C I TY OF NORTHAMPTON, MASS.
June 4, 1992
THE BOARD OF PUBLIC WORKS
The undersigned respectfully petiition your honorable body for
Permission to install driveway at (lot 15) 151 Maple Ridge 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 3% or more.
Common driveway with lot #16.
9 Warren Wright Road
Belchertown
Proposed Location
Inspected by: 'w' �-- /'� • t �J
Gravel Base Grade
Inspected by:
Final Approval:
THE BOARD OF PUBLIC WORKS
Voted that petition be -ranted.
$25.00 Fee Paid X #1441
Samuel B. Brindis, P.E. , Director of Public Works
(SUBJECT TO ATTACHED CONDITION 1 & 2)
CITY OF NORTHAMPTON, MASSACHUSETTS �r t ��'
DEPARTMENT OF PUBLIC WORKS
125 Locust Street
Northampton, MA 01060
Samuel B. Brindis, P.E. 413-582-1570
Director, City Engineer
Peter J.McNulty, Sr.
Assiswr Director of Public Works
BOARD OF PTJBLIC `4ORKS
DRIVEWAY PERMIT
GENFR4L. INSTRUCTIONS AND REGULATIONS
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 completing 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 dri-eway with adequate provision for natural water
runoff situations.
Samuel B Brindis, P.E.` o
Director of Public Works
WP51\SAM\DRVWAY.PER
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t, Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. )j32-)-`� J Alterations
a NORTHAMPTON, MASS. ° �" 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location A )5- Lot No.
a
2. Owner's name A—�km e,ffil Address '19 16 pz�4�
3. Builder's name Address &,LU^
Mass.Construction Supervisor's License o. Expiration Date O 3
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage pZ _ No.of cars Size 6 K
10. Method of heating G S tL 6U;L,
11. Distance to lot lines 1 >! t Y 5 r I
12. Type of roof
13. Siding house
14. Estimated cost:- ap c,
The undersigned certifies that the above statements are true to the best of his, her
knowledge and beli f.
7L
Signature of respons' a applicant
Remarks
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PERMIT APPLICATIo C8a(, -,ST
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i Sl 1 CL dC e d Yes No Date
1 . Zoning Form Application !i
2. Permit Application �i-
3. Homeowner statement if a licable Lic. # if not
4. 2 sets of plans
5, • Curb cut
6. water Der-artmPnt mgm0
7.• Permit fee - check only L a - `734,00 t-•--
Special Permit required with de.@d if applicable
9. Under section 127 -
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