07-017 i DEPT: OF BUILDING INSPECTIONS BUILDING >e It)
(4 V 1 CO
'''; North 212 Main
on,Mn 01060 PERMIT 3° f��"
7 - 17 VA LIGATION
DATE July 8. 19 86 PERMIT NO 364
APPLICANT KNKKIN Neil Homstead ADDRESS 408 North,i Farms Road On File
{p uo.1 Ia Tx EETI CONTMS 4I.CEAS +
PERMIT TO Addition/Repair Rp�ac r l One Family NUMBERN OP NITS
ITVFE OF IMPSOVCMLNi) NO. IPROPORSO USE)
•T (LOCATION) 360 North Farms Road ZONING
1x0.1 1}TR[ETI
BETWEEN AND
IcROI; 'TAW) (CROSS STREET;
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SMALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
ITT."
REMARKS: permit to remove old porch/replace with living space but larger
AREA OR 1200 sq. ft. $ /4,500.00 PERMIT $ 48.00
VOLUME ESTIMATED CMT T i
ICu•C/sOUARE FEET)
OWNER Loise B. Homestead
ADDRESS SW North Farms Road BY11 •
, DE f} 644,74:67,_
,
WHITE - FILE COPY . GREEN - FIELD COPY . CANARY - APPLICANT COPY
* PINK - ASSESSORS COPY „ mit ,
Ntitr^:/�/, . L CITY OF NORTHAMPTON
•Ashen
MASSACHUSETTS
A^ iv
t,'I: it OFFICE of the INSPECTOR of BUILDINGS
�._�„r,-re-
.r,uK' Page 7 Plot '7 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT - Applicant to complete all items in sections: I, H,, III, IV, and IX.
q /� 0
Tlcoc+T(LOCATION) 660 /11/�k: (' I :/ij ri;`:V (J O�o '76 / 9>� ZONINGIIT�tC
LOCATION A I^O.) `STREET'
OF BETWEEN AND
BUILDING ¢Ross STREET) )CROSS STREET)
LOT
SUBDIVISION -- LOT BLACK SLIT
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —i
Pa
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For”Wrecking" most recent use ^I
m
I Ti Nonresidential building Residential Non sidential -I21fl Addition(I/residential, enter number I2One family 181 I Amusement, recreational
of new housing units added, if any,
13)
in Part D, 13) 13 I I Two or mon family - Enter 19 Li C• hurch, other religious
number of units--- - a
20 [Ti Industrial
3�y Alteration (Ere 2 above) 14 L Transient hotel, motel, 21 [Ti Parking garage
41X1 Repair, replacement or dormitory - Enter number
5/I l Wrecking (I/multi/amity residential, of units -* 22 I 1 Serria station, repair garage
enter umber o/units in building in 15 LI Garage 23 I Hospital, institutional
Part D, 13)
16 24 1 1 Oflice, bank, professional
6 I Moving (relocation) Carport
7 ❑ Foundation only n L.] other - specify 25 f1-1 P• ublic utility
26 L7 S• chool, librory, other educational
B. OWNERSHIP - - - 27I I Stores, mercantile
281 I Tanks, towers
60 Private (individual, corporation,
nonprofit institution, etc.) 29 l.. I Other - Specify
^
9 LJ Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
p processing plant, machine shop, laundry building at hospital, elementory
10. Cost of improvement $ 0800 school, secondary
ondary school, college, parochial school, parking garage for,
departmentstore, 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 C'
a. Electrical 5500
b. Plumbing 200 —
t.Heating, air conditioning
d.Other(elevator, etc /
//
11, TOTAL COST OF IMPROVEMENT 3[ //(5 °0
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E - L;
for wrecking, complete only Port J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 2
3011 Masonry(wall bearing) 40I I Public or private company 48. Number of stories
31, Wood frame 41jj‹Private (septic tank, etc.) 49. Totals re feet of exteriorfloor of /.
all floors,
based o / wd
321 I Structural steel dimensions
33 I I Reinforced concrete H. TYPE OF WATER SUPPLY /�
34 I I Other - Specify 42�Publ is or private company 50. Total land area, sq. ft. T//0E, 0
—
431 I Privar. (well, cistern/ K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed
351II!!!Gas Will there be central air 52. Outdoors
36 �����,,��� Oil conditioning'
L. RESIDENTIAL BUILDINGS ONLY
37 CTI Electricity 44I l Yes 45,(No 53. Number of bedrooms
38 Li Cool .
39 I 1 Other - Speri/y Will there be an elevator• { Full
54. Number of
06 1-1 Yes 4Tlo bathrooms
Partial
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number. sweet, ran, and State ZIP code Tel. No.
0r
0e a Lou/SE B. 360 AJoRTH FAp042 /?D. 586
Lessee HDA75rE/tI., fLoRENcEi MAF. Of06o 7691
�. NE/L 1/o4,25760L trio x of FI, LicBense'Na
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_
;Trare of applicant Address APpI - n dote
u e� �i 360 .014.P,�s /7. 7/3/8 �O
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Ch«k Plan Review Date Pians Dote Plans ByNotesquire Fee Started By Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $ -. IN
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
DaDate
Permit or Approval Check Obta need Number By Permit or Approval Check Obmi ed Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT _--- ROOFING
ELEVATOR a SEWER
ELECTRICAL
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
OILGRA BURNERWRECKING
OTHER
--. PUBLICNG USE OF AREAS
OTHER OTHER
VII. VALIDATION
Building �� FOR DEPARTMENT USE ONLY
Permit number
Building ' use Group
Permit issued 19
Building (4' (x^J Fire Grading
Permit Fee $ \ V .Q( ) Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:�%p i
Drain Tile $ ..r?,zr.t._//9 /1
Plan Review Fee $ '-_"—'—"T ��~*/'�•f��
TITLE
NOTES and Data - (For department use),,,,' /
�-O` f .. A. * 'i ' ,10-1} /i ..
L.
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOT ES
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Form 2
DEQE File No.
• (To be provided by DEQE)
4 Commonwealth City/Town Northampton
of Massachusetts
i Applicant Homstead
•
Determination of Applicability
Massachusetts Wetlands Protection Act, G.L. c. 131, §40
From.. Northampton Conservation Commission Issuing Authority
To Louise Homstead same
(Name of person making request) (Name of property owner)•
Address 360 N. Farms Rd. Northampton Address same
This determination is issued and delivered as follows:
0 by hand delivery to person making request on (date)
( I IS] by certified mail,return receipt requested on 5/1 /86 (date)
Pursuant to the authority of G.L.c. 131, §40,the rnnc Prvari n..
has considered your request for a Determination of Applicability and its supporting documentation,and has
made the following determination(check whichever is applicable):
This Determination is positive:
1. 0 The area described below,which includes all/part of the area described in your request,is an Area
Subject to Protcution Under the Act.Therefore,any removing,filling, dredging or altering of that
area requires the filing of a Notice of Intent. :
•
2. 0 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.There-
fore,said work requires the filing of a Notice of Intent.
•
r i
21
•
3. 0 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. 0 The work 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. lg The work 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., provided hay bales are placed and staked sufficiently
• to prevent erosion/siltation' into the bordering vegetated wetland/brook.
4. 0 The area described in your request is Subject to Protection Under the Act,but since the work
.described 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) czip 'G
This Determination
must be signed by a majority of the Conservation Commission. •
On this day of / / 19 S v- .before me
personally appeared IA_irk. to me known to be the
person described in, and who executed,the foregoing instrument, and acknowledged that he/she executed
the same as his/her free act and deed.
�-" a l%< 4 t to 1 416- C /C /!
Notary Public My commission expires .
This Determination does not relieve the applicant from complying with all other applicable federal,state or local statutes,ordinances.
by-laws or regulations.This Determination shall be valid for three years form 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 Duality Engineering to issue a Superseding Determination of Applicability,providing the request is made
by certified mail or hand delivery to the Department within Mn 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.
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